个体化液体输注次序对游离皮瓣移植患者术后早期皮瓣成活的影响  

Effects of the order of individual liquid on the survival of skin flap in patients after free flap transplantation

作　　者：樊珊[1] 林华[2] 胡靖[1] 孟阳[2] 侯悦[2] 李欢[2] 董阿姣 

机构地区：[1]西安交通大学附属红会医院手术麻醉二科,710054 [2]西安交通大学附属红会医院创伤下肢病区,710054

出　　处：《中华现代护理杂志》2016年第33期4796-4799,共4页Chinese Journal of Modern Nursing

基　　金：陕西省社会发展科技攻关项目（20.15SF116,2015SF110,2013K14-02-12）

摘　　要：目的探讨个体化液体输注次序对游离皮瓣移植患者术后早期皮瓣成活的影响。方法采用方便抽样法选取2013年3月—2016年3月西安交通大学附属红会医院行游离皮瓣移植修复的四肢创面患者102例，随机分为试验组和对照组各51例。试验组患者参考其生理生化指标调整液体输注次序，对照组患者按照医嘱单的液体次序执行输注，比较两组患者术后48h血管危象及术后10d移植皮瓣坏死发生情况。结果术后48h试验组患者发生血管危象6例，对照组16例；术后10d试验组患者移植皮瓣坏死3例，对照组坏死11例，差异均有统计学意义（χ2值分别为5.795，5.299；P＜0.05）。结论按照个体化液体输注次序进行液体输注可有效减少游离皮瓣移植患者术后早期血管危象及皮瓣坏死的发生。Objective To investigate the effects of the order of individual liquid on the survival of skin flap in patients after free flap transplantation. Methods From March 2013 to March 2016, 102 patients with trauma in extremities and underwent free flap transplanation in our hospital were randomly assigned to the study groupand the control group, with 51 cases in each group. Patients in the study group were treated with adjusted hquid order according to physiological and biochemical indexes. Patients in the control group were treated according to the order of medical orders. The occurrence of vascular crisis 48 h after operation and flap necrosis that 10 days after free flap transplantation were compared. Results 48 h after operation, there were 6 cases of postoperative vessel thrombosis and 3 cases of necrosis in the study group （χ2= 5.795, P〈 0. 05）. 10 d after operation, there were l 1 cases of postoperative vessel thrombosis and 3 cases of necrosis in the control group （ χ2 = 5.299,P〈0.05）.Conclusions The individualized order liquid infusion can effectively reduce the occurance rate of vascular crisis and necrosis after free flap transplantation.

关 键 词：移植物存活 游离皮瓣 血管危象 坏死 液体输注次序 

分 类 号：R473.6[医药卫生—护理学]