无创可穿戴表皮系统在微血管吻合术后患者血运监测中的应用  

Application of a noninvasive wearable skin-interfaced system in blood supply monitoring for patients after microvascular anastomosis

作　　者：谢芬 金环 张媛媛 陈洁[1] 刘茜 古玉霞 刘玉田 Xie Fen;Jin Huan;Zhang Yuanyuan;Chen Jie;Liu Xi;Gu Yuxia;Liu Yutian(Hand Surgery Department,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院手外科,湖北武汉430022 [2]华中科技大学同济医学院附属协和医院护理部,湖北武汉430022

出　　处：《护理学杂志》2025年第3期36-39,共4页Journal of Nursing Science

摘　　要：目的 探讨无创可穿戴表皮系统在微血管吻合术后患者血运监测中的临床应用效果。方法 按照住院时间,将2023年2-6月行游离皮瓣或单指断指再植的110例患者设为对照组,应用传统的临床血运监测法评估血运。2023年7-11月收治的110例患者设为干预组,应用无创可穿戴表皮系统辅助评估血运。比较两组血管危象发生率、及时发现率、误判率、漏诊率;并调查医护人员对无创可穿戴表皮系统的满意度。结果 对照组108例、干预组105例完成研究。干预组血管危象及时发现率显著高于对照组,血管危象误诊率及漏诊率显著低于对照组(均P<0.05);医护人员对无创可穿戴表皮系统的满意度均分为4.89~5.00分。结论 无创可穿戴表皮系统能为医护人员提供客观、准确的血运评判依据,有利于及时准确发现微血管吻合术后患者血管危象。Objective To explore the clinical application effects of a noninvasive wearable skin-interfaced system in blood supply monitoring for patients after microvascular anastomosis.Methods Patients after free flap transfer or single severed finger replantation were divided into a control group and an experimental group chronologically,with 110 patients in each group.The blood supply of the control group was monitored using the traditional clinical methods,while the experimental group was additionally assessed by utilizing a noninvasive wearable skin-interfaced system.The incidence,timely detection rate,misjudgment rate,and the missed diagnosis rate of the vascular crisis between the two groups were compared,and the satisfaction of medical staff towards the system was investigated.Results A total of 108 patients and 105 patients in the control group and experimental group completed the study.The timely detection rate of vascular crisis in the experimental group was significantly higher than that in the control group,and its misjudgment rate and missed diagnosis rate of vascular crisis were significantly lower than those of the control group(all P<0.05).Medical staff′s satisfaction towards the noninvasive wearable skin-interfaced system was 4.89-5.00 points.Conclusion The noninvasive wearable skin-interfaced system can provide objective and accurate evidence for medical staff assessing blood supply,which is conducive to detecting vascular crisis timely and accurately in patients after microvascular anastomosis.

关 键 词：断指再植 游离皮瓣 微血管吻合术 血管危象 血运监测 表皮电子系统 智慧护理 

分 类 号：R473.6[医药卫生—护理学]