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《Chinese Journal of Difficult and Complicated Cases》 2017-05
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Clinical efficacy observation of free thick skin grafting in the early treatment of deep burn of hand

WANG Peihe;HE Zeliang;LI Xiaodong;SHI Shaorui;AN Liangen;ZHUO Qinqiang;LIU Lingling;Department of Burn and Surgery,Bethune International Peace Hospital;  
Objective To observe the clinical effect of early escharectomy and delayed escharectomy in treating hand deep burns.Methods Two hundred and twenty patients hands with deep hand burns from 2012 July to 2016 June in Bethune International Peace Hospital were randomly divided into control group and observation group,each group of 84 patients.The observation group hands cutting scab skin grafting at 3 to 5day after bum injury,while control group cutting scab skin grafting at 7 to 14 day after burn injury,two groups were observed of hand complication rate,pain,healing time,appearance and function recovery differences.Results Compared with the control group,the observation group had lower complication rate,lower pain response,shorter healing time and higher appearance and function,the difference was statistically significant(P 0.01).The VAS score in observation group was(1.45 ±0.48) point,which was significantly lower than that of control group(2.89 ±0.69)points,there was significant difference(t=18.77,P =0.000).The healing time of the wound in observation group was(13.73 ±5.8)d,which was significantly shorter than of control group(24.16 ±7.9)d,there was significant difference(t =11.658,P =0.000).The appearance and function recovery rate were higher than control group(x~2 = 13.99,P 0.01).Conclusion Early escharectomy in the treatment of deep hand bums has significantly advantages in reducing the incidence of postoperative complications,promoter appearance and better function,reduce the degree of pain,shorten wound healing time.
【Fund】: 河北省医学科学研究重点课题计划项目(20160265)
【CateGory Index】: R644
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