护理干预对局部皮瓣转移修复小腿及足部软组织缺损皮瓣成活影响.docVIP

护理干预对局部皮瓣转移修复小腿及足部软组织缺损皮瓣成活影响【摘要】 目的 探讨护理干预对运用局部皮瓣转移修复小腿和足部软组织缺损术后皮瓣成活的影响。方法 观察组选择2005年1月至2010年12月我科28例采用局部皮瓣转移修复胫前、踝部、足跟、足背等部位软组织缺损的患者，在皮瓣常规护理基础上我们细化护理措施，并运用人文关怀的护理理念实施护理干预；对照组选择2002年1月至2004年12月我科21例相同术式病例组，给予皮瓣常规护理。运用χ2检验进行疗效比较分析。结果观察组和对照组患者皮瓣一期成活率明显提高，观察组皮瓣一期成活率明显高于对照组。结论护理干预可有效预防血管危象的发生,皮瓣一期成活，提高了手术成功率。 【关键词】护理干预；皮肤软组织缺损；皮瓣；移植 Effect of Nursing Intervention on Flap Survival With the Local Skin Flap Repair Soft Tissue Defects of the Lower Leg and Foot LIN Ji, WANG Sui jiang, LUO Jian lan. Department of Plastic Surgery, Affiliated Hospital of Guangdong Medical College, Zhanjiang, Guangdong 524001 【Abstract】 Objective To evaluate the effects of nursing intervention on flap survival with the local skin flap repair soft tissue defects of the lower leg and foot. Methods The observation group(28 cases), from January 2005 to December 2010,our department using a local flap repair of tibial anterior, ankle, heel, instep and other parts of the soft tissue defect of patients, We refine the nursing measures based on the routine nursing care measures and use the concept of humanistic concern the implementation of nursing intervention in nursing. The control group(21 cases), from January 2002 to December 2004 using the same surgical procedures, We use routine care. And χ2 test was used for comparative analysis of efficacy.Results Vascular crisis of observation group were significantly lower than control group, and the observation group was significantly higher flap survival rate than the control group. Conclusion Nursing intervention can effectively prevent the occurrence of vascular crisis and improve the success rate of surgery. 【Key words】Nursing intervention; Soft tissue defect; Flap; Transplant 小腿和足部皮肤软组织缺损是整形外科常见疾病，常伴有骨、肌腱和骨折内固定物的外露。皮瓣是其最重要的修复手段，其中局部皮瓣转移是常用的修复方式。皮瓣修复术后，皮瓣血管危象是影响皮瓣成活的主要因素。因而，如何引导患者保持稳定的情绪和正确的体位，预防血管危象的发生，以及及时发现处理血管危象是护理工作的重点。2005年后我们积极细化护理措施，全面体现人文关怀的护理理念，对运用局部皮瓣转移修复小腿和足部软组织缺损的患者实施护理干预措施，有效地减少了血管危象的发生，促进了皮瓣的一期成活。现进行总结，将结果报告如下。 1 资料与方法