跟骨皮肤软组织缺损患者行股前外侧皮瓣修复手术护理创新分析.docVIP

跟骨皮肤软组织缺损患者行股前外侧皮瓣修复手术护理创新分析 　[摘要] 目的 探讨跟骨软组织皮肤缺损患者行股前外侧皮瓣修复术的护理配合方法。 方法 选取2011年8月～2014年1月我院收治的跟骨软组织皮肤缺损患者并行股前外侧皮瓣修复术患者90例，按照随机数字表法分为研究组和对照组，每组45例，研究组同时配合围手术护理，对照组给予常规护理，术后随访患者6个月，并比较两组护理效果。 结果 研究组皮瓣最终全部存活，皮瓣存活率100%；对照组41例皮瓣最终存活，皮瓣存活率为91.1%，两组比较差异具有统计学意义（Plt;0.05）。随访发现，研究组踝关节功能评分（HHS）显著优于对照组，两组比较差异具有统计学意义（Plt;0.05）；研究组护理后第3个月患侧肢体HHS评分显著低于健侧， 差异具有统计学意义（Plt;0.05），护理第6个月健侧HHS评分和患侧比较，差异无统计学意义（Pgt;0.05）；研究组伤口均达到I期愈合，未发生伤口感染，不良反应发生率为0，对照组有6例出现伤口感染，1例出现发热，不良反应发生率为15.6%，两组比较差异具有统计学意义（Plt;0.05）；研究组愈合时间、住院时间均显著短于对照组，两组比较差异具有统计学意义（Plt;0.05）。 结论 跟骨软组织皮肤缺损患者行股前外侧皮瓣修复术护理配合具有较好的效果，能显著改善手术的预后。 　[关键词] 跟骨；软组织；皮肤缺损；股前外侧皮瓣修复术；护理配合 　[中图分类号] R472 [文献标识码] B [文章编号] 1673-9701（2015）01-0080-04 　Nursing coordination of bone defect of skin and soft tissue were treated with anterolateral thigh flap in repairing operation 　ZHONG Baoying1 GUO Qiaofeng2 LI Bin1 YANG Lingyan1 　1.Zhejiang Province Tongde Hospital，Operation Room，Hangzhou 310012，China；2.Zhejiang Province Tongde Hospital， 　Department of Orthopedics， Hangzhou 310012，China 　[Abstract] Objective To explore the nursing methods of bone and soft tissuedefect of skin were treated with anterolateral thigh flaprepair. Methods 90 cases with calcaneal skin and soft tissue defects and treated in anterolateral thigh flap surgery were selected from our hospital during the period from August 2011to January 2014， they were divided into study group and control group according to a random number table， 45 cases in each group， the study group in conjunction with perioperative care， the control group were given routine care， patients of two groups were followed up for 6 months， nursing effect of two groups were compared. Results All flaps survived in the study group， flap survival rate was 100%， 41 cases of flap survival in the control group， flap survival rate was 91.1%，the difference was statistically significant（Plt;0.05）； Follow-up found， ankle function score （HHS） of the study group were significantly better than the control group， the differen