游离组织皮瓣修复足踝部组织缺损的手术护理配合研究

Operation nursing matching study of foot ankle tissue defect renovation by free tissue skin flap

目的探讨游离皮瓣修复足踝部组织缺损的手术护理配合技巧。方法将75例应用游离皮瓣修复足踝部外伤后的组织缺损患者随机分为观察组38例和对照组37例，两组患者均在常规术前准备和术后护理的基础上，观察组实施主动护理配合的方式，进行充分的术前准备，重视心理护理及制定熟练、有效、有序、合理规范的护理配合方案，严密观察病情，确保手术顺利进行。结果观察组患者手术时间、住院时间缩短于对照组（t=4．87，P〈0．01；t=2．06，P〈0．05），有显著性差异。但两组手术成功率无统计学意义（χ2=0．54，P〉0．05）。观察组术中常见并发症发生率显著低于对照组，差异有统计学意义（χ2=3．85，P〈0．05）。结论实施主动护理配合方式，是有效地缩短手术时间、住院时问，提高手术成功率，减少术中并发症的关键。

Objective To discuss the skills of operation nursing matching of foot ankle tissue defect renovation by free skin flap. Methods A total of 75 patients with foot ankle trauma renovation by free tissue skin flap were divided into two groups ： the observation group 38 and the control group 37. All the patients were on the basis of routine preoperative preparation and postoperative nursing. Active nursing matching methods were taken to the patients of the observation group： making enough preoperative preparation, putting emphasis on psychogenic nursing, making skilled effective nonrandom rational standard nursing matching plans, observing the patients＇conditions strictly and ensuring the operation going smoothly. Results The time - span of operation and hospitalization in the observation group were shorter than those of those in the control group （t = 4. 87, P 〈 0. 01 ; t = 2. 06, P 〈 0. 05 ） . The differences had significance. But the success rates of both groups had no statistics significance （χ2=3. 85, P 〈 0. 05 ） , Conclusions Taking active operation matching method can shorten operation time -span and hospitalization time -span, increase operation success rate and decrease operative complication.