腹部带蒂皮瓣与游离皮瓣修复手部感染创面的临床效果  

Clinical Effect of Abdominal Pedicled Flap and Free Flap for Repairing Hand Wounds

作　　者：田志鹏[1] Tian Zhipeng(Affiliated Renhe Hospital of China Three Gorges University,Yichang,443001)

机构地区：[1]三峡大学附属仁和医院

出　　处：《基因组学与应用生物学》2018年第11期4973-4979,共7页Genomics and Applied Biology

基　　金：三峡大学附属仁和医院资助

摘　　要：为分析腹部带蒂皮瓣与游离皮瓣修复手部感染创面及骨外露的临床效果，为临床治疗方案的正确选择提供参考，本研究选取2013年5月至2016年5月本院接受治疗的300例手部感染创面及骨外露患者作为研究对象。根据患者所选择的治疗方案，将研究对象随机分为观察组和对照组，每组150例。观察组接受腹部带蒂皮瓣修复，对照组接受游离皮瓣修复，两组患者均接受术前心理疏导、健康宣教、术后生活指导、术后皮瓣血运观察等一系列护理干预，比较两组患者的治疗效果。结果显示，与对照组比较，观察组的手术时间、住院时间均明显减少（p〈0．05），观察组的手术次数、住院费用均明显增多（p〈0．05），观察组的总有效率为95．33％，对照组的总有效率为84．00％，观察组的临床效果明显优于对照组（p〈0．05）。两组患者的皮瓣色泽正常比例、温度、毛细血管反应正常比例以及针刺皮瓣出血比例均无显著差异，观察组的总满意率为92．00％，对照组的总满意率为86．00％，两组患者无显著差异（p〉0．05）。本研究结果说明以术前心理疏导、健康宣教、术后生活指导、术后皮瓣血运观察等一系列护理干预为前提，选择腹部带蒂皮瓣修复，更利于减少手部感染创面及骨外露患者的手术时间，术后皮瓣更易成活，而选择游离皮瓣修复住院时间短，可快速恢复皮瓣功能和外形。To analyze the clinical effect of abdominal pedicled flap and free flap to repair hand wound and bone exposure, and provide reference for the correct choice of clinical treatment plan, a total of 300 hand-infected wounds and exposed patients who were treated in our hospital from May 2013 to May 2016 were selected as subjects. According to the treatment plan selected by the patients, the subjects were randomly divided into observation group and control group, 150 cases in each group. The observation group received abdominal pedicle flap repair, and the control group received free flap repair. Both groups received a series of nursing interventions such as preoperative psychological counseling, health education, postoperative life guidance, and postoperative flap blood supply observation. The therapeutic effect of the two groups of patients. The results showed that compared with the control group, the operation time and hospitalization time of the observation group were significantly reduced （p 〈0.05）. The number of operations and hospitalization expenses of the observation group were significantly increased （p 〈0.05）, and the total effective rate of the observation group was 95.33%, the total effective rate of the control group was 84.00%, and the clinical effect of the observation group was significantly better than that of the control group （p〈0.05）. There was no significant difference in the normal ratio of skin flap color, temperature, normal capillary reaction rate and acupuncture flap bleeding rate between the two groups. The total satisfaction rate of the observation group was 92.00%, and the total satisfaction rate of the control group was 86.00%. There were no significant differences between observation group and control group （p〉0.05）. The results of this study indicated that a series of nursing interventions such as preoperative psychological counseling, health education, postoperative life guidance, and postoperative flap blood flow observation were selected. The choice of abdomi

关 键 词：手部感染创面 骨外露 腹部带蒂皮瓣修复 游离皮瓣修复 临床效果 

分 类 号：R658.2[医药卫生—外科学]