双眼轮匝肌瓣法矫治先天性上睑下垂中的有效护理研究
|
摘要
目的:研究双眼轮匝肌瓣法矫治先天性上睑下垂中配合针对性护理的护理效果。方法:选取上海市第十人民医院整形科2016年7月-2017年5月收治的60例(95眼)先天性上睑下垂患者,随机抽签分成观察组及对照组,每组各30例。两组患者均进行双眼轮匝肌瓣法矫治先天性上睑下垂,对照组进行常规护理,观察组在常规护理的基础上联合针对性护理干预。比较两组患者护理后并发症发生情况、治疗依从性及护理满意度。结果:观察组患者总并发症发生率为8.00%显著低于对照组的53.33%,差异有统计学意义(P<0.05)。观察组治疗依从性评分及护理总满意率分别为(24.84±2.84)分、96.67%显著高于对照组的(20.67±2.72)分、76.67%,差异有统计学意义(P<0.05)。结论:先天性上睑下垂患者实施双眼轮匝肌瓣法配合针对性护理方法可进一步降低并发症发生率,提高患者的治疗依从性及护理满意度。
Objective To study the nursing effect of binocular orbicularis muscle flap in the treatment of congenital ptosis. Methods From July 2016 to May 2017, 60 patients(95 eyes) with congenital blepharoptosis were selected and randomly divided into two groups: the observation group and the control group, 30 cases in each group. All patients were treated with binocular orbicularis muscle flap for congenital blepharoptosis, the control group was given routine nursing, and the observation group was combined with targeted nursing intervention on the basis of routine nursing. The complications, therapeutic compliance and nursing satisfaction were compared between the two groups. Results The total complication rate of the observation group was 8.00%, which was significantly lower than that of the control group(53.33%), the difference was statistically significant(P<0.05). The treatment compliance score and the total satisfaction rate of nursing in the observation group were(24.84±2.84) and 96.67% respectively, which were significantly higher than those in the control group(20.67±2.72) and 76.67%, the differences were statistically significant(P<0.05). Conclusion The complication rate of the patients with ptosis can be further reduced by using the double eyelid muscle flap combined with the targeted nursing method in patients with congenital ptosis, which can further improve the compliance and nursing satisfaction of the patients.
Objective To study the nursing effect of binocular orbicularis muscle flap in the treatment of congenital ptosis. Methods From July 2016 to May 2017, 60 patients(95 eyes) with congenital blepharoptosis were selected and randomly divided into two groups: the observation group and the control group, 30 cases in each group. All patients were treated with binocular orbicularis muscle flap for congenital blepharoptosis, the control group was given routine nursing, and the observation group was combined with targeted nursing intervention on the basis of routine nursing. The complications, therapeutic compliance and nursing satisfaction were compared between the two groups. Results The total complication rate of the observation group was 8.00%, which was significantly lower than that of the control group(53.33%), the difference was statistically significant(P<0.05). The treatment compliance score and the total satisfaction rate of nursing in the observation group were(24.84±2.84) and 96.67% respectively, which were significantly higher than those in the control group(20.67±2.72) and 76.67%, the differences were statistically significant(P<0.05). Conclusion The complication rate of the patients with ptosis can be further reduced by using the double eyelid muscle flap combined with the targeted nursing method in patients with congenital ptosis, which can further improve the compliance and nursing satisfaction of the patients.
引文
[1]刘菲,肖霞,金锐,等.单睑合并轻度和中度上睑下垂的生理性治疗[J].中华医学美学美容杂志,2017,23(5):300-302.
[2]杨帆,金宝玉,李旭平.眼轮匝肌瓣联合自体脂肪填充矫治上睑凹陷效果观察[J].中国美容医学,2017,26(9):4-6.
[3]李正勇,伍俊良,岑瑛,等.弧形额肌筋膜瓣治疗中重度先天性上睑下垂疗效观察[J].中国修复重建外科杂志,2016,30(4):457-460.
