早期整形修复术对手部深度烧伤患者预后的影响

Prognostic effect of early plastic repair operation on hand deep burn patients

目的：探讨早期整形修复手术对烧伤患者预后的影响。方法随机选取2012年7月至2014年7月手部深度烧伤患者72例，根据烧伤至手术时间将患者分为两组，每组36例。观察组于烧伤3 d 内行整形修复手术，对照组于烧伤3 d 后行整形修复手术，评估两组近期临床疗效。结果观察组近期治疗有效率为94.44％，高于对照组的77.78％，差异有统计学意义（P ＜0.05）；观察组术后6个月手部创面愈合后瘢痕指数（SI）为7.08±1.05，低于对照组，手指关节总活动度（ROM）为（201.26±15.21）°，高于对照组，差异有统计学意义（P ＜0.05）；观察组术后植皮坏死、感染、臃肿的发生率分别为0、5.56％、2.78％，低于对照组，差异有统计学意义（P ＜0.05）。结论手术烧伤患者早期行整形修复手术能够改善关节活动度，降低术后并发症，有利于提高手术效果。

Objective To investigate the prognostic effect of early plastic repair operation on hand deep burn patients. Methods From July 2012 to July 2014,72 patients with hand deep burn were randomly selected and divided into two groups according to burn to surgery time with 36 cases in each group. The observation group received plastic repair operation within 3 days,while the control group did after 3 days. The short-term effect of the two group was evaluated. Results The effective rate of the re-cent treatment in the observation group was 94. 44% ,which was significantly higher than 77. 78% of the control group,the difference was statistically significant（ P 〈 0. 05）. The SI of observation group 6 months after operation was 7. 08 ± 1. 05,which was lower than that of the control group,and the differ-ence was statistically significant（P 〈 0. 05）. The range of motion（ROM）of observation group was（201. 26 ± 15. 21）°,which was significantly higher than that of control group（ P 〈 0. 05）. The occurrence probability of skin graft necrosis,infection and bloat of the observation group respectively were 0,5. 56%and 2. 78% ,which were lower than those of the control group,and the differences were significant（P 〈0. 05）. Conclusions Patients with early plastic repair operation can improve the situation of joint activi-ties and reduce the postoperative complications which is helpful to improve the effect of operation.