早期整形修复对烧伤整形患者治疗疗效及二次手术率的影响分析  

Analysis of the Effect of Early Plastic Repair on the Therapeutic Effect and Secondary Operation Rate of Burn and Plastic Patients

作　　者：董美林 刘源[1] DONG Mei-lin;LIU Yuan(Department of Burns and Plastic Surgery,Second People's Hospital of Lianyungang,Lianyungang,Jiangsu Province,222000 China)

机构地区：[1]连云港市第二人民医院烧伤整形科,江苏连云港222000

出　　处：《系统医学》2020年第5期37-39,共3页Systems Medicine

摘　　要：目的探讨早期整形修复对烧伤整形患者治疗疗效及二次手术率的影响。方法选择该院烧伤整形外科2017年1月-2019年10月收治的50例烧伤患者作为研究对象,按照随机数字表法分为每组25例,对照组在烧伤10 d后实施整形修复,实验组在烧伤10 d内实施整形修复,两组比较临床疗效、皮片成活率、外观平整度、二次手术率、术后并发症发生率、生活质量评分。结果实验组临床总有效率为96.00%,高于对照组的76.00%,差异有统计学意义(χ^2=4.152,P=0.041 <0.05)。实验组皮片成活率100.00%高于对照组84.00%(χ^2=4.347,P=0.037 <0.05),实验组外观平整度92.00%高于对照组68.00%(χ^2=4.500,P=0.033 <0.05)。实验组二次手术率0.00%低于对照组16.00%(χ^2=4.347,P=0.037 <0.05),实验组术后并发症发生率0.00%低于对照组20.00%(χ^2=5.555,P=0.018 <0.05)。治疗后,两组生活质量评分与治疗前相比均明显增高,而实验组评分与对照组相比更高(P<0.05)。结论早期整形修复可提高烧伤患者的整形手术效果,减少二次手术、术后并发症,有利于提高患者生活质量。Objective To explore the effect of early plastic surgery on the therapeutic effect and secondary surgery rate of burn and plastic patients. Methods 50 burn patients treated in the hospital from January 2017 to October 2019 were selected as the research objects. They were divided into 25 groups according to the random number table method. The control group performed plastic repair 10 days after the burn. The group underwent orthopedic repair within 10 days of the burn. The two groups compared the clinical efficacy, skin survival rate, appearance flatness, secondary surgery rate,postoperative complications rate, and quality of life score. Results The total clinical effective rate was 96.00% in the experimental group, which was higher than 76.00% in the control group(χ^2=4.152, P=0.041 <0.05). The skin survival rate of the experimental group was 100.00% higher than the control group at 84.00%(χ^2=4.347, P=0.037), P<0.05, and the appearance flatness test group was 92.00% higher than the control group at 68.00%(χ^2=4.500, P=0.033 <0.05). The secondary surgery rate of the experimental group was 0.00% lower than the control group by 16.00%(χ^2= 4.347, P=0.037, <0.05), and the postoperative complication rate of the experimental group was 0.00% lower than the control group by 20.00%(χ^2=5.555, P =0.018 P <0.05). After treatment, the quality of life scores of the two groups were significantly higher than before treatment, while the scores of the experimental group were higher than those of the control group(P <0.05). Conclusion Early plastic repair can improve the effect of plastic surgery on burn patients,reduce secondary surgery and postoperative complic ations, and help improve the quality of life of patients.

关 键 词：烧伤整形外科 烧伤 整形修复 手术 

分 类 号：R644[医药卫生—外科学]