个性化耳罩在小耳畸形患者扩张器法耳廓再造术中的应用  

The application of individual earmuffs in microtia reconstruction using tissue expander

作　　者：刘学红 蒋海越 杨庆华 潘博 庄洪兴 韩彩霞 王春华 张春花 李桂红 刘艳春 佟梅 祁桂华 

机构地区：[1]中国医学科学院整形外科医院整形七科,北京100144

出　　处：《中国实用护理杂志（中旬版）》2009年第12期8-10,共3页Chinese Journal of Practical Nursing

基　　金：基金项目：卫生部临床学科重点项目（2004468）专利：国家实用新型专利（200820108606.7）志谢本文承蒙中国医学科学院协和医科大学护理学院刘建芬老师指导

摘　　要：目的探讨个性化耳罩在扩张皮瓣注水期间的保护效果。方法选择小耳畸形扩张器植入术后患儿95例，采用随机分组的方法分为实验组49例和对照组46例。实验组患儿佩带个性化的耳罩，对照组患儿佩带传统硬质耳罩。患儿进入耳廓再造手术当日，患儿家属根据患儿的感受填写佩带耳罩的调查表，比较2组患儿在耳罩通透性及安全上的不同感受。结果实验组患儿在通透性能上闷热感、耳鸣音方面明显优于对照组。在安全方面，2组均未发生蚊虫爬入现象，因个性化耳罩贴服性好，所以不易发生压红皮肤的现象显著高于对照组。结论个性化耳罩具有通透性好、贴服性佳、不易压红皮肤等优点，是一种安全、舒适的护理用具。Objective To explore the protective affect of individual earmuffs in microtia reconstruction using tissue expander. Methods 95 patients performed the implantation of tissue expander had been grouped into the experimental group（49 cases） and the control group（46 cases）. Patients in the experimental group wore individual earmuffs, whereas patients in the control group wore traditional earmuffs. The survey including the information of patients experience in wearing the earmuffs was carried out on the day when patients were given auricular reconstruction. Data collected from the two groups were analyzed to eval- uate the aspects of permeability and safety. Results Patients in the experimental group complained less discomfort in sultry in permeability and tinnitus than patients in the control group. From the perspective of safety, there was no complaints of mosquitoes climbing into the earmuffs from the two groups. Because of the good adhesiveness of the individual earmuffs to the skin, the incidence of redness of skin in the experimen tal group was significantly lower than that in the control group. Conclusions Individual earmuff is a safe and comfortable nursing appliance which is practical for clinical application because of its good permeability, adhesiveness and less incidence of redness of skin.

关 键 词：个性化耳罩 小耳畸形 扩张器 耳廓再造 

分 类 号：R764.71[医药卫生—耳鼻咽喉科] R622.1[医药卫生—临床医学]