大面积深度烧伤患者Meek植皮术后皮片存活率及影响因素分析OA

Objective To investigate the skin graft survival status in patients with large-area deep burns after Meek skin grafting,and analyze the risk factors influencing skin graft survival.Methods 110 patients with large-area deep burns who underwent Meek skin grafting(210 times in total)in the hospital from April 2021 to April 2024 were selected as the research subjects.The status of skin graft survival was analyzed,and the patients were divided into good skin graft survival group and poor skin graft survival group according to the analysis.General information,condition,surgery related data,and laboratory indexes of the two groups were comparatively analyzed.The generalized estimating equation(GEE)was used to analyze repeated measurement data,and the same patient's dependence on multiple surgeries was corrected.The independent risk factors affecting skin graft survival after Meek skin grafting were screened.Results For the 210 times of Meek skin grafting,179(85.24%)times achieved good skin graft survival(good skin graft survival group),and 31(14.76%)times achieved poor skin graft survival(poor skin graft survival group).There were significant differences in age,preoperative platelet count,and neutrophils between the two groups(P＜0.05).GEE analysis showed that age,preoperative platelet count,and neutrophils were risk factors affecting skin graft survival after Meek skin grafting.Conclusion Skin graft survival in patients with large-area deep burns after Meek skin grafting is related to age,preoperative platelet count and neutrophils,which deserves attention in clinical practice.