[4]王雪燕,邹娟,徐玲,等.上睑肌缩短术和额肌瓣悬吊术矫治先天性中度上睑下垂临床疗效和安全性[J].临床合理用药杂志,2016,24(2):817-819.
[5]陈小剑.眶脂肪瓣联合眼轮匝肌复合瓣移植在重度上睑凹陷者重睑成形术中的应用[J].中国美容整形外科杂志,2018,29(1):55-56,59.
[6]周水勇,刘玉丽,张羽森,等.眼轮匝肌复合组织瓣在眼睑整形中的临床应用[J].中国医疗美容,2016,6(3):3-5.
[7]郑永生,孙强,马涛,等.眼轮匝肌蒂推进皮瓣在眼睑缺损修复中的应用[J].中华整形外科杂志,2016,32(1):18-21.
[8]刘淑英,刘凤,朱惠敏,等.改良式额肌瓣悬吊术治疗先天性上睑??下垂的体会[J].国际眼科杂志,2009,9(12):2436-2437.
[9]郭玉强,张清生,吴媛媛.额肌瓣悬吊术治疗重度上睑下垂疗效分析[J].临床眼科杂志,2010,18(3):227.
[10]Lai CS,Chang KP,Lee SS,et al.The role of frontalis orbicularis oculi muscle flap for correction of blepharoptosis with poor levator function[J].Ann Plast Surg,2013,71(6):S29-36.
[11]杨丽霞,李少珊,陈燕棉.早期护理干预在儿童先天性上眼睑下垂术后发生角膜炎的处理[J].广州医科大学学报,2015,43(2):109-111.
[12]汤学敏,路永智.儿童先天性上睑下垂围手术期的观察及护理[J].中国民族民间医药,2012,21(9):142-143.
[13]Zhong M,Rui J,Li Q,et al.Frontalis muscle flap advancement for correction of severe ptosis under general anesthesia:modified surgicaldesignwith162casesinChina[J].AestheticPlast Surg,2014,38(3):503-509.
[14]Lai CS,Lai CH,Huang SH,et al.A new trend for the treatment of blepharoptosis:Frontalis-Orbicularis Oculi Muscle flap shortening technique[J].J Plast Reconstr Aesthet Surg,2010,63(2):233-239.
[15]童仁联,李叶扬.眼轮匝肌瓣悬吊治疗重度上睑下垂[J].中华医学美学美容杂志,2004,10(5):277-279.
[16]郑巧云,董翠兰,田密.护理干预对小儿先天性上睑下垂术后并发症发生率的影响分析[J].临床医学工程,2015,22(12):1655-1656.
[17]田源,谢晓妍,黎燕芬.护理干预对小儿先天性上睑下垂术后并发症发生率的影响分析[J].今日健康,2016,15(12):224.
[18]杨红云,和丹.先天性上睑下垂患儿的护理[J].实用防盲技术,2015,10(3):137-138.
[19]郭云格.先天性上睑下垂患者术前及术后护理[J].世界最新医学信息文摘,2015,15(67):207-208.
[20]徐明,葛丽宏,程丽梅.双眼轮匝肌瓣法治疗先天性上睑下垂的护理[J].中华现代护理杂志,2012,18(8):932-933.
[21]刘长松,陈伟华,刘明宇,等.双眼轮匝肌瓣法治疗重度先天性上睑下垂[J].中国美容整形外科杂志,2009,20(3):131-133.
[22]秦艳红.针对性护理对急诊科乙醇中毒患者临床依从性的影响[J].现代中西医结合杂志,2015,24(3):329-331.
[23]王太玲,王佳琦,宋维铭,等.眼轮匝肌-额肌复合肌腱膜瓣悬吊术治疗儿童先天性中重度上睑下垂[C].第七届中国医师协会美容与整形医师大会论文集,2010:284-286.
[2]杨帆,金宝玉,李旭平.眼轮匝肌瓣联合自体脂肪填充矫治上睑凹陷效果观察[J].中国美容医学,2017,26(9):4-6.
