摘要
目的:观察渐进式护理对小腿到足踝外伤皮瓣移植术患者皮瓣成活率的影响。方法:选择2019年1月-2020年12月小腿到足踝外伤需行皮瓣移植术患者60例,根据术后护理方式不同分为观察组和对照组,每组30例。对照组采用常规术后护理,观察组采用渐进式护理。比较两组患者的皮瓣移植成功率和患者对护理工作的满意度,分析移植未成功的原因。结果:观察组皮瓣移植成活率为96.67%,高于对照组的83.33%,差异有统计学意义(P<0.05)。观察组未成活1例,原因为皮瓣血运障碍所致;对照组未成活5例,其中皮瓣感染3例,血运障碍2例。观察组患者对护理工作的总满意率为96.67%,高于对照组的76.67%,差异有统计学意义(P<0.05)。结论:渐进式护理应用于小腿到足踝外伤皮瓣移植术患者,可提高移植成活率及护理满意度。
Objective:To observe and analyze the effect of progressive nursing on the survival rate of skin flap after skin flap transplantation for leg to ankle trauma.Methods:A total of 60 patients with calf to ankle trauma requiring flap transplantation from January 2019 to December 2020 were selected,they were divided into observation group and control group,and received progressive nursing and routine nursing respectively.Compare the success rate of flap transplantation between the two groups,sort out the reasons for failure,and compare the satisfaction of the two groups with nursing work.Results:The survival rate of flap transplantation in the observation group was 96.67%,which was higher than 83.33% in the control group(P<0.05).In the observation group,1 case did not survive because of the blood supply disorder of the flap.In the control group,there were 3 cases of flap infection and 2 cases of blood circulation disorder.The total satisfaction rate of nursing work in the observation group was 96.67%,which was higher than 76.67% in the control group(P<0.05).Conclusion:When the progressive nursing is applied to the patients with leg to ankle trauma flap transplantation,the survival rate of transplantation can be improved and recognized by more patients.
作者
马灿
张新兰
MA Can;ZHANG Xinlan(The First Affiliated Hospital of Anhui Medical University,Hefei 230088,China)
出处
《临床医药实践》
2022年第5期379-381,共3页
Proceeding of Clinical Medicine
关键词
渐进式护理
小腿到足踝外伤
皮瓣移植术
成活率
progressive nursing
calf to ankle trauma
flap transplantation
survival rate
