摘要
目的:研究游离肌瓣移植联合植皮术修复四肢外伤性缺损患者的临床护理路径。方法:纳入笔者医院接受游离肌瓣移植联合植皮术修复四肢外伤性缺损患者176例,按就诊顺序随机分为观察组与对照组。观察组实施针对性临床护理路径,对照组采取常规护理路径。观察两组患者的肌瓣成活情况、创面复原时间、疼痛程度、住院时间、肌力水平与运动功能积分(Fugl-Meyer,FMA)数据。结果:观察组患者的创口复原时间、疼痛程度与皮瓣成活率均优于对照组,差异有统计学意义(P<0.05);观察组患者住院时间、肌力水平与FMA评分均优于对照组,差异有统计学意义(P<0.05)。结论:对游离肌瓣移植联合植皮术修复四肢外伤性缺损患者采取针对性临床护理路径能够优化患者的术后康复效果。
Objective To study the clinical nursing of patients with traumatic defect of extremities by free muscle flap transplantation combined with skin grafting. Methods 176 cases of extremities traumatic defect were repaired by free muscle flap transplantation and skin grafting in our hospital. The patients were randomly divided into the observation group and the control group according to the order of treatment. The observation group carried out the targeted clinical nursing path and the control group took the routine nursing path. The survival of the muscle flap, the time of wound healing, the degree of pain, the time of hospitalization, the level of muscle strength and the Fugl-Meyer（FMA） data were observed in the two groups. ResultsThe wound healing time, pain degree and skin flap survival rate of the observation group were better than those of the control group, the differences were statistically significant（P〈0.05）. The hospitalization time, muscle strength level and FMA score of the observation group were better than those of the control group（P〈0.05）. Conclusion The clinical nursing pathway of targeted free muscle flap transplantation combined with skin grafting to repair limb traumatic defects can optimize the postoperative rehabilitation effect of patients.
作者
高华
商晓芬
蔺媛媛
GAO Hua;SHANG Xiao-fen;LIN Yuan-yuan(Department of Burn and Plastic Surgery;Department of Otorhinolaryngology;Ophthalmology Outpatient,Qingdao Municipal Hospital,Qingdao 266000,Shandong,China)
出处
《中国美容医学》
CAS
2018年第5期141-144,共4页
Chinese Journal of Aesthetic Medicine
关键词
游离肌瓣移植
植皮术
四肢外伤性缺损
临床护理路径
free muscle fap transplantation
skin grafting
limb traumatic defect
clinical nursing pathway
