Evaluation of early plastic surgery for deep burn of hand
10.3760/cma.j.issn.1008-6706.2018.17.018
- VernacularTitle: 早期整形修复在手部深度烧伤中的应用效果评价
- Author:
Chao ZHONG
1
;
Yu JI
Author Information
1. Department of Plastic Surgery, the Traditional Chinese Medicine Hospital of Fenghua, Fenghua, Zhejiang 315500, China
- Publication Type:Journal Article
- Keywords:
Burns;
Hand;
Surgery, plastic;
Treatment outcome
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(17):2249-2252
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of early plastic surgery for hand deep burn.
Methods:From August 2015 to May 2016, 52 patients with deep burns in the Traditional Chinese Medicine Hospital of Fenghua were selected as study objects and they were randomly divided into the observation group and control group according to digital table, with 26 cases in each group.The control group was implemented plastic surgery three days after burn, the observation group received early plastic surgery within three days after burn.The hand appearance and function recovery, complications and quality of life were compared between the two groups.
Results:The hand appearance recovery rate in the observation group was 96.15%, the excellent rate of functional recovery was 92.31%, which were higher than those of the control group (76.92%, 69.23%, χ2=4.13, 4.46, all P<0.05). The incidence rate of complications of the observation group(3.85%) was lower than the control group(23.08%)(χ2=4.13, P<0.05). The physical function score, psychological function score, material life score, social function score of the observation group were (81.20±3.21)points, (82.52±4.09)points, (85.65±3.37)points, (84.86±4.28)points, resppectively, which were better than those of the control group[(70.75±4.66)points, (73.14±3.82)points, (75.98±3.61)points, (70.27±4.16)points, t=9.24, 8.55, 9.98, 12.46, all P<0.05].
Conclusion:Early surgery can improve the recovery of hand deep burn, accelerate the hand appearance and function recovery, with less complications and is conducive to improving the quality of life.
