多元化保温处理对游离皮瓣移植术患者皮瓣局部血运和皮瓣成活的影响  

Influences of diversified warming methods on the survival of circulation skin flap in patients after free flap transplantation

作　　者：谢群[1] 胡强[1] 张瑞瑞[1] 王琼 山超 XIE Qun;HU Qiang;ZHANG Ruirui;WANG Qiong;SHAN Chao(Department of Plastic Surgery,Xiangyang Central Hospital,Xiangyang,Hubei 441021,China)

机构地区：[1]湖北省襄阳市中心医院整形美容科,441021

出　　处：《检验医学与临床》2018年第23期3518-3520,共3页Laboratory Medicine and Clinic

摘　　要：目的探讨多元化保温处理对游离皮瓣移植患者皮瓣局部血运和皮瓣成活的影响。方法选取2016年3月至2017年3月该院行游离皮瓣移植修复的患者72例,随机分为研究组和对照组各36例。对照组给予常规保温处理,研究组给予多元化保温处理,观察2种保温护理措施对游离皮瓣移植血液循环及皮瓣成活的影响。结果干预后,研究组患者毛细血管充盈时间评分、局部皮瓣弹性评分均优于对照组,差异有统计学意义(t=4.042、3.285,P<0.05);研究组血管危象发生率低于对照组(11.11%vs.30.56%),皮瓣存活率高于对照组(94.44%vs.77.78%),差异均有统计学意义(χ~2=3.871、4.035,P<0.05)。结论多元化保温处理可提高游离皮瓣移植术患者皮瓣局部血运,提高皮瓣成活率,值得临床推广和应用。Objective To evaluation the effects of diversified warming methods on the local blood supply and survival of circulation skin flap in patients after free flap transplantation. Methods From March 2016 to March 2017,72 patients with underwent free flap transplantation in our hospital were randomly assigned to the study group and the control group,with 36 cases in each group.The control group was treated with routine warming treatment.The study group was treated with diversified warming methods.The effects of two kinds of thermal care treatments on blood circulation and flap survival of free flap were compared. Results After the intervention,the scores of flap elasticity and capillary refill time in study group were higher than that in the control group,the difference was statistically significant （ t =4.042,3.285, P 〈0.05）.The incidence of vascular crisis in the study group was lower than that in the control group （11.11% vs. 30.56%）,the difference was statistically significant （ χ 2=3.871, P 〈0.05）.And the flap survival rate in control group was 77.78%,which was significantly lower than that of study group （94.44%）,the difference was statistically significant （ χ 2=4.035, P 〈0.05）. Conclusion Diversified warming methods could improve the local flap of patients with free flap transplantation and improve the survival rate of flaps.It is worthy of wider promotion and application.

关 键 词：多元化保温处理 游离皮瓣移植术 成活率 

分 类 号：R622.1[医药卫生—整形外科]