游离组织双瓣修复头颈部肿瘤多部位缺损患者的护理

Nursing care of double flap repair of free tissue for patients with multiple sites defect in head and neck tumors

目的总结和分析游离组织双瓣修复头颈部肿瘤多部位缺损患者的围术期护理。方法选取2014年1月-2017年3月8例行游离组织双瓣修复头颈部肿瘤多部位缺损患者，围术期成立医护一体化管理小组对患者进行护理，包括术前科学系统的评估、精心的术前准备、术中密切的配合、术后目标营养管理、精细化皮瓣管理策略、专项口腔管理、复杂多样化的管道护理、个体化的体位护理及功能锻炼以及严密的观察病情。结果通过精细化的护理管理，8例患者均顺利康复出院。结论头颈部肿瘤多部位缺损患者少见，患者手术风险大、创伤大、并发症多、愈合时间长，针对性的围术期护理是患者成功恢复的关键。

Objective To analyze and summarize the perioperative care of double flap repair of free tissue for head and neck tumors patients with muhiple sites defect. Methods From January 2014 to March 2017, 8 head and neck tumors patients with muhiple sites defect who underwent the double flap repair of free tissue were selected as the research objected. We established the medical and nursing integrated management group care in perioperative period to care the patient including preoperative scientific and systematic evaluation, careful preoperative preparation, intraoperative cooperation and postoperative target nutrition management, fine management, special oral management, diverse tube nursing, individual nursing care, functional exercise and observation in disease. Results Through meticulous nursing management, 8 patients were successfully discharged from hospital. Conclusions Patients with multiple site defects in head and neck tumors are rare. The features of this kind of patient included high risk of surgery, serious traums, more complications, long time for healing. Targeted perioperative care is the key to successful recovery of patients.