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时间:2020-04-23
《不同植皮方式在重度关节烧伤中的修复效果及其对微循环的影响-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·996·西部医学2014年8月第26卷第8期MedJWestChina,August2014,Vo1.26,No.8不同植皮方式在重度关节烧伤中的修复效果及其对微循环的影响*张春华,李慧,王峻岭,李秀丽,王际刚,侯小倩,张冀北,王志勇(1.沧州市中心医院烧伤整形科,河北沧卅l061001;2.上海交通大学医学院附属瑞金医院烧伤整形科。上海200025)【摘要】目的比较不同植皮方式在重度关节烧伤患者中的修复效果及对微循环的影响。方法选取2011年9月~2013年3月收治的96例重度关节烧伤患者为研究对象。将其随机分为A组(切痂植皮组)
2、48例和B组(削痂植皮组)48例,然后对两组惠者不同关节的治疗总有效率及不同时间的局部微循环指标进行比较。结果B组不同关节的治疗总有效率均高于A组,治疗后2、5及1Od的局部红细胞聚集情况及血管清晰程度、血流灌注量则均好于A组,A组治疗后5及10d均好于治疗后2天,差异均有显著性(均P3、1672—3511.2014.08.012Applicationeffectofdifferentskingraftingmethodsinpatientswithseverejointburnandinfluenceforthemicrocirculati0nZHANGChun-hua,LIHui’,WANGJun-ling,etal(1.DepartmentofBurnandPlasticSurgery,CangzhouCentralHospital,Cangzhou061001,Hebei;2.DepartmentofBurns4、andPlasticSurgery,TheAffiliatedRuijinHospitalofShanghaiJiaotongUniversity,Shanghai200025)[Abstract]ObjeetiveTocomparetheapplicationeffectofdifferentskingraftingmethodsinpatientswithseverejointburnandinfluenceforthemicrocirculation.Methods96patientswithseverejointburnwer5、ewererandomlydividedintogroupA(escharectomyandskingraftinggroup,48cases)andgroupB(escharshavingandskingraftinggroup,48ca—ses).Thetotaleffectiveratesofdifferentjointsandlocalmicrocirculationindexesatdifferenttimesintwogroupswerecompared.ResultsThetotaleffectiveratesofgro6、upBwithdifferentjointswereallhigherthanthoseofgroupA.Thelocalerythrocyteaggregationstate,vascularclaritydegreeandbloodperfusionat2nd,5thand10thdayafterthetreatmentwereallbetterthanthoseofgroupB.ThoseindexesofgroupAat5thandlOthdayaftertreatmentwereallbetterthanthoseat2nd7、dayafterthetreatment(P<0.05).ConclusionTreatmentofseverejointburnpatientswithtangentialexci—sionhasasignificanteffectanditalsoplaysimprovementroleforthelocalmicrocirculationofpatients.[Keywords]Escharectomyandskingrafting;Escharshavingandskingrafting;Severejointburn;Cli8、nicaleffect;Microcireulation重度关节烧伤患者因涉及关节部位的治疗,其治收治的96例重度关节烧伤患者为研究对象,将其随疗过程中的要求程度相对更高。不仅仅要保证治疗机分为A组(切痂植皮组)48例和
3、1672—3511.2014.08.012Applicationeffectofdifferentskingraftingmethodsinpatientswithseverejointburnandinfluenceforthemicrocirculati0nZHANGChun-hua,LIHui’,WANGJun-ling,etal(1.DepartmentofBurnandPlasticSurgery,CangzhouCentralHospital,Cangzhou061001,Hebei;2.DepartmentofBurns
4、andPlasticSurgery,TheAffiliatedRuijinHospitalofShanghaiJiaotongUniversity,Shanghai200025)[Abstract]ObjeetiveTocomparetheapplicationeffectofdifferentskingraftingmethodsinpatientswithseverejointburnandinfluenceforthemicrocirculation.Methods96patientswithseverejointburnwer
5、ewererandomlydividedintogroupA(escharectomyandskingraftinggroup,48cases)andgroupB(escharshavingandskingraftinggroup,48ca—ses).Thetotaleffectiveratesofdifferentjointsandlocalmicrocirculationindexesatdifferenttimesintwogroupswerecompared.ResultsThetotaleffectiveratesofgro
6、upBwithdifferentjointswereallhigherthanthoseofgroupA.Thelocalerythrocyteaggregationstate,vascularclaritydegreeandbloodperfusionat2nd,5thand10thdayafterthetreatmentwereallbetterthanthoseofgroupB.ThoseindexesofgroupAat5thandlOthdayaftertreatmentwereallbetterthanthoseat2nd
7、dayafterthetreatment(P<0.05).ConclusionTreatmentofseverejointburnpatientswithtangentialexci—sionhasasignificanteffectanditalsoplaysimprovementroleforthelocalmicrocirculationofpatients.[Keywords]Escharectomyandskingrafting;Escharshavingandskingrafting;Severejointburn;Cli
8、nicaleffect;Microcireulation重度关节烧伤患者因涉及关节部位的治疗,其治收治的96例重度关节烧伤患者为研究对象,将其随疗过程中的要求程度相对更高。不仅仅要保证治疗机分为A组(切痂植皮组)48例和
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