改良足底供皮区围手术期管理模式在足底取皮术患者中的应用效果  

Efficacy of modified perioperative management mode in plantar donor sites for patients harvested grafts from their soles

作　　者：曾纯 廖丽红 阮明珍 庄美平 陆丽萍 黄书润 ZENG Chun;LIAO Lihong;RUAN Mingzhen;ZHUANG Meiping;LU Liping;HUANG Shurun(Department of Burns and Plastic Surgery,2.Department of Cardiovascular Medicine,910th Hospital of the Joint Logistic Support Force of the PLA,Quanzhou 362000,Fujian,China)

机构地区：[1]解放军联勤保障部队第九一○医院烧伤整形科,泉州362000 [2]解放军联勤保障部队第九一○医院心血管内科,泉州362000

出　　处：《医学研究与战创伤救治》2024年第8期838-842,共5页Journal of Medical Research & Combat Trauma Care

基　　金：福建省自然科学基金(2023J01241)。

摘　　要：目的探讨改良足底供皮区围手术期管理模式在足底取皮术患者中的应用效果。方法回顾性分析2019年4月至2024年3月解放军联勤保障部队第九一○医院烧伤整形科收治的41例足底皮片修复背臀部深度烧伤创面患者的临床资料。其中足底供皮区围手术期采用常规管理模式的患者20例(对照组),采用改良管理模式的患者21例(改良组)。对比两组足底末次取皮后初次换药疼痛评分、创面换药次数、创面愈合时间、6个月后供皮区瘢痕评分、并发症发生情况。结果改良组术后初次换药疼痛评分、创面换药次数、创面愈合时间、6个月供皮区瘢痕评分及总并发症发生率均低于对照组(P<0.05)。结论改良足底供皮区围手术期管理模式可以减轻供皮区换药疼痛、减少换药次数、缩短创面愈合时间、减轻瘢痕增生,有利于双足底能在较短时间内反复取皮,术后不影响患者行走。Objective To explore the efficacy of modified perioperative management mode in plantar donor sites for patients harvested grafts from their soles.Methods A retrospective analysis was conducted on the data of 41 patients with deep burns in their back and buttocks treated by plantar skin grafts at the Department of Burns and Plastic Surgery,910th Hospital of the Joint Logis‐tic Support Force of the PLA from April 2019 to March 2024.Among them,20 patients(control group)received conventional perioper‐ative management for the plantar donor sites,while 21 patients(modified group)received modified perioperative.The two groups were compared in terms of pain scores during the first dressing change,times of dressing change,healing time,scar scores at the donor sites after 6 months and incidence of complications.Results The modified group had significantly lower pain scores during the first dressing change,fewer dressing changes,shorter healing time,lower scar score after 6 months and a lower complication rate compared to the control group(P<0.05).Conclusion The modified periop‐erative management mode can reduce pain during dressing changes,decrease the number of dressing changes,shorten healing time,less‐en scar formation and facilitate repeated skin harvesting from both soles in a shorter period without affecting the patient's ability to walk post-operatively.

关 键 词：烧伤 皮肤移植 足底 供皮区 围手术期 

分 类 号：R622.1[医药卫生—整形外科]