加速康复外科在手背深度烧伤植皮手术治疗中的应用研究<br />-《中国美容医学》

文章信息/Info

Title:: Application of Accelerated Rehabilitation Surgery in the Treatment of Deep Burn Wounds on the Back of the Hand

Keywords:: ; Key words: Accelerated rehabilitation surgery; deep burn of the dorsum of the hand; skin grafting; joint mobility; hand function

摘要:: [摘要]目的：探讨加速康复外科在手背深度烧伤植皮手术治疗中的应用及其对患者预后的影响。方法：选取2016年11
月-2017年11月笔者医院收治的手背深度烧伤植皮患者138例，随机分为两组，对照组应用常规康复外科，研究组应用加速康
复外科。比较两组患者平均手指关节活动度、皮片下血肿及手术植皮成活情况、手功能恢复情况、疼痛程度、生活质量。结
果：研究组平均手指关节活动度、皮片下血肿及手术植皮成活情况均优于对照组，差异有统计学意义（P ＜0.05）。研究组
手功能恢复各项指标及生活质量各项评分均优于对照组，差异有统计学意义（P ＜0.05）。研究组术后各时间点VAS评分均小
于对照组，差异有统计学意义（P ＜0.05）。结论：在手背深度烧伤植皮手术治疗的过程中，应用加速康复外科治疗，效果
较好，值得在临床上不断推广应用。

Abstract:: Abstract: Objective To explore the application of accelerated rehabilitation surgery for skin grafting of deep burn on the back
of hand and its effect on the prognosis of patients. Methods 138 cases of skin graft of deep burn on the back of hand treated in
our hospital from November 2016 to November 2017 were selected and randomly divided into two groups, the control group
applied conventional rehabilitation surgery and the research group applied accelerated rehabilitation surgery. The average finger
joint activity, subcutaneous hematoma, skin graft survival, hand function recovery, pain degree and life quality were compared
between the two groups. Results The mean finger joint mobility, subcutaneous hematoma and skin grafting survival of the
study group were better than those of the control group, and the difference was statistically significant(P ＜0.05). The scores
of hand function recovery and quality of life in the study group were better than those in the control group(P ＜0.05). The VAS
scores of the study group were lower than those of the control group at all time points(P ＜0.05). Conclusion In the process of
skin grafting for deep burn on the back of hand, accelerated rehabilitation surgery is effective, which should be popularized and
applied in clinic.