高压氧辅助治疗指端缺血皮瓣修复术后患者的效果观察.docVIP

高压氧辅助治疗指端缺血皮瓣修复术后患者的效果观察 　　 　　[摘要] 目的 探讨高压氧辅助治疗指端缺血皮瓣修复术后患者的效果。 方法 选取50例指端缺损患者行皮瓣修复术辅以高压氧治疗患者为高压氧治疗组，选取同期50例仅行皮瓣修复术治疗患者为对照组，比较两组的疗效。 结果 高压氧治疗组总有效率为96%，高于对照组的76%，差异有统计学意义（χ2=7.334，P=0.026）。 结论 指端缺损患者皮瓣修复术后给予高压氧治疗安全有效，可改善患指末梢微循环障碍，提高皮瓣成活率，值得临床推广应用，完善的护理也具有重要意义。 　　[关键词] 指端缺损；皮瓣修复；高压氧；护理体会 　　[中图分类号] R628[文献标识码] B[文章编号] 1674-4721（2014）05（b）-0175-03 　　 　　Effect observation of hyperbaric oxygen in the treatment of patients with finger ischemia after flap prosthetics 　　FANG Lan1 LV Qiu-huan2 　　1.Department of Hyperbaric Oxygen,the Fifth People′s Hospital of Jinan City,Jinan250022,China;2.Department of ENT,the Fifth People′s Hospital of Jinan City,Jinan250022,China 　　[Abstract] Objective To investigate the effects of hyperbaric oxygen in the treatment of patients with finger ischemia after flap prosthetics. Methods Fifty cases of patients with single finger tip defect were treated by flap prosthetics with hyperbaric oxygen as hyperbaric oxygen treatment group.Fifty cases of single finger tip defect were treated only by flap prosthetics as control group.The therapeutic effect was compared in two groups. Results Total effective rate of hyperbaric oxygen treatment group was 96%,higher than that of control group(76%),with statistical difference(χ2=7.334,P=0.026). Conclusion Complement treatment of finger tip defect with hyperbaric oxygen is effective and safe,can improve microcirculation and raise survival rate of flap.It is worthy of clinical promotion and application.Proper nursing care plays an important role in the effective therapy of hyperbaric oxygen. 　　[Key words] Finger tip defect;Flap prosthetics;Hyperbaric oxygen;Nursing experience 　　手外伤是外科急症中的常见疾病，所占比例为15.0%～28.6%[1]。手外伤中较为常见的是指端软组织缺损。目前，皮瓣修复依然是指端缺损的主要治疗方法，其中血管修复的质量和术后良好的血液循环是皮瓣成活的关键[2]。治疗成功与否，手术技巧是关键，术后的辅助治疗也非常重要。高压氧作为一种成熟的辅助治疗方法，在创伤疾病中的应用有一定的疗效，为了促进手外伤术后功能恢复，本院选取手外伤患者为研究对象，观察高压氧辅助治疗的效果。 　　1 资料与方法 　　1.1 一般资料 　　选取2010年1月～2013年12月经本院诊治的手外伤行皮瓣修复术治疗患者100例，均为单指指端软组织缺损，受伤至入院时间0.5～6.0 h，平均3.5 h，随机分为两组，其中行