[3]李正勇,伍俊良,岑瑛,等.弧形额肌筋膜瓣治疗中重度先天性上睑下垂疗效观察[J].中国修复重建外科杂志,2016,30(4):457-460.
[4]王雪燕,邹娟,徐玲,等.上睑肌缩短术和额肌瓣悬吊术矫治先天性中度上睑下垂临床疗效和安全性[J].临床合理用药杂志,2016,24(2):817-819.
[5]陈小剑.眶脂肪瓣联合眼轮匝肌复合瓣移植在重度上睑凹陷者重睑成形术中的应用[J].中国美容整形外科杂志,2018,29(1):55-56,59.
[6]周水勇,刘玉丽,张羽森,等.眼轮匝肌复合组织瓣在眼睑整形中的临床应用[J].中国医疗美容,2016,6(3):3-5.
[7]郑永生,孙强,马涛,等.眼轮匝肌蒂推进皮瓣在眼睑缺损修复中的应用[J].中华整形外科杂志,2016,32(1):18-21.
[8]刘淑英,刘凤,朱惠敏,等.改良式额肌瓣悬吊术治疗先天性上睑??下垂的体会[J].国际眼科杂志,2009,9(12):2436-2437.
[9]郭玉强,张清生,吴媛媛.额肌瓣悬吊术治疗重度上睑下垂疗效分析[J].临床眼科杂志,2010,18(3):227.
[10]Lai CS,Chang KP,Lee SS,et al.The role of frontalis orbicularis oculi muscle flap for correction of blepharoptosis with poor levator function[J].Ann Plast Surg,2013,71(6):S29-36.
[11]杨丽霞,李少珊,陈燕棉.早期护理干预在儿童先天性上眼睑下垂术后发生角膜炎的处理[J].广州医科大学学报,2015,43(2):109-111.
[12]汤学敏,路永智.儿童先天性上睑下垂围手术期的观察及护理[J].中国民族民间医药,2012,21(9):142-143.
[13]Zhong M,Rui J,Li Q,et al.Frontalis muscle flap advancement for correction of severe ptosis under general anesthesia:modified surgicaldesignwith162casesinChina[J].AestheticPlast Surg,2014,38(3):503-509.
[14]Lai CS,Lai CH,Huang SH,et al.A new trend for the treatment of blepharoptosis:Frontalis-Orbicularis Oculi Muscle flap shortening technique[J].J Plast Reconstr Aesthet Surg,2010,63(2):233-239.
[15]童仁联,李叶扬.眼轮匝肌瓣悬吊治疗重度上睑下垂[J].中华医学美学美容杂志,2004,10(5):277-279.
[16]郑巧云,董翠兰,田密.护理干预对小儿先天性上睑下垂术后并发症发生率的影响分析[J].临床医学工程,2015,22(12):1655-1656.
[17]田源,谢晓妍,黎燕芬.护理干预对小儿先天性上睑下垂术后并发症发生率的影响分析[J].今日健康,2016,15(12):224.
[18]杨红云,和丹.先天性上睑下垂患儿的护理[J].实用防盲技术,2015,10(3):137-138.
[19]郭云格.先天性上睑下垂患者术前及术后护理[J].世界最新医学信息文摘,2015,15(67):207-208.
[20]徐明,葛丽宏,程丽梅.双眼轮匝肌瓣法治疗先天性上睑下垂的护理[J].中华现代护理杂志,2012,18(8):932-933.
[21]刘长松,陈伟华,刘明宇,等.双眼轮匝肌瓣法治疗重度先天性上睑下垂[J].中国美容整形外科杂志,2009,20(3):131-133.
[22]秦艳红.针对性护理对急诊科乙醇中毒患者临床依从性的影响[J].现代中西医结合杂志,2015,24(3):329-331.
[23]王太玲,王佳琦,宋维铭,等.眼轮匝肌-额肌复合肌腱膜瓣悬吊术治疗儿童先天性中重度上睑下垂[C].第七届中国医师协会美容与整形医师大会论文集,2010:284-286.