CAJ | 학술논문

目的：探讨早期整形手术在老年烧伤合并神经损伤患者中的临床效果。方法将2009-02-2012-10我院收治的62例深Ⅱ度以上烧伤合并神经损伤的老年患者按照治疗方法分为观察组（早期手术组）32例和对照组（晚期手术组）30例，比较2组临床疗效、感觉与运动功能恢复以及并发症、不良反应情况。结果观察组总有效率明显高于对照组，感觉和运动功能恢复情况好于对照组（P＜0.05）；观察组感觉功能改善情况好于对照组（P＜0.05），均未发生严重并发症与不良反应（P＞0.05）。结论老年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。
목적：탐토조기정형수술재노년소상합병신경손상환자중적림상효과。방법장2009-02-2012-10아원수치적62례심Ⅱ도이상소상합병신경손상적노년환자안조치료방법분위관찰조（조기수술조）32례화대조조（만기수술조）30례，비교2조림상료효、감각여운동공능회복이급병발증、불량반응정황。결과관찰조총유효솔명현고우대조조，감각화운동공능회복정황호우대조조（P＜0.05）；관찰조감각공능개선정황호우대조조（P＜0.05），균미발생엄중병발증여불량반응（P＞0.05）。결론노년소상합병신경손상환자행조기정형수술효과명현，환자감각화운동공능회복정황우우만기정형수술，치득림상추엄。
Objective To investigate the clinical effect on the early plastic surgery in elderly patients with nerve injury in burn patients.Methods February 2009 to Oct 2012 ,62 patients in our hospital over deep Ⅱ degree burns combined nerve injury in elderly patients divided into two groups according to the treatment method (early surgery group) 32 cases and the control group (late surgery group ) 30 cases ,the clinical efficacy of two groups were compared ,sensory and motor function recovery and complications of adverse reactions.Results The total effective rate was significantly higher ,sensory and motor function re-covery was better than the control group (P<0.05);sensory observation group to improve the situation better than the control group (P<0.05) ,no serious concurrent disease and adverse effects (P>0.05).Conclusion The clinical effect of early plastic surgery in elderly patients with burns and nerve injury is remarkable ,it is worthy of clinical popularization and application.