早期整形修复对烧伤整形患者疗效及二次手术率的影响(1)
[摘要] 目的 分析早期整形修復对烧伤整形患者疗效及二次手术率的影响。方法 随机选取该院收治的100例烧伤患者作为研究对象，选取时间为2013年5月—2016年5月，依据患者进行修复整形的时间将患者分成研究组和对照组，每组50例患者，研究组患者在烧伤10 d内行早期整形修复，对照组患者在烧伤10 d后实施整形修复，分析两组患者的疗效、二次手术率及并发症。 结果 研究组患者治疗优良率为96%(48例)，明显高于对照组的82%(41例)，两组数据比较差异有统计学意义(χ2=5.005 1，P<0.05)；研究组患者二次手术率为4%(2例)，明显低于对照组的16%(8例)，两组数据比较差异有统计学意义(χ2=4.000 0，P<0.05)；研究组并发症发生率为2%(1例)，显著低于对照组的14%(7例)，两组数据对比差异有统计学意义(χ2=4.891 3，P<0.05)；经治疗后，研究组患者NIHSS评分为(3.4±0.2)分，组织功能恢复评分为(9.2±0.1)分，两项评分数据均优于对照组(t=6.324 6/9.486 8，P<0.05)。结论 早期整形修复可有效降低烧伤整形患者的二次手术率，提高治疗疗效，治疗有效率高，可在临床中进行推广应用。
[关键词] 早期整形修复；烧伤整形；疗效；二次手术率
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2018)06(a)-0046-03
[Abstract] Objective This paper tries to analyze the effect of early plastic surgery on the curative effect and the second operation rate of burn patients. Methods Randomly selected 100 cases of burn patients admitted in this hospital as the study object， the selection time is from May 2013 to May 2016， and the patients were divided into study group and control group according to the time of patients' reshaping， 50 patients in each group. Patients in the group underwent early plastic repair within 10 days of burns. Patients in the control group underwent plastic repair after 10 days of burns. The efficacy， reoperation rate， and complications of the two groups were analyzed. Results The rate of excellent and good patients in the study group was 96% (48 cases)， which was significantly higher than that in the control group(82%， 41 cases). The data in the two groups had statistical significance (χ2=5.005 1，P<0.05)； The operation rate was 4%(2 cases)， which was significantly lower than that of the control group (16%) (8 cases). The data in the two groups were statistically significant (χ2=4.000 0，P<0.05)； the complication rate in the study group was 2%(1 case) was significantly lower than that in the control group (14%). There was a statistically significant difference between the two groups (χ2=4.891 3，P<0.05). After treatment， the NIHSS score of the study group was (3.4±0.2)points. The scores for tissue function recovery were (9.2±0.1) points. Both score data were better than the control group (t=6.324 6，9.486 8，P<0.05). Conclusion Early plastic surgery can effectively reduce the rate of secondary surgery in patients with burns and plastic surgery， improve therapeutic efficacy， and have high treatment efficiency. It can be used in clinical practice.
[Key words] Early plastic surgery； Burns and plastic surgery； Efficacy； Reoperation rate, 百拇医药(刘广余)
[关键词] 早期整形修复；烧伤整形；疗效；二次手术率
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2018)06(a)-0046-03
[Abstract] Objective This paper tries to analyze the effect of early plastic surgery on the curative effect and the second operation rate of burn patients. Methods Randomly selected 100 cases of burn patients admitted in this hospital as the study object， the selection time is from May 2013 to May 2016， and the patients were divided into study group and control group according to the time of patients' reshaping， 50 patients in each group. Patients in the group underwent early plastic repair within 10 days of burns. Patients in the control group underwent plastic repair after 10 days of burns. The efficacy， reoperation rate， and complications of the two groups were analyzed. Results The rate of excellent and good patients in the study group was 96% (48 cases)， which was significantly higher than that in the control group(82%， 41 cases). The data in the two groups had statistical significance (χ2=5.005 1，P<0.05)； The operation rate was 4%(2 cases)， which was significantly lower than that of the control group (16%) (8 cases). The data in the two groups were statistically significant (χ2=4.000 0，P<0.05)； the complication rate in the study group was 2%(1 case) was significantly lower than that in the control group (14%). There was a statistically significant difference between the two groups (χ2=4.891 3，P<0.05). After treatment， the NIHSS score of the study group was (3.4±0.2)points. The scores for tissue function recovery were (9.2±0.1) points. Both score data were better than the control group (t=6.324 6，9.486 8，P<0.05). Conclusion Early plastic surgery can effectively reduce the rate of secondary surgery in patients with burns and plastic surgery， improve therapeutic efficacy， and have high treatment efficiency. It can be used in clinical practice.
[Key words] Early plastic surgery； Burns and plastic surgery； Efficacy； Reoperation rate, 百拇医药(刘广余)