Wallenberg L
Department of Reconstructive Plastic Surgery, Karolinska Hospital, Stockholm, Sweden.
Scand J Plast Reconstr Surg Hand Surg. 1999 Dec;33(4):411-3. doi: 10.1080/02844319950159118.
We undertook a prospective, randomised study of 50 consecutive patients admitted for split-thickness skin grafting to the lower extremities below the inguinal ligament. All types of wounds and skin defects were included. Postoperatively, 25 patients were randomised to early mobilisation and 25 were confined to bed for four days postoperatively. Otherwise the two groups were treated in exactly the same way. Fourteen days postoperatively the healing of the grafts was assessed by two nurses who did not know whether the patients had been mobilised early or late. The overall primary healing rate of the grafts in patients who had been mobilised early was 20/25 (80%), which did not differ from that among patients who were mobilised late (22/25) (88%). We therefore recommend early mobilisation for both economic and humanitarian reasons.
我们对连续50例因腹股沟韧带以下下肢接受中厚皮片移植而入院的患者进行了一项前瞻性随机研究。纳入了所有类型的伤口和皮肤缺损。术后，25例患者被随机分配至早期活动组，25例患者术后需卧床4天。除此之外，两组患者接受完全相同的治疗。术后14天，由两名不知患者是早期还是晚期活动的护士对移植皮片的愈合情况进行评估。早期活动患者移植皮片的总体一期愈合率为20/25（80%），与晚期活动患者（22/25）（88%）的愈合率无差异。因此，出于经济和人道主义原因，我们建议早期活动。
