289例全耳再造患者围手术期护理

Perioperative Nursing for 289 Patients with Total Auricular Reconstruction

目的:探讨小耳畸形全耳再造术后患者的围手术期护理及健康指导。方法:小耳畸形患者行全耳廓再造术,手术分3期,一期扩张器置入术,二期全耳再造术,三期耳再造修复术。围手术期对患者实施心理护理,同时密切观察患者情况,实施全方位护理。结果:289例再造耳与健耳对称性良好,轮廓清晰,耳甲腔明显,形态逼真,立体感强。其中1例患者出现局部皮肤破溃,2例出现感染,另有1例支架外露,经处理后均痊愈。结论:全耳再造术全程密切实施心理护理以及全方位的围手术期护理,细致的健康指导是手术成功的关键因素之一。

Objective To explore perioperative nursing and health guidance for patients with microtia after total auricular reconstruction. Methods Patients with microtia were treated by total auricular reconstruction. The operation was divided into three phases. The Phase I operation was expander implantation, the phase Ⅱ operation was total auricular reconstruction, and the Phase Ⅲ operation was the repair of auricular reconstruction. Perioperative psychological nursing was carried out for the included patients, associated with close observation and comprehensive nursing. Results Good symmetry was achieved between reconstructed ears and normal ears in the 289 patients, provided with clear outline, obvious cavum conchae, lifelike shape, and strong sense of stereo dimension. Among them, one patient suffered from local skin ulceration, 2 patients were infected, and another one patient encountered with framework exposure, all healed after treatment. Conclusion Close psychological nursing in the whole course, comprehensive perioperative nursing and detailed health guidance are the key factors for successful operation of total auricular reconstruction.