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The purpose of this study is to explore the difference between the clinical effects of surgical and non-surgical treatment for patients with low rib fracture, and to explore whether SSRF has more clinical treatment advantages in patients with low rib fracture in a randomized, controlled and prospective manner.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Research Group | surgical stabilization of low rib fracures by internal fixation |
| |
| Controls Group | conservative treatment of low rib fractures |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| surgical stabilization of low rib fratures | Procedure | surgical stabiliazation of rib fractures by internal fixation |
|
| Measure | Description | Time Frame |
|---|---|---|
| EQ-5D-5L | appraisal of life quality | On the day of admission |
| EQ-5D-5L | appraisal of life quality | 1 week after treatment |
| EQ-5D-5L | appraisal of life quality | 2 weeks after treatment |
| EQ-5D-5L | appraisal of life quality | 1 month after treatment |
| EQ-5D-5L | appraisal of life quality | 3 months after treatment |
| EQ-5D-5L | appraisal of life quality | 6 months after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Score | Number Rating Score, NRS | On the day of admission |
| Pain Score | Number Rating Score, NRS | 1 week after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Atelectasis | CT scan show | On the day of admission |
| Atelectasis | CT scan show | 1 week after treatment |
Inclusion Criteria:
Exclusion Criteria:
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patient with multiple rib fractures combines with low rib fractures
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Weiming Wu | Contact | 18930172451 | wuweiming0427@163.com |
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| converstive treatment of low rib fratures | Other | chest wall fixation band |
|
| Pain Score | Number Rating Score, NRS | 2 weeks after treanment |
| Pain Score | Number Rating Score, NRS | 1 month after treatment |
| Pain Score | Number Rating Score, NRS | 3 months after treatment |
| Pain Score | Number Rating Score, NRS | 6 months after treatment |
| Atelectasis | CT scan show | 2 weeks after treanment |
| Atelectasis | CT scan show | 1 month after treatment |
| Atelectasis | CT scan show | 3 months after treatment |
| Atelectasis | CT scan show | 6 months after treatment |
| Pleural effusion | CT scan show | On the day of admission |
| Pleural effusion | CT scan show | 1 week after treatment |
| Pleural effusion | CT scan show | 2 weeks after treanment |
| Pleural effusion | CT scan show | 1 months after treatment |
| Pleural effusion | CT scan show | 3 months after treatment |
| Pleural effusion | CT scan show | 6 months after treatment |
| Mortality | death toll in each group | On the day of admission |
| Mortality | death toll in each group | 1 week after treatment |
| Mortality | death toll in each group | 2 weeks after treanment |
| Mortality | death toll in each group | 1 month after treatment |
| Mortality | death toll in each group | 3 months after treatment |
| Mortality | death toll in each group | 6 months after treatment |
| Length of hospital stay | time of hospitalization | the day from in the hospital to discharge |
| Cost of treatment | total cost of hospitalization expense | the day from in the hospital to discharge |
| Chest discomfort | chest tightness, foreign body sensation, numbness of surgical incision | On the day of admission |
| Chest discomfort | chest tightness, foreign body sensation, numbness of surgical incision | 1 week after treatment |
| Chest discomfort | chest tightness, foreign body sensation, numbness of surgical incision | 2 weeks after treanment |
| Chest discomfort | chest tightness, foreign body sensation, numbness of surgical incision | 1 month after treatment |
| Chest discomfort | chest tightness, foreign body sensation, numbness of surgical incision | 3 months after treatment |
| Chest discomfort | chest tightness, foreign body sensation, numbness of surgical incision | 6 months after treatment |
| Chronic pain | pain for more than three months after surgery or trauma, NRS assessment | 3 months after treatment , 6 month after treatment |
| Chronic pain | pain for more than three months after surgery or trauma, NRS assessment | 6 months after treatment |
| Duration of analgesic drug | the time of analgesic usement from first treat to the paitent do not use it anymore | the time of analgesic usement from first treat to the paitent do not use it anymore |
| Total analgesic drug use | total amont of analgesic usement from first treat to the paitent do not use it anymore | the time of analgesic usement from first treat to the paitent do not use it anymore |
| Lung function 1 | Forced vital capacity， FVC | On the day of admission |
| Lung function 1 | Forced vital capacity， FVC | 1 week after treatment |
| Lung function 1 | Forced vital capacity， FVC | 2 weeks after treanment |
| Lung function 1 | Forced vital capacity， FVC | 1 month after treatment |
| Lung function 1 | Forced vital capacity， FVC | 3 months after treatment |
| Lung function 1 | Forced vital capacity， FVC | 6 months after treatment |
| Lung function 2 | First second forced vital capacity，FEV1 | On the day of admission |
| Lung function 2 | First second forced vital capacity， FEV1 | 1 week after treatment |
| Lung function 2 | First second forced vital capacity， FEV1 | 2 weeks after treanment |
| Lung function 2 | First second forced vital capacity， FEV1 | 1 month after treatment |
| Lung function 2 | First second forced vital capacity， FEV1 | 3 months after treatment |
| Lung function 2 | First second forced vital capacity， FEV1 | 6 months after treatment |