摘要
目的探讨手部皮瓣修复术后应用弹力绷带加压包扎的作用。方法选取该院手指损伤行岛状皮瓣移植修补术患者120例,随机分为实验组和对照组各60例,所有患者术后5 d内均进行常规治疗方案,而5 d后在排除血管危象后,实验组采用弹力绷带制作的指套持续包扎,对照组采用常规纱布包扎,记录并比较两组患者术后不同时间点肿胀消退、感觉、运动及瘢痕等情况。结果术后第15天实验组患者运动、两点分辨觉情况显著优于对照组,差异均有统计学意义(P<0.05)。术后第30天实验组患者运动、两点分辨觉及肿胀情况均显著优于对照组,差异有统计学意义(P<0.05)。术后3个月实验组患者瘢痕修复率显著高于对照组,差异有统计学意义(P<0.05)。结论手部皮瓣修复术后应用弹力绷带加压包扎可有效消除肿胀及修复瘢痕,促进了患者患指感觉功能和运动功能的恢复。
Objective To investigate the effect of compression bandage with elastic bandage after finger flap repair operation. Methods A hundred and twenty patients undergoing finger flap repair operation were selected and randomly assigned into the observation group and the control group with each group 60 cases. All patients were given routine treatment within 5 days. After 5 days the observation group was bandaged with fingerstalls made of elastic bandage, while the control group was bandaged with gauze. The swelling, sensor and motor functions and scar of fingers in two groups at different time points were recorded and compared. Results The two point discrimi- nation and motor functions of the observation group were better than those of the control group at 15 days after operation. The difference was statistically significant（ P 〈 0.05 ）. The finger swell, two point discrimination and motor functions of the observation group were bet- ter than those of the control group at 30 days after operation. The difference was statistically significant （ P 〈 0.05 ）. The repair of fin- gers＇ scar at 3 months after operation of the observation group was better than that of the control group. The difference was statistically significant （ P 〈 0.05 ）. Conclusions The fingers bandaged with fingerstalls made of elastic bandage can reduce swelling and scar and promote the recovery of sensor and motor functions.
出处
《安徽医药》
CAS
2014年第5期992-994,共3页
Anhui Medical and Pharmaceutical Journal
关键词
手部皮瓣修复术
弹力绷带
功能恢复
finger flap repair operation
elastic bandage
functional recovery
