手部烧伤后不同时间行外科整形修复治疗的临床效果及对关节活动度的影响

分析在手部烧伤后不同时间采取外科整形修复治疗的效果及对患者关节活动度的影响。方法 选取2022年1月-2023年4月我院收治的60例手部烧伤后瘢痕挛缩畸形患者为研究对象，根据整形修复时间不同分为对照组和观察组，每组30例。对照组于烧伤10 d后行外科整形修复，观察组于烧伤10 d内行外科整形修复，比较两组关节活动度、临床疗效、生活质量及并发症发生情况。结果 观察组治疗后ROM评分高于对照组（P ＜0.05）；观察组治疗总有效率为96.67%，高于对照组的80.00%（P ＜0.05）；观察组治疗后生活质量各项评分均高于对照组（P ＜0.05）；观察组并发症发生率为6.67%，低于对照组的26.67%（P＜0.05）。结论 针对手部烧伤后出现瘢痕挛缩畸形的患者，在烧伤后10 d内给予外科整形修复，可有效改善患者的关节活动度，有利于降低术后感染、植皮坏死等并发症发生几率，对于提升患者的预后生活质量具有积极意义。

Clinical Effect of Surgical Plastic Repair at Different Time After Hand Burn and its Effecton Range of Motion

To analyze the effect of surgical plastic repair at different times after hand burn and its effect on range ofmotion. Methods Sixty patients with scar contracture deformity after hand burn admitted to our hospital from January 2022 to April2023 were selected as the research objects. According to the different plastic repair time, they were divided into control group andobservation group, with 30 patients in each group. The control group underwent surgical plastic repair after 10 days of burn, andthe observation group underwent surgical plastic repair within 10 days of burn. The range of motion, clinical efficacy, quality oflife and complications were compared between the two groups. Results After treatment, the ROM score of the observation groupwas higher than that of the control group (P <0.05). The total effective rate of treatment in the observation group was 96.67%, whichwas higher than 80.00% in the control group (P <0.05). After treatment, the scores of quality of life in the observation group werehigher than those in the control group (P <0.05). The incidence of complications in the observation group was 6.67%, which waslower than 26.67% in the control group (P <0.05). Conclusion For patients with scar contracture deformity after hand burn, surgicalplastic repair within 10 days after burn can effectively improve the range of motion, which is conducive to reducing the incidence ofcomplications such as postoperative infection and skin graft necrosis, and has positive significance for improving the prognosis andquality of life of patients.