早期锻炼护理模式对先天性并指患者分指术后恢复效果的影响<br />-《中国美容医学》

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Title:: Effect of Early Exercise Nursing Mode on Postoperative Recovery of Congenital
Syndactyly Patients

文章编号:: 1008-6455（2020）11-0171-03

作者:: 姜俊; 穆冲; 孙昱坤

Author(s):: JIANG Jun; MU Chong; SUN Yu-kun

关键词:: [关键词]早期锻炼护理模式; 先天性并指; 分指术; 创面愈合; 心理评分; 炎症反应

Keywords:: Key words: early exercise nursing mode; congenital syndactyly; finger separation; wound healing; psychological score; infl ammatory reaction

分类号:: R473

文献标志码:: B

摘要:: [摘要]目的：探究早期锻炼护理模式对先天性并指患者分指术后恢复效果的影响。方法：选取笔者医院收治的先天性并指
患者51例，按照入组奇偶数分为对照组和观察组，分别26例和25例。两组患者均进行并指分指术，术后予以抗感染、镇痛
等常规护理手段，观察组在此基础上进行早期锻炼护理。观察并分析两组患者炎症因子水平、创面评分及心理评分，随访1
年内并发症发生情况。结果：护理干预后，两组患者肉芽组织评分、分泌物评分、汉密尔顿焦虑评分（Hamilton anxiety
scale，HAMA）、汉密尔顿抑郁评分（Hamilton depression scale，HAMD）、白介素-6（IL-6）、肿瘤坏死因子-α
（TNF-α）水平均降低，且观察组显著低于对照组，差异具有统计学意义（P ＜0.05）。随访1年，两组患者挛缩、肤色差
异、指蹼爬升、指蹼宽度深度不满意等发生情况比较差异均无统计学意义（P ＞0.05）。结论：先天性并指患者分指术后在
常规护理基础上进行早期锻炼，对并发症发生情况无明显影响，但对创面愈合的促进作用和对负性心理的改善作用更强。

Abstract:: Abstract: Objective To explore the effect of early exercise nursing mode on postoperative recovery of congenital syndactyly
patients. Methods 51 patients with congenital syndactyly admitted to our hospital were selected and divided into the control
group and the observation group according to the odd and even number of the patients, with 26 cases and 25 cases respectively.
Both groups of patients underwent syndactyly and fi nger separation, and received conventional nursing methods such as antiinfection
and analgesia after operation. The observation group received early exercise nursing on this basis. The level of
infl ammatory, the scores of wound and psychological, and complications occurred within one year of follow-up were observed
and analyzed between the two groups. Results After nursing intervention, the scores of granulation tissue, secretion, Hamilton
anxiety scale (HAMA), Hamilton depression scale (HAMD),and the levels of interleukin-6(IL-6), tumor necrosis factor-α
(TNF-α) in the two groups were all decreased, and those in the observation group were signifi cantly lower than those in the
control group, the differences were statistically signifi cant(P ＜0.05). Following up for 1 year, there was no statistical difference
in the number of patients with contracture, skin color difference, fi n climbing and fi n width and depth dissatisfaction between
the two groups(P ＞0.05). Conclusion Early exercise on the basis of routine nursing for patients with congenital syndactyly
after fi nger separation has no obvious effect on the occurrence of complications, but it has stronger promoting effect on wound
healing and improving negative psychology.

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

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