刘其娴

皮瓣移植修复手外伤组织缺损患者的临床护理研究

刘其娴

目的 探讨皮瓣移植修复手外伤组织缺损患者的临床护理方法和效果。方法 选择我院收治的手外伤组织缺损患者80例，随机分为对照组和实验组各40例，两组患者均采用皮瓣移植修复术，对照组患者采用常规护理，实验组患者采用系统全面的临床护理，对比观察两组患者护理效果。结果 实验组疼痛时间及肿胀消失时间短于对照组，实验组术后并发症发生率及患者满意度均优于对照组，差异有统计学意义（P＜0.05）。结论 对皮瓣移植修复手外伤组织缺损患者进行全面护理工作，有利于患者手部功能恢复，提高了生活质量和患者满意度。

皮瓣移植修复术；手外伤；临床护理

【Abstract】

Objective To investigate the clinical nursing method and effect of skin flap transplantation in repairing tissue defect of hand trauma. Methods 80 cases of hand trauma in our hospital were selected，randomly divided into control group and experimental group，40 cases in each group，two groups of patients were repaired by skin flap transplantation，patients in control group were treated with routine nursing，patients in the experimental group were treated with systematic clinical nursing. The nursing effect of the two groups were compared and observed. Results The time of pain and swelling of the experimental group was significantly shorter than the control group，the incidence of postoperative complications and patients' satisfaction rate were better than the control group，the difference was statistically significant（P＜0.05）. Conclusion The comprehensive nursing care of patients with hand injury and tissue defect repaired by skin flap transplantation，it is conducive to the recovery of patients' hand function，improve the quality of life and patients' satisfaction.

【Key words】Skin flap transplantation，Hand injury，Clinical nursing

手外伤在临床急诊中较为常见，伴有肌肉、神经、肌腱损伤及皮肤缺损，如何提高手外伤的临床治疗效果，最大限度地保留和恢复手的功能，提高生活质量成为救治手外伤的一个重要课题［1］。我院对手外伤患者实行皮瓣移植修复术，并进行系统全面的护理，临床效果满意，现将结果报告如下：

1　资料与方法

1.1一般资料

选择我院2014年1月～2015年12月收治的手外伤组织缺损患者80例，随机分为对照组和实验组各40例，对照组男22例，女18例，平均年龄（33.1±10.7）岁；实验组男21例，女19例，平均年龄（32.5±11.4）岁。两组患者在年龄、性别比例、受伤程度等方面，差异均无统计学意义，具有可比性（P＞0.05）。

1.2护理方法

对收治的80例患者进行皮瓣移植修复术治疗，对照组患者采用常规护理方法，实验组患者采用系统全面的术前术后精心护理，具体方法如下：