悬空式支架的制作及临床应用  

作　　者：李钰燕[1] 林曼舒[1] 叶桂香[1] 罗志军[1] 田举[1] 

机构地区：[1]中山市人民医院,广东中山528403

出　　处：《现代临床护理》2009年第7期81-82,共2页Modern Clinical Nursing

摘　　要：目的探讨悬空式支架在四肢深Ⅱ°烧伤患者植皮术后植皮区的应用方法和效果。方法根据人体四肢功能位置特点设计并制作悬空式支架。选择应用支架的四肢深Ⅱ°烧伤的35例患者为支架组,应用普通胶枕的深Ⅱ°烧伤的35例患者为对照组。应用1w后,观察两组患者四肢易受压部位的植皮区植皮成活情况。结果对照组25例植皮成活良好,6例一般,4例较差;支架组33例植皮成活良好,2例一般。两组植皮成活情况比较,经统计学分析,P<0.05,差异具有统计学意义。结论悬空式支架使深Ⅱ°烧伤四肢植皮区长期悬空,避免植皮部位受压和移位,减轻患者因皮片不成活而再次植皮手术的风险及病残率,从而提高患者生活质量。Objective To study and invent methods and tools to avoid pressure on skin grafting area in patients who suffered Grade Ⅱ deep limb bums, in order to promote the improvement of skin graft survival. Methods According to the function of human limbs, a suspended stent was designed and produced. Thirty-five patients with Grade Ⅱ deep limb bums were selected as the experiment group to use the stent, and another thirty-five patients with Grade Ⅱ deep limbs burns were selected as the control group to use ordinary plastic. One week later, survival of skin grafts in pressure-prone parts of limbs between the two groups were observed. Results In thirty-five cases of the control group, twenty-five skin grafts survived in good condition, six survived in general condition, and four in poor condition; in thirty-five cases of the experiment group, thirty-three skin grafts survived in good condition, two skin graft survival in general condition. The differences were statistically significant （P 〈 0.05）. Conclusion Suspended stent kept skin grafted area in vacant positions, avoiding skin compression and displacement, reducing the risk of recurrence and morbidity rates caused by skin graft surgery, and thus improving patients＇ quality of life.

关 键 词：烧伤 四肢 支架 

分 类 号：R644[医药卫生—外科学] R658[医药卫生—临床医学]