大面积深度烧伤患者Meek植皮术后延迟愈合的危险因素分析  

Analysis of Risk Factors for Delayed Healing after Meek Skin Grafting in Patients with Large-area Deep Burns

作　　者：周祖军 赵子刚 ZHOU Zujun;ZHAO Zigang(Emergency Department,Affiliated Hospital of Chongqing University of Posts and Telecommunications·Chongqing Steel General Hospital,Chongqing,400000 China)

机构地区：[1]重庆邮电大学附属医院·重钢总医院急诊科,重庆400000

出　　处：《系统医学》2023年第14期22-25,共4页Systems Medicine

摘　　要：目的探讨大面积深度烧伤患者Meek植皮术后延迟愈合的危险因素。方法回顾性分析2020年1月—2022年10月重钢总医院收治的72例大面积深度烧伤患者的临床资料,根据创面愈合的时间,将患者分为正常组(n=47)、延迟组(n=25),分析术后延迟愈合的危险因素。结果延迟组烧伤面积占比为(69.14±9.93)%,高于正常组的(63.10±8.92)%,差异有统计学意义(t=2.630,P=0.010)。延迟组烧伤指数为(55.32±17.74),高于正常组的(43.53±14.38),差异有统计学意义(t=3.050,P=0.003)。延迟组手术时间为(150.37±48.50)min,高于正常组的(89.64±26.55)min,差异有统计学意义(t=5.815,P<0.001)。延迟组供皮面积占总体表面积的比值为(8.03±1.90)%,明显高于正常组的(4.95±1.15)%,差异有统计学意义(t=7.415,P<0.001)。延迟组术后严重疼痛占比为24.00%,高于正常组的4.26%,差异有统计学意义(χ^(2)=4.598,P=0.032)。性别、年龄、吸入性损伤等相关指标对比,差异无统计学意义(P>0.05)。Logistic回归分析结果表明,烧伤面积、烧伤指数、手术时间是术后延迟愈合的危险因素(P<0.05)。结论大面积深度烧伤患者行Meek植皮术治疗后,其愈合时间可受到多种因素的影响,烧伤面积较大、烧伤指数较高、手术时间较长的患者更容易出现延迟愈合现象,临床应予以重视。Objective To explore the risk factors for delayed healing after Meek skin grafting in patients with large-area deep burns.Methods The clinical data of 72 patients with large area deep burn admitted to Chongqing Iron and Steel General Hospital from January 2020 to October 2022 were retrospectively analyzed.According to the time of wound healing,the patients were divided into normal group(n=47)and delayed group(n=25).The risk factors of delayed healing after operation were analyzed.Results The proportion of burn area in the delayed group was(69.14±9.93)%,which was higher than(63.10±8.92)% in the normal group,the difference was statistically significant(t=2.630,P=0.010).The burn index of the delayed group was(55.32±17.74),which was higher than that of the normal group(43.53±14.38),and the difference was statistically significant(t=3.050,P=0.003).The operation time in the delayed group was(150.37±48.50)min,which was higher than that in the normal group(89.64±26.55)min,the difference was statistically significant(t=5.815,P<0.001).The ratio of skin donor area to total surface area in the delayed group was(8.03±1.90)%,which was significantly higher than(4.95±1.15)% in the normal group,and the difference was statistically significant(t=7.415,P<0.001).The proportion of severe postoperative pain in the delayed group was 24.00%,which was higher than 4.26% in the normal group,and the difference was statistically significant(χ^(2)=4.598,P=0.032).There was no statistically significant difference in gender,age,inhalation injury and other related indicators(P>0.05).Logistic regression analysis results showed that burn area,burn index,and operation time were risk factors for delayed postoperative healing(P<0.05).Conclusion After patients with large-area deep burns are treated with Meek skin grafting,the healing time can be affected by various factors.Patients with larger burn areas,higher burn indexes,and longer operation times are more likely to experience delayed healing.Clinical attention should be paid.

关 键 词：大面积深度烧伤 MEEK植皮术 创面愈合延迟 危险因素 

分 类 号：R4[医药卫生—临床医学]