先天性小耳畸形耳后埋置扩张器术后护理  

Perioperative Nursing for Retroauricular Expander Implantation for Congenital Microtia

作　　者：马艳梅 郭媛[1] 行倩倩 苏欣[1] 张国刚 MA Yan-mei;GUO Yuan;XING Qian-qian;SU Xin;ZHANG Guo-gang(Plastic and Cosmetic Maxillofacial Surgery;Department of Pharmacy,the First Affiliated Hospital of Xi'an JiaotongUniversity,Xi’an 710061,Shaanxi,China)

机构地区：[1]西安交通大学第一附属医院整形美容颌面外科,陕西西安710061 [2]西安交通大学第一附属医院药学部,陕西西安710061

出　　处：《中国美容医学》2019年第5期150-153,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨先天性小耳畸形耳后埋置扩张器后的围术期护理及并发症的预防措施。方法:选取2016年7月-2018年5月笔者医院收治的先天性小耳畸形耳后埋置扩张器患者296例,按照入院顺序进行编号,其中奇数为研究组,接受围术期整体护理干预,偶数为对照组,进行常规护理干预,对比两组患者焦虑、抑郁评分,生活质量评分,护理质量评分及并发症发生情况。结果:干预后,研究组焦虑、抑郁评分情况,生活质量5个维度的评分,护理质量4个维度的评分均优于对照组,差异有统计学意义(P<0.01)。术后并发症主要表现为血肿、切口开裂、皮瓣破溃、感染,研究组并发症发生率(10.14%)显著低于对照组(20.27%),差异有统计学意义(P<0.05)。结论:先天性小耳畸形患者,接受耳后埋置扩张器手术的同时,给予围术期整体护理干预,能有效改善患者临床疗效,提升生活质量和护理质量,同时降低并发症的发生。Objective To explore the perioperative nursing and preventive measures for complications in retroauricular expander implantation for congenital microtia. Methods 296 patients who were admitted to our hospital and underwent retroauricular expander implantation for congenital microtia from July 2016 to May 2018 were assigned sequential numbers in the order of admission;those who were assigned odd numbers were assigned to the study group to receive holistic perioperative nursing intervention, and those were assigned even numbers were assigned to the control group to receive conventional nursing intervention. The two groups were compared for anxiety, depression, quality of life and nursing quality scores, as well as the incidence of complications. Results Following the intervention, the study group was superior over the control group in the anxiety and depression scores, as well as the scores for 5 domains of the quality of life and 4 domains of the nursing quality, with statistically significant differences (P <0.01). The postoperative complications mainly included hematoma, incision dehiscence, flap rupture, and infection;the incidence of complications was 10.14% in the study group, which was significantly lower than 20.27% in the control group, with statistically significant difference(P <0.05). Conclusion For patients undergoing retroauricular expander implantation for congenital microtia, holistic perioperative nursing intervention could effectively improve the clinical efficacy, the patient’s quality of life and the nursing quality, while reducing the incidence of complications.

关 键 词：先天性小耳畸形 埋置扩张器 围手术期护理 并发症 生活质量 

分 类 号：R47[医药卫生—护理学]