围术期综合护理在下肢皮肤软组织缺损患者中的应用效果
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摘要
目的探讨围术期综合护理在皮肤牵张器治疗下肢皮肤软组织缺损患者中的应用效果。方法选取我院2013年5月～2018年5月收治的60例下肢皮肤软组织缺损患者,按照应用皮肤牵张器的手术先后时间分成观察组和对照组,每组各30例。观察组给予围术期综合护理,对照组给予常规护理干预,用术后创面面积等指标来评价两组的治疗效果。结果两组干预后平均创面面积均逐渐缩小,且观察组术后第3、5天的平均创面面积均小于对照组,差异有统计学意义(P<0.05);观察组干预后持续牵张时间明显短于对照组,差异有统计学意义(P<0.01);观察组和对照组术后创面感染率分别为3%和27%,差异有统计学意义(P<0.05);观察组总满意度明显高于对照组,差异有统计学意义(P<0.05)。结论围术期综合护理在皮肤牵张器治疗下肢皮肤软组织缺损患者中的应用效果显著,值得临床推广。
Objective To investigate the application effect of perioperative comprehensive nursing in patients with lower limb skin and soft tissue defects treated by skin stretching device. Methods Sixty patients with skin and soft tissue defects of the lower limbs from May 2013 to May 2018 in our hospital were selected. The patients were divided into observation group and control group according to the operation time of skin stretcher, 30 cases in each group. The observation group was given perioperative comprehensive nursing and the control group was given routine nursing intervention. The effects were evaluated by comparing the indicators such as postoperative wound area and others. Results The average wound area of the two groups was gradually reduced after intervention, but the area on the 3 thand 5 thdays after operation in observation group was lower than that in the control group, the difference was statistically significant(P<0.05). The duration of stretch in observation group was significantly shorter than the control group, the difference was statistically significant(P<0.01). The postoperative wound infection rate of the observation group and the control group was respectively 3% and 27%, the difference was statistically significant(P<0.05). The overall satisfaction of the observation group was higher than the control group, the difference was statistically significant(P<0.05). Conclusion Perioperative comprehensive nursing is effective in the treatment of skin soft tissue defects in lower limbs with skin stretching device. It is worth to be promoted.
Objective To investigate the application effect of perioperative comprehensive nursing in patients with lower limb skin and soft tissue defects treated by skin stretching device. Methods Sixty patients with skin and soft tissue defects of the lower limbs from May 2013 to May 2018 in our hospital were selected. The patients were divided into observation group and control group according to the operation time of skin stretcher, 30 cases in each group. The observation group was given perioperative comprehensive nursing and the control group was given routine nursing intervention. The effects were evaluated by comparing the indicators such as postoperative wound area and others. Results The average wound area of the two groups was gradually reduced after intervention, but the area on the 3 thand 5 thdays after operation in observation group was lower than that in the control group, the difference was statistically significant(P<0.05). The duration of stretch in observation group was significantly shorter than the control group, the difference was statistically significant(P<0.01). The postoperative wound infection rate of the observation group and the control group was respectively 3% and 27%, the difference was statistically significant(P<0.05). The overall satisfaction of the observation group was higher than the control group, the difference was statistically significant(P<0.05). Conclusion Perioperative comprehensive nursing is effective in the treatment of skin soft tissue defects in lower limbs with skin stretching device. It is worth to be promoted.
引文
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[11]肖仕琪,彭虹彩,李春芝,等.系统护理干预在甲状腺癌手术患者治疗中的应用效果[J].中国当代医药,2018,25(21):183-185.
[12]谭家昌,杨有猛,徐鸿育,等.负压封闭引流结合皮肤牵张术治疗胫骨骨折内固定术后感染伴软组织缺损[J].中国矫形外科杂志,2016,24(4):379-381.
[13]陈家磊,晏兆奎,钟刚,等.应用皮肤牵张器闭合胫骨骨折术后皮肤软组织缺损[J].中国修复重建外科杂志,2018,32(5):596-600.
[14]张德洪,宋文超,陈祥春,等.牵力可调式皮肤牵张器在股前外侧皮瓣供区创面修复中的临床应用[J].中华骨与关节外科杂志,2018,11(2):124-126,132.
[15]马志军,毕龙,杨涛,等.新型持续皮肤牵张器促进皮肤创面愈合的实验研究[J].现代生物医学进展,2013,13(29):5649-5652.
[16]胡晓东,李永忠,李云飞.皮肤牵张闭合器联合负压创面治疗技术修复皮肤软组织缺损[J].中国美容医学,2017,26(8):56-58.
[2]宋传军.外固定支架联合VSD技术治疗下肢严重骨折并皮肤缺损的护理观察[J].当代医学,2018,24(16):7-9.
[3]何苗,吴晓英,冯艺,等.术后疼痛管理新进展[J].中国护理管理,2014,14(11):1135-1137.
[4]孟祥海,陈安,华振,等.皮肤牵张器与负压伤口治疗技术单独和联合使用对大面积皮肤缺损创面的疗效研究[J].中国中西医结合皮肤性病学杂志,2017,16(4):325-328.
[5]董其强,谷国俊,王礼军,等.改良可调式皮肤牵张闭合器在皮肤及软组织缺损修复中的应用[J].中国修复重建外科杂志,2017,31(12):1481-1484.
[6]池凯,毋磊,陈龙金,等.评价四肢创面修复中应用皮肤牵张闭合器的效果及预后[J].中国医疗美容,2017,7(3):35-37.
[7]康华,陶剑.围术期护理在烧伤后瘢痕整形手术患者护理中的应用效果[J].中国当代医药,2018,25(27):195-197.
[8]Huahui Z,Dan X,Hongfei J,et al.Evaluation of a new tension relief system for securing wound closure:a single-centre,Chinese cohort study[J].Plast Surg(Oakv),2016,24(3):177-182.
[9]刘红顺,李兴华,王爱国.可调式皮肤牵开器在皮肤缺损治疗中的应用[J].中国矫形外科杂志,2018,26(12):1146-1148.
[10]高磊,王硕,王雷,等.皮肤牵张闭合器在糖尿病足创面修复中的应用[J].中国修复重建外科杂志,2018,32(5):591-595.
[11]肖仕琪,彭虹彩,李春芝,等.系统护理干预在甲状腺癌手术患者治疗中的应用效果[J].中国当代医药,2018,25(21):183-185.
[12]谭家昌,杨有猛,徐鸿育,等.负压封闭引流结合皮肤牵张术治疗胫骨骨折内固定术后感染伴软组织缺损[J].中国矫形外科杂志,2016,24(4):379-381.
[13]陈家磊,晏兆奎,钟刚,等.应用皮肤牵张器闭合胫骨骨折术后皮肤软组织缺损[J].中国修复重建外科杂志,2018,32(5):596-600.
[14]张德洪,宋文超,陈祥春,等.牵力可调式皮肤牵张器在股前外侧皮瓣供区创面修复中的临床应用[J].中华骨与关节外科杂志,2018,11(2):124-126,132.
[15]马志军,毕龙,杨涛,等.新型持续皮肤牵张器促进皮肤创面愈合的实验研究[J].现代生物医学进展,2013,13(29):5649-5652.
[16]胡晓东,李永忠,李云飞.皮肤牵张闭合器联合负压创面治疗技术修复皮肤软组织缺损[J].中国美容医学,2017,26(8):56-58.