CAJ | 학술논문

目的：围绕我院35例皮瓣移植术患者的观察和有效护理方式开展研究。方法选取我院2012年1月～2014年1月35例皮瓣移植术患者，以抽签法将其随机分为观察组与对照组，两组均接受常规护理，观察组在此基础上增加全方位的针对护理，对比两组患者手术效果以及护理前后的SDS、SES、SAS评分。结果观察组皮瓣成活率为94.44%，显著优于对照组64.71%，同时不良事件、断蒂时间均显著低于对照组，差异有统计学意义（P＜0.05），护理后观察组SDS、SES、SAS评分均优于对照组，差异有统计学意义（P＜0.05）。结论采取术前、术后的全方位护理可提高皮瓣的成活率，提高术后安全性，应在临床广泛推广。
목적：위요아원35례피판이식술환자적관찰화유효호리방식개전연구。방법선취아원2012년1월～2014년1월35례피판이식술환자，이추첨법장기수궤분위관찰조여대조조，량조균접수상규호리，관찰조재차기출상증가전방위적침대호리，대비량조환자수술효과이급호리전후적SDS、SES、SAS평분。결과관찰조피판성활솔위94.44%，현저우우대조조64.71%，동시불량사건、단체시간균현저저우대조조，차이유통계학의의（P＜0.05），호리후관찰조SDS、SES、SAS평분균우우대조조，차이유통계학의의（P＜0.05）。결론채취술전、술후적전방위호리가제고피판적성활솔，제고술후안전성，응재림상엄범추엄。
Objective To research on the observation and effective nursing 35 cases with post-operative skin flap transplantation in our hospital.Methods 35 cases of patients with skin flap transplantation in the first People's Hospital of Wuxi city of Jiangsu province were selected, were randomly divided into an observation group and a control group by balloting. Both of the two groups received common nursing, the observation group further received specially omnibearing nursing. Postoperative effect, before and after nursing SDS score, SES score, SAS score between the two groups were compared.Resultsthe survival rate of the observation group (94.44%) was significantly better than that of the control group(64.71%),the adverse events and pedicle broken time were significantly lower than the control group, the difference was statistically significant (P<0.05), SDS, SES, SAS scores after nursing of the observation group were better than that of the control group, the difference was statistically significant (P<0.05). Conclusion Taking pre-operative and post-oerative comprehensive care can improve the survival rate of flap surgery, to improve postoperative safety, should be widely promoted in clinical practice.