摘要
目的：分析手术外伤腹部带蒂皮瓣移植护理要点,探讨护理要点。方法：对我院收治并行骼腹股沟带蒂皮瓣移植治疗手外伤患者32例给予围手术期路径护理,内容包括心理护理与健康宣教、体位护理、疼痛护理、生活护理、环境控制,统计疼痛水平、舒适度、睡眠时间变化。结果：第12h疼痛评分（3.2±0.8）分高于24h平均（2.1±0.7）分、48h（1.9±0.4）分,72h（1.8±0.6）分,第1日睡眠时间,（6.34±2.10）h低于第3日（6.83±2.42）d、第4日（7.13±2.56）h,24h舒适度（70.5±13.59）分低于,48h（80.7±8.47）分、72h（80.3±12.83）分,差异具有统计学意义（P〈0.05）;手术均获成功,断蒂时间16~26d,平均（20.1±1.2）d。结论：手外伤腹部带蒂皮瓣移植围手术期应注重术前、术后早期心理护理,关注术后早期疼痛护理,做好术后生活护理,减轻患者不适感,是有助于降低带蒂皮瓣撕脱、血管危象发生风险,保障移植成功率。
Objective： Analysis of operation of traumatic abdominal flap transplantation nursing points, to explore the nursing points. Methods： In our hospital parallel ilioinguinal pedicled flap transplantation in the treatment of 32 patients with hand injury were given peri operation period nursing path, including psychological nursing and health education, posture nursing, pain nursing, life care, environmental control, statistics of pain level, comfort, the sleep time of change. Results： operation were successful, pedicle division time （16-26） d, average （20.1＋1.2） d. Conclusion： Hand injury abdominal flap transplantation in peri operation period should pay attention to the preoperative, early postoperative psychological nursing, pain nursing attention early after operation, postoperative life nursing, reduce patient discomfort, is helpful to reduce the pedicled flap avulsion, vascular crisis risk, guarantee transplantation into power.
出处
《中国医疗美容》
2014年第4期31-31,128,共2页
China Medical Cosmetology
