压力性损伤皮瓣转移术后流体式悬浮床治疗的临床效果

冯裕董　苏淑云　刘高峰　佘嘉祺　何伟

[摘要] 目的 探討压力性损伤皮瓣转移术后流体式悬浮床治疗的临床效果。 方法 选取2016年1月至2019年12月于本院整形美容外科、烧伤科接受皮瓣转移术的骶尾部压力性损伤患者40例，按患者入院先后顺序分为两组，对照组与研究组术后分别使用传统气垫床、流体式悬浮床治疗，观察两组术后翻身次数、换药次数、伤口愈合时间、术后住院时间、住院费用及术后并发症、复发情况。 结果 与对照组比较，研究组术后翻身次数、换药次数明显减少（P<0.05），伤口愈合时间、术后住院时间明显缩短（P<0.05），两组住院费用比较，差异无统计学意义（P>0.05）;研究组术后并发症总发生率为5.00%，明显低于对照组的35.00%，差异有统计学意义（P<0.05）;两组术后复发率比较，差异无统计学意义（P>0.05）。 结论 压力性损伤皮瓣转移术后应用流体式悬浮床能加速创面愈合，减少皮瓣术后局部并发症的发生，且不会增加总治疗费用，是压力性损伤皮瓣转移术后辅助治疗的有效方法。

[关键词] 压力性损伤;皮瓣转移术;悬浮床;骶尾部压力性损伤

[中图分类号] R472.3          [文献标识码] B          [文章编号] 1673-9701（2021）04-0087-03

Clinical effect of liquid floating bed treatment after pressure injury flap transfer

FENG Yudong   SU Shuyun   LIU Gaofeng   SHE Jiaqi   HE Wei

Department of Plastic and Aesthetic Surgery， Department of Burn， Shunde Hospital of Southern Medical University， the First People′s Hospital in Shunde District of Foshan City， Foshan   528308， China

[Abstract] Objective To investigate the clinical effect of fluid floating bed treatment after pressure injury flap transfer. Methods A total of 40 patients with sacrococcygeal pressure injuries who received skin flap transfer in department of plastic and aesthetic surgery and department of burn of our hospital from January 2016 to December 2019 were selected and divided into the study group and the control group according to the order of patient admission. The control group and the study group were treated with traditional air cushion bed and fluid floating bed respectively. The number of postoperative turns， dressing changes， wound healing time， postoperative length of hospital stay， hospitalization expenses， postoperative complications and recurrence in the two groups were observed. Results Compared with the control group， the number of postoperative turns and dressing changes in the study group were lower （P<0.05）， the wound healing time and postoperative hospitalization time were significantly lower（P<0.05）， and there was no significant difference in hospitalization expenses between the two groups（P>0.05）. The total incidence of postoperative complications in the study group was 5.00% significantly lower than that of（35.00%） in the control group， with statistically significant differences （P<0.05）. There was no significant difference in postoperative recurrence rate between the two groups （P>0.05）. Conclusion The fluid floating bed treatment after flap transfer for pressure sores can accelerate wound healing， reduce postoperative local complications of the skin flap， and will not increase the total cost of treatment， which is an effective method of auxiliary treatment after skin flap transfer for pressure sores.

[Key words] Pressure injury; Skin flap transfer; Floating bed; Sacrococcygeal pressure sores

压力性损伤是指皮肤和皮下软组织受较长时间的压力，产生的局部持续性缺血、缺氧而导致的组织溃烂坏死，为截瘫、脑卒中等长期卧床患者的严重并发症，若不及时予以治疗会导致创面扩大和感染[1-2]。皮瓣移植为压疮治疗的常用手术治疗方法，但患者术后翻身、局部防受压护理要求高，移植皮瓣感染、裂开、边缘部分坏死等并发症的发生率较高[3-4]。悬浮床具有加速创面干燥、减轻患者疼痛、降低感染率、促进血液微循环等优势，已在重度烧伤、长期卧床、重症监护压力性损伤等辅助治疗中取得了良好效果[5]。……