医护一体化合作模式在皮肤再生技术治疗稳定期白癜风患者中的应用  

Application of doctor-nurse integration cooperation mode in skin regeneration technique during treatment stable phase among patients with vitiligo

作　　者：李子榕 刘志飞 揭小燕 曾昂 朱宁文[3] 王晓军 马玉芬 

机构地区：[1]中国医学科学院北京协和医院整形外科,100032 [2]中国医学科学院北京协和医院外科,100032 [3]复旦大学华山医院皮肤科,上海200040

出　　处：《中华现代护理杂志》2017年第18期2342-2345,共4页Chinese Journal of Modern Nursing

基　　金：国家高技术研究发展计划（863计划）（2014AA020705）

摘　　要：目的探索医护一体化合作模式在皮肤再生技术（ReCell技术）治疗稳定期白癜风患者中的应用效果。方法2010年10月-2015年6月采用医护人员新技术专业化培训，医护团队共同制定接诊、术前准备、术中配合、术后综合护理等医护一体化合作模式。选择稳定期白癜风患者40例，皮损位于面部14片、颈18片、躯干35片、手臂和腿13片、四肢指端5片，于局部麻醉下行ReCell技术治疗。结果所有患者均于术后快速康复，未出现并发症。平均随访6个月，治疗有效率：面部78．57％，颈部83．33％，躯干85．71％，手臂和腿76．92％，四肢指端20．00％。结论ReCell技术是治疗稳定期白癜风的有效方法之一，其操作简便、快速、损伤小、安全。医护一体化合作模式为新技术的开展提供了重要保证。Objective To explore the effects of doctor-nurse integration cooperation mode in skin regeneration technique （ReCell technique） during stable phase among patients with vitiligo. Methods The doctor-nurse integration cooperation mode was formulated by doctors and nurses through new technique specialization training for health care provider including receiving a patient for treatment, preoperative preparation, intraoperative coordination, postoperative comprehensive nursing and so on from October 2010 to June 2015. A total of 40 patients with vitiligo during stable phase were selected along with skin lesions position in the face （14 slices）, neck （18 slices）, torso （35 slices）, arm and leg （13 slices）, finger tips of limb （5 slices）. They accepted ReCell technique treatment under local anaesthesia. Results All patients recovered quickly after operation without complications. After a mean 6 months follow-up, the effective rate of treatment was 78.57% in the face, 83.33% in neck, 85.71% in torso, 76.92% in arm and leg, 20.00% in finger tips of limb. Conclusions The ReCell technique with easy operation, celerity, small damage and safety is one of the effective methods in treatment of vitiligo during stable phase. The doctor-nurse integration cooperation mode offers the imoortant zuarantee for the development of new techniaues.

关 键 词：白癜风 医护一体化 皮肤再生技术 

分 类 号：R473.75[医药卫生—护理学]