摘要
目的探讨手外伤带蒂皮瓣修复术围手术期的有效护理方案。方法选取120例接受带蒂皮瓣修复术治疗的手外伤患者,随机分为两组各60例。对照组接受围手术期常规护理,观察组加用术前及术后强化心理疏导、皮瓣及肩关节功能锻炼护理,观察两组术后皮瓣存活情况及术后肩关节功能恢复情况。结果观察组Ⅰ期愈合58例,皮瓣感觉恢复60例,手指活动正常57例,患者创面愈合及恢复情况均明显优于对照组(P<0.05);观察组感染率为3.3%,明显低于对照组的16.7%(P<0.05)。结论在手外伤带蒂皮瓣修复术中使用围手术期强化护理,可降低术后肩关节并发症发生率,缩短患者的手指及肩关节恢复时间。
Objective To explore an effective nursing program during the perioperative period of pedicle flap repair of hand injury. Methods 120 patients with hand injury who received pedicle flap repair were randomly divided into two groups, with 60 cases in each group. The control group received routine nursing during perioperative period, while the observation group received preoperative and postoperative strengthened psychological counseling, flap and shoulder exercise additionally. The postoperative flaps＇ survival situation and recovery of shoulder function were observed between the two groups. Results 58 cases were of healing of stage I, 60 cases of flap sensory recovery, and 57 cases of normal activity of finger in the observation group, and the wound healing and recovery of the observation group were significantly better than those of the control group （P〈0.05）. The infection rate of the observation group was 3.3%, significantly lower than 16.7% of the control group （P〈0.05）. Conclusions Strengthened perioperative nursing for hand injury patients with pedicle flap repair can reduce the incidence of postoperative complications of shoulder, and shorten the recovery time of finger and shoulder.
出处
《临床医学工程》
2015年第9期1225-1226,共2页
Clinical Medicine & Engineering
