[Effects of Meek skin grafting on patients with extensive deep burn at different age groups].
Objective:To investigate the effect of Meek skin grafting on patients with extensive deep burn at different age groups.Methods:Eighty-four patients with extensive deep burns conforming to the study criteria were hospitalized in our unit from April 2011 to April 2015. Patients were divided into children group (C, with age less than 12 years old), young and middle-aged group (YM, with age more than 18 years and less than 50 years old), and old age group (O, with age more than 55 years old) according to age, with 28 patients in each group. All patients received Meek skin grafting treatment. The use of autologous skin area, operation time, wound healing time, and hospitalization time were recorded. The survival rate of skin graft on post operation day 7, complete wound healing rate in post treatment week 2, and the mortality were calculated. Data were processed with one-way analysis of variance,ttest, andχ(2) test.Results:The use of autologous skin area of patients in group C was (5.1±1.0)% total body surface area (TBSA), significantly less than (8.3±1.0)%TBSA and (8.3±1.4)%TBSA in groups YM and O, respectively (withtvalues 32.900 and 52.624, respectively,Pvalues below 0.05). The operation time, wound healing time, and hospitalization time of patients in group C were (1.368±0.562) h, (9.6±0.6) and (32±11) d, significantly shorter than those in group YM [(3.235±0.011) h, (16.9±2.6) and (48±12) d, respectively] and group O [(3.692±0.481) h, (17.3±2.6) and (46±13) d, respectively, withtvalues from 4.350 to 21.160,Pvalues below 0.05]. The survival rate of skin graft of patients on post operation day 7 in group C was (92±15)%, significantly higher than (81±10)% and (72±12)% in groups YM and O, respectively (withtvalues 5.509 and 3.229, respectively,Pvalues below 0.05). The above indexes in groups YM and O were similar (withtvalues from 0.576 to 22.958,Pvalues above 0.05). Complete wound healing rate in post treatment week 2 and the mortality of patients in group C were similar to those in groups YM and O (withχ(2) values 0.365 and 0.122, respectively,Pvalues above 0.05).Conclusions:Meek skin grafting can be used in the treatment of patients with extensive deep burns at different age groups, compared with the young and middle-aged and old patients, the effect in children was better.
Department of Burns, Zhengzhou First People's Hospital, Zhengzhou 450004, China.
H P
HP
Di
X H
XH
Niu
Q
Q
Li
X L
XL
Li
J D
JD
Xue
D Y
DY
Cao
D W
DW
Han
C D
CD
Xia
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001830:Body Surface Area; D002053:Burn Units; D002056:Burns / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D002648:Child; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D012867:Skin / Q000473:pathology; D016038:Skin Transplantation / Q000379:methods; D015996:Survival Rate; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014945:Wound Healing; D055815:Young Adult
Burns; Meek skin graft; Survival rate of skin graft; Wound healing