集束化护理在吻合血管桥式交叉皮瓣移植术中的应用  

Application of Cluster Nursing in the Anastomotic Vascular Bridge Type Cross Flap Transplantation

作　　者：刘晓雪 梁漪[2] 高磊[3] LIU Xiao-xue;LIANG Yi;GAO Lei(Osteoarticular Surgery,Qingdao Municipal Hospital,Qingdao 266000,Shandong,China;Department of Breast Oncology,Qingdao Municipal Hospital,Qingdao 266000,Shandong,China;Observation Room,Qingdao Municipal Hospital,Qingdao 266000,Shandong,China)

机构地区：[1]青岛市市立医院骨关节外科,山东青岛266000 [2]青岛市市立医院乳腺肿瘤科,山东青岛266000 [3]青岛市市立医院急诊观察室,山东青岛266000

出　　处：《中国美容医学》2019年第9期135-138,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究集束化护理在吻合血管桥式交叉皮瓣移植术中的应用。方法:将86例接受吻合血管桥式交叉皮瓣移植术治疗的患者随机分为研究组(43例)和对照组(43例)。对照组采用常规护理,研究组在对照组基础上进行集束化护理。比较两组患者皮瓣成活情况、血管危象发生情况、断蒂时间、断蒂后功能恢复时间和心理状态。结果:护理后,研究组皮瓣成活率(97.67%)显著高于对照组(83.72%),血管危象率(6.98%)显著低于对照组(30.23%),差异均具有统计学意义(P<0.05)。护理后,研究组断蒂时间显著低于对照组(P<0.05)。两组间断蒂后功能恢复时间比较,研究组≤3d者占比显著高于对照组;研究组4~7d及>7d者占比显著低于对照组,差异均具有统计学意义(P<0.05)。护理后,两组患者SAS、SDS评分均降低,且研究组均低于对照组(P<0.05)。结论:集束化护理在吻合血管桥式交叉皮瓣移植术中的应用效果良好,可有效促进患者皮瓣成活,减少术后血管危象和负性情绪,促进患者早日康复,值得临床推广。Objective To explore the application of cluster nursing in the anastomotic vascular bridge type cross flap transplantation. Methods A total of 86 patients after anastomotic vascular bridge type cross flap transplantation were randomly divided into the study group(43 cases) and the control group(43 cases). The control group received routine nursing and the study group received cluster nursing on the basis of the control group. The survival of flap, the occurrence of vascular crisis, the time of pedicle breakage, the time of functional recovery and psychological state were compared between the two groups. Results After nursing, the survival rate of flap in the study group(97.67%) was significantly higher than that in the control group(83.72%), and the vascular crisis rate(6.98%) was lower than that in the control group(30.23%), and the difference was statistically significant(P<0.05). After nursing, the time of pedicle breakage in the study group was significantly lower than that in the control group(P<0.05). In comparison of the days of functional recovery after pedicle breakage between the two groups, The percentage of patients in the study group with ≤3 days was significantly higher than that in the control group;and the proportions of patients with 4-7 days and>7 days in the study group was significantly lower than those in the control group,with significantly differences(P<0.05). After nursing, the SAS, SDS scores of the two groups decreased, and the study group was lower than that of the control group(P<0.05). Conclusion The application of cluster nursing in anastomotic vascular bridge type cross flap transplantation has a good effect, reducing the vascular crisis and negative emotion of the patients after operation, and promoting the early recovery of the patients, which was worthy for clinical promotion.

关 键 词：集束化护理 吻合血管桥式交叉皮瓣移植术 血管危象 皮瓣成活 断蒂 

分 类 号：R47[医药卫生—护理学]