拇指指腹缺损岛状皮瓣移植术后早期压力疗法的效果  

Effect of Early Pressure Therapy on Island Skin Flap for Vitia of Thumb Ventral

作　　者：朱琳怡 张子凤 傅育红 沈霞 ZHU Lin-yi;ZHANG Zi-feng;FU Yu-hong;SHEN Xia(Wuxi No. 9 Hospital, Wuxi, Jiangsu 214062, China)

机构地区：[1]无锡市第九人民医院,江苏无锡市214062

出　　处：《中国康复理论与实践》2018年第5期610-614,共5页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨拇指指腹缺损岛状皮瓣术后感觉训练中加入早期压力疗法对术后拇指功能恢复的效果。方法 2016年1月至2017年7月拇指指腹缺损岛状皮瓣移植术后患者63例,按入院顺序分为对照组(n=31)和观察组(n=32)。对照组术后行常规感觉训练,观察组加用早期压力疗法。观察两组患者治疗后感觉功能、瘢痕、肿胀情况。结果与对照组比较,观察组肿胀、瘢痕明显减轻,感觉功能明显增强(P<0.05)。结论在感觉训练过程中加入早期压力疗法,能促进岛状皮瓣移植术后患者感觉功能早期恢复,肿胀快速消退,减少瘢痕形成。Objective To explore the effect of early pressure therapy during sensory training on functional recovery after island skin flap repairing vitia of thumb ventral.Methods From January, 2016 to July, 2017, 63 patients accepted island skin flap repairing vitia of thumb ventral were divided into control group（n=31） and observation group（n=32） according to the order of hosptalization. The control group accepted routine sensory training, while the observation group accepted early pressure therapy in addition. Their swelling, scars and sensory function were observed after treatment.Results The swelling and scars were milder, and the sensory function was better in the observation group than in the control group（P〈0.05）.Conclusion Combination with early pressure therapy during sensory training may promote the recovery of sensory function and fadeaway of swelling, and alleviate the formation of scar.

关 键 词：拇指指腹缺损 岛状皮瓣修补术 早期康复 压力疗法 感觉训练 护理 

分 类 号：R658.1[医药卫生—外科学]