烤灯联合HACCP方案对四肢皮瓣移植术后康复的影响  

Effect of baking lamp combined with HACCP on rehabilitation after limb flap transplantation

作　　者：杨玲玲[1] 熊明燕 江起庭 YANG Lingling;XIONG Mingyan;JIANG Qiting(Department of Orthopedics,Nanjing Jiangbei Hospital Affiliated to Nantong University Xinglin College,Nanjing,Jiangsu 210048,China)

机构地区：[1]南通大学杏林学院附属南京江北医院骨科,江苏南京210048

出　　处：《中国临床研究》2024年第2期320-324,共5页Chinese Journal of Clinical Research

摘　　要：目的探讨在四肢皮瓣移植术后应用烤灯联合危害分析和关键控制点(HACCP)方案的干预效果。方法选择2022年2月至2023年2月南京江北医院84例四肢皮瓣移植术后患者的临床资料进行回顾性研究,根据不同干预方案分为两组,各42例,对照组患者给予常规护理,研究组患者则联合应用烤灯与HACCP方案,对比两组患者术后康复时间、不同时间皮瓣评分、皮瓣存活率与术后7 d断蒂恢复率、并发症发生率及护理满意度。结果研究组患者术后渗液与肿胀消失时间、抗生素应用时间、皮瓣创口愈合时间及住院时间均短于对照组(P<0.05);研究组患者术后6、72 h皮瓣评分优于对照组(P<0.05);研究组患者皮瓣存活率、术后7 d断蒂恢复率、护理满意度高于对照组(P<0.05);研究组患者术后并发症发生率低于对照组(4.76%vs 19.05%,χ^(2)=4.086,P<0.05)。结论烤灯联合HACCP方案可有效提高皮瓣存活率,减少术后并发症,缩短术后康复时间,患者满意度高,对四肢皮瓣移植术后康复具有促进作用。Objective To investigate the intervention effect of the application of baking lamp combined with hazard analysis and critical control point(HACCP)program after limb flap transplantation.Methods The clinical data of 84 patients with limb flap transplantation in Nanjing Jiangbei Hospital from February 2022 to February 2023 were retrospectively studied.According to different intervention schemes,they were divided into two groups,with 42 cases in each group.The control group was given routine nursing,while the study group was combined with baking lamp and HACCP scheme.The postoperative recovery time,flap score at different times,flap survival rate,7-d pedicle scission recovery rate,the incidence of complications and nursing satisfaction were compared between two groups.Results The disappearance time of postoperative effusion and swelling,the application time of antibiotics,the healing time of flap wound and the length of hospital stay in the study group were shorter than those in the control group(P<0.05).The flap scores of the study group at 6 h and 72 h after operation were better than those of the control group(P<0.05).The survival rate of flap,the recovery rate of pedicle amputation 7 days after operation and the nursing satisfaction in the study group were higher than those in the control group(P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group(4.76%vs 19.05%,χ^(2)=4.086,P<0.05).Conclusion Baking lamp combined with HACCP can effectively improve the survival rate of skin flap,reduce postoperative complications,shorten postoperative rehabilitation time,and have high patient satisfaction.It can promote the rehabilitation after limb flap transplantation.

关 键 词：烤灯 危害分析和关键控制点方案 四肢皮瓣移植 皮瓣存活率 并发症 术后康复时间 

分 类 号：R473.6[医药卫生—护理学]