整形外科技术在患儿小面积深度烧伤创面整复中应用.docVIP

整形外科技术在患儿小面积深度烧伤创面整复中应用 　　[摘要]目的：探究?\用整形外科技术整复患儿小面积深度烧伤创面的疗效。方法：选取于2015年9月至2016年12月本院收治的67例小面积深度烧伤患儿作为本次研究试验对象，根据随机数字表法将患儿分成观察组和对照组，对照组33例患儿采用常规修复方法，观察组34例患儿采用整形外科技术实施修复，观察并记录两组患儿临床疗效、生活质量、一期愈合率、瘢痕增生以及感染等情况，分析比较。结果：观察组显效患儿23例，总有效率高达97.06%；对照组显效患儿15例，总有效率为84.84%，两组间差异有统计学意义（P0.05）。观察组患儿社会功能、精神健康、躯体疼痛以及生理机能等方面评分显著高于对照组患儿，生活质量明显提高，两组间差异有统计学意义（P0.05）。观察组患儿一期愈合率高达94.12%，瘢痕增生明显患儿2例，无感染现象，与对照组比较差异有统计学意义（P0.05）。结论：小面积深度烧伤患儿采用整形外科手术治疗临床疗效更高，患儿创面愈合质量较好，美观性与功能兼具，患儿生活质量得到提高，值得广泛推荐应用于临床。 　　[关键词]小面积；深度烧伤；整形外科；疗效 　　[中图分类号]R622 [文献标志码]A [文章编号]1008-6455（2017）09-0028-03 　　Observation on Curative Effect of Small Area Deep Burn Wounds Treated with Orthopedic Technique 　　LI Bao，ZHANG Li-fang，LI Kai-wei， FEI Fu-jian 　　（Department of Neonate， The Central Hospital of Huangshi， Edong Medical Grope， Huangshi 435000， Hubei，China） 　　Abstract： Objective To explore the effect of orthopedic surgery to reconstruct the wound in children with small area of deep burn. Methods 67 cases of small area deep burn patients were selected from September 2015 to December 2016 in our hospital as the research subjects， according to the random number table method were divided into observation group 34 cases and control group 33 cases， control group treated with conventional repair method， the observation group was treated by plastic surgery technology to repair， and observe the quality of life records of two groups of clinical curative effect， and the rate of primary healing， scar hyperplasia and infection situation， analysis and comparison. Results The observation group with 23 cases， the total efficiency was 97.06%. 15 patients in control group were markedly effective， the total effective rate was 84.84%， there was significant difference between two groups （P0.05）. The observation group with social function， mental health， physical pain and physical function scores were significantly higher than those in control group， the quality of life significantly increased， there was significant difference betwee