简单皮瓣修复术在手外伤治疗中的应用效果分析  

Effects of applying simple flap repair in the treatment of hand trauma

作　　者：张鹏 ZHANG Peng(First Department of Hand and Foot Microsurgery,Central Hospital of Yingkou Economic Development Zone(Sixth People’s Hospital of Yingkou),Yingkou 115007,China)

机构地区：[1]营口经济开发区中心医院(营口市第六人民医院)手足显微外一科,115007

出　　处：《中国实用医药》2021年第22期34-36,共3页China Practical Medicine

摘　　要：目的分析简单皮瓣修复术在手外伤治疗中的应用效果。方法 48例手外伤患者,根据1∶1的配比方式分为对照组和实验组,每组24例。对照组行常规治疗,实验组行简单皮瓣修复术治疗。对比两组治疗前后皮肤创面面积、恢复评分、满意度、治疗前后焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分。结果治疗1、3、6个月,实验组皮肤创面面积分别为(27.02±2.22)、(21.45±2.23)、(15.58±2.41)cm^(2),均小于对照组的(34.74±2.21)、(27.75±2.10)、(21.25±2.63)cm^(2),差异具有统计学意义(P<0.05)。实验组厚度评分(4.52±0.84)分、色泽评分(2.69±0.58)分、柔软度评分(2.77±0.20)分、血管分布评分(4.12±0.52)分均高于对照组的(2.47±0.28)、(1.47±0.52)、(1.35±0.69)、(2.20±0.12)分,差异具有统计学意义(P<0.05)。实验组总满意度95.83%(23/24)高于对照组的75.00%(18/24),差异具有统计学意义(P<0.05)。治疗后,实验组患者的SAS评分(3.11±0.42)分、SDS评分(2.11±0.42)分均低于对照组的(5.84±0.57)、(4.84±0.57)分,差异具有统计学意义(P<0.05)。结论手外伤患者应用简单皮瓣修复术可促进患者手部功能的快速康复,提高美观度,值得推广和运用。Objective To analyze the effects of applying simple skin flap repair in the treatment of hand trauma.Methods 48 patients with hand trauma were divided into a control group and an experimental group with a ratio of 1∶1,with 24 patients in each group.The control group received routine treatment,while the experimental group received simple flap repair.Skin wound area,recovery score,satisfaction,self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score before and after treatment were compared between the two groups.Results In 1,3,6 months after treatment,the skin wound areas respectively were(27.02±2.22),(21.45±2.23),(15.58±2.41)cm^(2) in the experimental group,which were smaller than corresponding(34.74±2.21),(27.75±2.10),(21.25±2.63)cm^(2) in the control group,and the difference was statistically significant(P<0.05).In the experimental group,thickness score was(4.52±0.84)points,color score(2.69±0.58)points,softness score(2.77±0.20)points,vascular distribution score(4.12±0.52)points,which were higher than corresponding(2.47±0.28),(1.47±0.52),(1.35±0.69),(2.20±0.12)points,and the difference was statistically significant(P<0.05).The overall satisfaction in the experimental group was 95.83%(23/24),which was higher than 75.00%(18/24)in the control group,and the difference was statistically significant(P<0.05).After treatment,the experimental group had SAS score of(3.11±0.42)points and SDS score of(2.11±0.42)points points,which were lower than corresponding(5.84±0.57)and(4.84±0.57)points in the control group,and the difference was statistically significant(P<0.05).Conclusion Applying simple flap repair in the treatment of hand trauma can promote the quick recovery of hand function and improve the aesthetic appearance.Thus,it is worth promoting and applying in clinical practice.

关 键 词：烧伤整形 脱细胞异体真皮 自体薄皮片 复合移植 植皮存活率 皮肤恢复 

分 类 号：R658.2[医药卫生—外科学]