应用TiNi环抱式接骨器防治心脏术后胸骨哆开的临床研究

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Abstract Objective To explore the clinical value of using TiNi encircling bone connector to prevent and treating sternal opening after cardiac surgery.Methods From June 2018 to October 2020,90 patients who were to undergo cardiac surgery in the Department of Cardiothoracic Surgery of the First Affiliated Hospital of Gannan Medical College were selected.The patients were divided into the study group(45 cases)and the reference group(45 cases)according to the random number table method.The reference group used steel wires to fix the sternum during the operation,and the study group used TiNi encircling bone connectors to fix the sternum during the operation.The surgery-related indicators,the occurrence of postoperative complications were compared between the two groups.Results The visual analogue scoring(VAS)score of the study group was(5.17±1.14)points,which was lower than the(7.65±1.08)points of the reference group,the difference was statistically significant(P<0.05).The postoperative ventilator use time of the study group was(18.34±4.54)h,and the intensive care ward(ICU)stay time of the study group was(43.97±7.54)h,hospitalization time of the study group was(13.67±2.04)d,which were shorter than those of the reference group([26.65±9.21],[63.50±14.65]h,[19.86±3.24]d),the differences were statistical significance(P<0.05).There was no significant difference in the operation time between the two groups(P>0.05).The total incidence of postoperative complications in the study group was lower than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion The application of TiNi embracing bone connector in cardiac surgery can reduce postoperative pain,reduce the occurrence of sternal opening and lung infection,shorten the time of postoperative ventilator use,ICU stay,and hospital stay,and help patients recover quickly.

Key words： Heart surgery Sternum opening TiNi embracing bone connector Steel wire

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	Articles by authors
	ZHU Shen-yu
	YU Xiao-qiang
	LIU Zi-you
	LI Shu-lin
	XIONG Jian-xian

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ZHU Shen-yu,YU Xiao-qiang,LIU Zi-you, et al. Clinical study on the use of TiNi encircling bone connector to prevent and treating sternal opening after cardiac surgery[J]. 中国当代医药, 2021, 28(27): 108-110.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I27/108

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