3D打印婴幼儿拇指畸形矫正术后护具的设计研究  

Research on the design of 3D printing protective device for infants after thumb deformity correction

作　　者：杨佳菲 卞薇薇[1] 屠菁玮 周梦丹 黄莹[1] YANG Jiafei;BIAN Weiwei;TU Jingwei;ZHOU Mengdan;HUANG Yin(Nursing Department,Department of Plastic and Reconstructive Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院护理部、整复外科,上海市200011

出　　处：《组织工程与重建外科》2024年第5期548-550,共3页Journal of Tissue Engineering and Reconstructive Surgery

基　　金：上海交通大学医学院附属第九人民医院护理部院级课题(JYHL20213D02);上海市科学技术委员会临床医学研究中心项目(22MC1940300)。

摘　　要：目的探索3D打印护具在婴幼儿拇指畸形矫正术后患肢固定中的应用效果及前景。方法以婴幼儿拇指畸形术后固定需求为切入点,借助3D打印技术打印护具,并进行临床应用及反馈。选取2021年9月至2022年2月在我科行多指畸形矫正的患儿,将2021年9月至11月的患者设为对照组(n=15),2021年12月至2022年2月患者设为观察组(n=12)。对照组术后采用常规外敷料包扎及石膏托固定,观察组使用外敷料及3D打印护具进行固定。比较两组患儿的术后伤口愈合情况、舒适度及患儿家长的满意度。结果两组患儿术后愈合及功能恢复良好,观察组患儿患肢固定舒适度及患儿家长满意度均高于对照组(P<0.05)。结论3D打印婴幼儿拇指多指畸形矫正术后护具使用方便、自重轻,有助于在良好固定患肢的同时,提升患儿术后患肢固定舒适度及家长满意度,此3D打印护具值得在临床中进行实践和推广。Objective To explore the application effect and prospect of 3D printing protectors in the fixation of affected limbs after correction of thumb deformity in infants.Methods Based on the need for fixation of thumb deformity in infants after operation,3D printing technology was used to print the protective device and carry out clinical application and feedback.The children who underwent polydactyly correction in our department from September 2021 to February 2022 were selected.The patients from September 2021 to November 2021 were set as the control group(n=15),and the patients from December 2021 to February 2022 were set as the observation group(n=12).The control group was treated with conventional external dressing and plaster support fixation after operation.The observation group was fixed with external dressing and 3D printing protectors.The postoperative wound healing,comfort and parents'satisfaction were compared between the two groups.Results The healing and functional recovery of the children in the two groups were good.The comfort degree of the fixation of the affected limbs and the satisfaction of the parents in the observation group were higher than those in the control group(P<0.05).Conclusion The 3D printing protective device for the correction of polydactyly of thumb in infants is convenient to use and light in weight,which is helpful to fix the affected limb and improve the comfort of the fixation of the affected limb and parents'satisfaction.This 3D printing protective device is worth practicing and promoting in clinical practice.

关 键 词：3D打印 婴幼儿手部手术 护具 护理 

分 类 号：R622[医药卫生—整形外科]