多元化保温处理对游离皮瓣移植修复皮肤缺损患者皮瓣成活率及皮瓣局部血运的影响价值  

The Value of Diversified Heat Preservation Treatments on the Survival Rate of Skin Flaps and the Local Blood Supply of Skin Flaps in Patients with Skin Defect Repaired by Free Skin Flap Transplantation

作　　者：王丽敏[1] 薛继东[1] 景福琴[1] 苏春艳 WANG Li-min;XUE Ji-dong;JING Fu-qin;SU Chun-yan(Department of Burns,Zhengzhou First People's Hospital,Zhengzhou 450004,Henan Province,China)

机构地区：[1]郑州市第一人民医院烧伤科,河南郑州450004

出　　处：《罕少疾病杂志》2022年第9期80-82,共3页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关计划(LHGJ20190999)。

摘　　要：目的探究多元化保温处理对游离皮瓣移植修复皮肤缺损患者皮瓣局部血运和皮瓣成活率影响。方法选取我科2018年9月至2020年9月期间115例游离皮瓣移植修复皮肤缺损患者作为研究对象,采用随机数字表法将其分为两组,对照组57例给予常规保温处理,观察组58例给予多元化保温处理,对比两组患者皮瓣成活率,术后住院时间,皮瓣局部血运,血管危象总发生率及静脉皮瓣术后肿胀情况。结果干预前,两组皮瓣局部血运评分比较无统计学意义(P>0.05);干预后,观察组皮瓣成活率、毛细血管充盈时间评分、局部皮瓣弹性评分高于对照组,血管危象总发生率、静脉皮瓣术后肿胀发生率低于对照组,(P<0.05)。结论多元化保温处理对游离皮瓣移植修复皮肤缺损患者具有显著的干预效果,通过改善皮瓣局部血运,降低患者血管危象发生率及静脉皮瓣术后肿胀率,进而提高皮瓣成活率,缩短患者住院时间。Objective To explore the effects of multiple thermal insulation treatments on the local blood supply and flap survival rate of free skin flap transplantation in patients with skin defects.Methods From September 2018 to September 2020 in our department,115 patients with free skin flap transplantation to repair skin defects were selected as the research objects,and they were divided into two groups by random number table method.57 cases in the control group were treated with conventional heat preservation.The 58 patients in the observation group were treated with multiple heat preservation treatments.The survival rate of the flaps,postoperative hospital stay,local blood supply of the flaps,total incidence of vascular crisis and postoperative swelling of venous flaps were compared between the two groups.Results Before the intervention,the comparison of the regional blood supply scores of the two groups of flaps was not statistically significant(P>0.05);after the intervention,the flap survival rate,capillary filling time score,and local flap elasticity scores of the observation group were higher than those of the control group.The total incidence of vascular crisis and the incidence of postoperative swelling of venous flaps were lower than those of the control group(P<0.05).Conclusion Multiple heat preservation treatments have a significant intervention effect on patients with free skin flap transplantation to repair skin defects.By improving the local blood supply of the skin flap,the incidence of vascular crisis and the postoperative swelling rate of the venous flap can be reduced,thereby increasing the survival of the skin flap.Rate,shorten the patient’s hospital stay.

关 键 词：多元化保温处理 游离皮瓣移植术 皮肤缺损 皮瓣成活率 血管危象 

分 类 号：R322.99[医药卫生—人体解剖和组织胚胎学]