围术期综合护理在穿支皮瓣移植修复四肢软组织缺损术患者中的应用效果
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摘要
目的分析围术期综合护理在穿支皮瓣移植修复四肢软组织缺损术患者中应用价值。方法选取2016年5月～2017年5月在我院接受治疗的84例穿支皮瓣移植修复四肢软组织缺损术患者,按照就诊顺序分为观察组(n=42)和对照组(n=42)。对照组采用常规护理,观察组采用综合护理,比较两组的总有效率、并发症发生情况、护理满意度。结果观察组总有效率为95.24%,显著高于对照组的78.87%(P<0.05);观察组并发症总发生率显著低于对照组(P<0.05);观察组护理总满意度显著高于对照组,差异均有统计学意义(P<0.05)。结论在穿支皮瓣移植修复四肢软组织缺损术围术期患者中实施综合护理干预,可巩固治疗效果,降低术后并发症的发生,提高患者护理满意度。
Objective To analyze the application value of perioperative comprehensive nursing in the treatment of limb soft tissue defects with perforator flap transplantation. Methods Eighty-four patients with percutaneous soft tissue defects who underwent perforator flap transplantation in our hospital from May 2016 to May 2017 were enrolled. According to the order to visiting doctors, they were divided into the observation group(n=42) and the control group(n=42). In the control group, routine nursing was used, and in the observation group, comprehensive nursing was adopted. The total effectiveness rate, occurrence of complications, and nursing satisfaction of the two groups were compared. Results In the observation group, the total effectiveness rate was 95.24%, significantly higher than that of the control group, accounting for 78.87%(P<0.05). The incidence of complications in the observation group was significantly lower than that of the control group(P<0.05). The nursing satisfaction of the observation group was significantly higher than that of the control group, the differences were statistically significant(P<0.05). Conclusion During perioperative period of perforator flap transplantation to repair soft tissue defect of four limbs, comprehensive nursing intervention can consolidate the treatment effect, reduce the incidence of postoperative complications and increase patient′s nursing satisfaction.
Objective To analyze the application value of perioperative comprehensive nursing in the treatment of limb soft tissue defects with perforator flap transplantation. Methods Eighty-four patients with percutaneous soft tissue defects who underwent perforator flap transplantation in our hospital from May 2016 to May 2017 were enrolled. According to the order to visiting doctors, they were divided into the observation group(n=42) and the control group(n=42). In the control group, routine nursing was used, and in the observation group, comprehensive nursing was adopted. The total effectiveness rate, occurrence of complications, and nursing satisfaction of the two groups were compared. Results In the observation group, the total effectiveness rate was 95.24%, significantly higher than that of the control group, accounting for 78.87%(P<0.05). The incidence of complications in the observation group was significantly lower than that of the control group(P<0.05). The nursing satisfaction of the observation group was significantly higher than that of the control group, the differences were statistically significant(P<0.05). Conclusion During perioperative period of perforator flap transplantation to repair soft tissue defect of four limbs, comprehensive nursing intervention can consolidate the treatment effect, reduce the incidence of postoperative complications and increase patient′s nursing satisfaction.
引文
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[12]王建华,肖容,徐家余,等.胸背穿支皮瓣游离移植修复足踝部软组织缺损的手术方法及效果[J].创伤外科杂志,2017,19(11):814-817.
[13]陈光鑫.带蒂穿支皮瓣修复四肢创面软组织缺损临床观察[J].现代仪器与医疗,2017,23(5):114-115.
[14]戚建武,柴益铜,王扬剑,等.游离旋髂浅动脉穿支皮瓣在四肢皮肤缺损中的应用研究[J].全科医学临床与教育,2016,14(1):74-76.
[15]严望,刘勇,孙锋,等.游离股前外侧穿支皮瓣在四肢软组织缺损中的应用研究[J].国际医药卫生导报,2017,23(6):795-797.
[2]王间萍.游离穿支皮瓣修复老年病人四肢皮肤软组织缺损的围术期护理[J].全科护理,2016,14(20):2127-2128.
[3]李元瑛,谭桂豫,赵飞.带蒂穿支皮瓣移植修复严重四肢软组织缺损的护理[J].宁夏医学杂志,2016,38(9):860-862.
[4]邹永通,刘晓军,练祝平,等.股前外侧穿支皮瓣移植在四肢严重创伤后皮肤缺损修复中的应用[J].海南医学,2017,28(11):1854-1856.
[5]华爱兰.皮瓣移植修复老年前足软组织缺损21例的围术期护理[J].中国乡村医药,2016,23(17):66-67.
[6]彭晓旭.四肢软组织缺损患者采用游离超薄型股前外侧穿支皮瓣修复术的疗效分析[J].中外医学研究,2016,14(13):133-134.
[7]陈绵,谢广中,苗存良,等.应用腹壁下动脉穿支皮瓣游离移植修复四肢软组织缺损[J].中华显微外科杂志,2014,37(1):70-71.
[8]张功林,甄平,陈克明,等.腹壁下动脉穿支皮瓣游离移植修复四肢软组织缺损[J].中国骨伤,2014,33(9):775-777.
[9]顾荣,王海文,江新民,等.髂腹股沟穿支皮瓣移植修复四肢皮肤软组织缺损[J].中国临床解剖学杂志,2017,35(2):211-216.
[10]陈武,黎忠文,袁华军.应用股前外侧穿支皮瓣修复四肢软组织缺损33例[J].中华显微外科杂志,2014,37(5):501-502.
[11]江峰,陈强.游离腓动脉穿支皮瓣修复四肢软组织缺损[J].中国美容整形外科杂志,2014,25(3):139-141.
[12]王建华,肖容,徐家余,等.胸背穿支皮瓣游离移植修复足踝部软组织缺损的手术方法及效果[J].创伤外科杂志,2017,19(11):814-817.
[13]陈光鑫.带蒂穿支皮瓣修复四肢创面软组织缺损临床观察[J].现代仪器与医疗,2017,23(5):114-115.
[14]戚建武,柴益铜,王扬剑,等.游离旋髂浅动脉穿支皮瓣在四肢皮肤缺损中的应用研究[J].全科医学临床与教育,2016,14(1):74-76.
[15]严望,刘勇,孙锋,等.游离股前外侧穿支皮瓣在四肢软组织缺损中的应用研究[J].国际医药卫生导报,2017,23(6):795-797.