小儿多指手术配合的要点及围术期护理观察.docVIP

小儿多指手术配合的要点及围术期护理观察 　　摘 要：目的 探讨小儿多指手术的配合要点及在围术期的优质护理服务措施。方法 回顾性分析我科2016年1月～2017年1月收治的各类多指患儿122例，行多指切除矫正术，关节成形术。结果 通过患儿围手术期的护理，总结出一套适合多指患儿的护理方法，对多指患儿的手术治疗给予了充分的护理支持，有利于患儿术后恢复和康复。结论 患儿年龄较小，麻醉、手术耐受力差，护士术前全面了解患儿情况及手术方式，做好充分的术前准备工作，与患儿家长良好沟通，取得理解，使其更好地配合；熟知术中护理要点，有利于手术的顺利进行，保障患儿安全，促进和谐医患关系。 　　关键词：小儿；多指畸形；围术期护理 　　中图分类号：R473.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.01.070 　　文章编号：1006-1959（2018）01-0175-02 　　Observation on the Key Points and Perioperative Nursing of Childrens Multiple Fingers Operation 　　WANG Ya-na，BIAN Dong-mei 　　（Operation Room，Plastic Surgery，Xijing Hospital，The Fourth Military Medical University，Xian 710032，Shaanxi，China） 　　Abstract：Objective To explore the key points of multi-finger surgery in children and the quality of care services during perioperative period.Methods Retrospective analysis of our department from January 2016 to January 2017 admitted to various types of children with finger poliomyelitis 122 cases，multi-finger surgery and arthroplasty.Results Through perioperative care of children，a set of nursing methods suitable for children with multiple fingerprints was summarized，which provided full nursing support for the operation of children with multiple finger injuries，which is good for postoperative recovery and rehabilitation in children.Conclusion The children are young，anesthesia，poor surgical tolerance，nurses preoperative understanding of children with a comprehensive situation and surgical approach，adequate preoperative preparation，good communication and understanding with parents of children to make it better to cooperate；familiar with the point of care in surgery，is conducive to the smooth operation，to protect the safety of children and promote the harmonious relationship between doctors and patients. 　　Key words：Children；Multi finger deformity；Perioperative nursing 　　多指症（polydactyly）是最常见的一种先天性畸形，多指多见于拇指和小指，其次在中、环指，部分患者有家族史。赘生指可以是一个球状的小肉赘，也可以是发育接近正常，具有指甲、骨、关节、肌腱和神经血管束的手指。根据赘生指所包含的组织成分不同，多指分为软组织多指、单纯多指和复合性多指。临床上小儿先天性多指治疗