论文部分内容阅读
目的观察早期整形手术对烧伤合并神经损伤患者的临床效果。方法将2013年2月-2014年3月医院收治的40例深Ⅱ度以上烧伤合并神经损伤的患者按照治疗方法分为观察组和对照组各20例。比较2组临床疗效、感觉与运动功能恢复以及不良反应、并发症等。结果术后对2组患者进行6个月的随访,观察组神经功能总有效率为95.0%明显高于对照组的80.0%,差异有统计学意义(P<0.05)。2组治疗后休克情况、烧伤面积较治疗前明显改善,差异有统计学意义(P<0.05);观察组治疗后烧伤面积较对照组改善明显,差异有统计学意义(P<0.05)。2组均未发生严重并发症与不良反应(P>0.05)。结论烧伤合并神经损伤患者行早期整形手术效果明显,患者感觉和运动功能恢复情况优于晚期整形手术,值得临床推广。
Objective To observe the clinical effect of early plastic surgery on patients with burn injury and nerve injury. Methods From February 2013 to March 2014, 40 patients with deep second degree burn and nerve injury admitted to the hospital were divided into observation group and control group according to the method of treatment. The clinical efficacy, sensory and motor function recovery, adverse reactions and complications in the two groups were compared. Results After 2 months of follow-up, the total effective rate of neurological function in observation group was 95.0%, which was significantly higher than that in control group (80.0%, P <0.05). The post-treatment shock and burn area of the two groups were significantly improved compared with those before treatment (P <0.05). The burn area in the observation group improved significantly compared with the control group (P <0.05). No serious complications and adverse reactions occurred in both groups (P> 0.05). Conclusion The patients with burn injury and nerve injury have obvious effect on early plastic surgery. The recovery of sensory and motor function is better than that of advanced plastic surgery, which is worthy of clinical promotion.