集束化护理在吻合血管桥式交叉皮瓣移植术中的应用<br />-《中国美容医学》

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Title:: Application of Cluster Nursing in the Anastomotic Vascular Bridge Type Cross Flap Transplantation

文章编号:: 1008-6455（2019）09-0135-04

作者:: 刘晓雪¹; 梁漪²; 高磊³

Author(s):: LIU Xiao-xue1; LIANG Yi2; GAO Lei3

关键词:: [关键词]集束化护理; 吻合血管桥式交叉皮瓣移植术; 血管危象; 皮瓣成活; 断蒂

Keywords:: ; Key words: cluster nursing; anastomotic vascular bridge type cross flap; vascular crisis; flap survival; pedicle breakage

分类号:: R47

文献标志码:: B

摘要:: [摘要]目的：探究集束化护理在吻合血管桥式交叉皮瓣移植术中的应用。方法：将86例接受吻合血管桥式交叉皮瓣移植术
治疗的患者随机分为研究组（43例）和对照组（43例）。对照组采用常规护理，研究组在对照组基础上进行集束化护理。
比较两组患者皮瓣成活情况、血管危象发生情况、断蒂时间、断蒂后功能恢复时间和心理状态。结果：护理后，研究组皮
瓣成活率（97.67%）显著高于对照组（83.72%），血管危象率（6.98%）显著低于对照组（30.23%），差异均具有统计学
意义（P ＜0.05）。护理后，研究组断蒂时间显著低于对照组（P ＜0.05）。两组间断蒂后功能恢复时间比较，研究组≤3d者
占比显著高于对照组；研究组4～7d及＞7d者占比显著低于对照组，差异均具有统计学意义（P ＜0.05）。护理后，两组患者
SAS、SDS评分均降低，且研究组均低于对照组（P ＜0.05）。结论：集束化护理在吻合血管桥式交叉皮瓣移植术中的应用效
果良好，可有效促进患者皮瓣成活，减少术后血管危象和负性情绪，促进患者早日康复，值得临床推广。

Abstract:: Abstract: Objective To explore the application of cluster nursing in the anastomotic vascular bridge type cross flap
transplantation. Methods A total of 86 patients after anastomotic vascular bridge type cross flap transplantation were randomly
divided into the study group (43 cases) and the control group (43 cases). The control group received routine nursing and the
study group received cluster nursing on the basis of the control group. The survival of flap, the occurrence of vascular crisis,
the time of pedicle breakage, the time of functional recovery and psychological state were compared between the two groups.
Results After nursing, the survival rate of flap in the study group(97.67%) was significantly higher than that in the control
group(83.72%), and the vascular crisis rate(6.98%) was lower than that in the control group (30.23%), and the difference was
statistically significant(P ＜0.05). After nursing, the time of pedicle breakage in the study group was significantly lower than
that in the control group (P ＜0.05). In comparison of the days of functional recovery after pedicle breakage between the two
groups, The percentage of patients in the study group with ≤3 days was significantly higher than that in the control group; and
the proportions of patients with 4-7 days and＞7 days in the study group was significantly lower than those in the control group,
with significantly differences(P ＜0.05). After nursing, the SAS, SDS scores of the two groups decreased, and the study group
was lower than that of the control group(P ＜0.05). Conclusion The application of cluster nursing in anastomotic vascular
bridge type cross flap transplantation has a good effect, reducing the vascular crisis and negative emotion of the patients after
operation, and promoting the early recovery of the patients, which was worthy for clinical promotion.

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

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