摘要
目的探讨不同皮温检测方法在穿支皮瓣移植术后的应用效果。方法选取2008年1月至2010年1月行择期穿支皮瓣移植术的患者456例,监测其不同组别术后1h至术后10d的皮温变化,并观察皮瓣色泽、毛细血管充盈程度、血管的充盈和搏动、局部出血和水肿等指标。各组间测试仪器、量程、压力、治疗、用药、环境等均相同。结果患者在术后3d内皮温变化活跃,第4天起趋于平稳。术后3d每间隔2 h检测与4、8h检测结果比较差异有统计学意义(P<0.01),与1h比较无统计学意义(P>0.05)。不同测试时间各组间比较差异无统计学意义(P>0.05)。测试点远端、中间比较差异无统计学意义(P>0.05),近端与其余各组比较差异有统计学意义(P<0.01)。结论术后3d内测量皮温1次/2h;发现皮瓣色泽等指标发生变化时,即刻测量直至稳定。术后4～10d皮温测量可1次/4～8h,发生变化时即刻测量直至稳定。测量时注意保持测试笔体自然下落,在皮瓣中、远端测量30s即可准确测得皮温,同时应遵循定位测量和健、患侧相同部位对应的原则。
Objective To explore the effect of different skin temperature measuring methods in nursing after perforator flap transplantation. Methods From January 2008 to January 2010,456 inpatients with elective perforator flap graft in laminar flow ICU in our hospital were enrolled in the study. The skin temperature changes were measured in different intervals and at different test time and points from the first lh to 10d after operation. Then other indicators were observed including color, capillary filling test, vascular filling and pulse, local bleeding and edema under the same test conditions, including test equipment, measuring range, pressure, treatment, medication, environment. Results Dramatic changes in skin temperature occurred in 3 days after surgery,and then tended to besteady since the fourth day. Signifi- cant differences were observed between the values detected at an interval of 2 hours in 3 days after surgery and those at 2 hours and 8 hours（P〈0. 01）. However, no significant difference was observed between the values detected at an interval of 2 hours in 3 days after surgery and those at 2 hours and I hours（P〉0. 05）. No significant difference was observed on the values detected at different test times and between middle and distal test points（P〉0. 05）. Significant differences were observed on the values detected at proximal and other test points（P〈0. 01）. Conclusion It＇s a good method for skin temperature measure once every 2 hours in 3 days after operation. If the flap color changes,immediate skin temperature measure is suggested until the skin temperature becomes stable. Measurement interval is once every 4-8 hours in 4-10 days after operation. Meanwhile the changes in other indicators should be noticed,and skin temperature should be measured immediately until the skin temperature becomes stable. When measuring skin temperature, the natural fate of the test pen should be maintained for 30s at the middle or distal of flap. The users should also follow the principle of the position measurement and the same comparison sites.
出处
《解放军护理杂志》
2011年第9期12-14,共3页
Nursing Journal of Chinese People's Liberation Army
基金
上海交通大学医学院科技资金项目(No:Jyh0916)
关键词
皮肤温度
检测
穿支皮瓣移植术
护理
skin temperature
measurement
perforator flap transplantation
nursing
