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高压氧治疗对皮瓣移植术后早期干预的临床研究

Clinical study on early intervention after skin flap transplantation by hyperbaric oxygen treatment

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【作者】 熊秉刚黎润超游玉芳黎明华徐雪华刘瑾

【Author】 XIONG Bing-gang,LI Run-chao,YOU Yu-fang,LI Ming-hua,XU Xue-hua,LIU Jin(Shilong People’s Hospital Affiliated to Southern Medical University in Dongguan City,Dongguan 523326,Guangdong,China)

【机构】 南方医科大学附属东莞市石龙人民医院

【摘要】 目的:探讨高压氧治疗对皮瓣移植术后早期干预的价值。方法:将40例皮瓣移植术后的患者,随机分成观察组20例和对照组20例。对照组给予常规治疗,观察组在常规治疗的基础上给予高压氧治疗。期间对皮瓣的经皮血氧饱和度、皮温进行测量。结果:观察组移植皮瓣的10天及30天存活率分别是95.00%和90.00%明显高于对照组,此差异有统计学意义(P<0.01)。结论:皮瓣移植术后早期进行高压氧治疗明显有助于提高移植皮瓣的存活率。血氧饱和度和皮温的量化观察排除了人为主观因素干扰,能客观有效的判断预后。

【Abstract】 Objective Study on hyperbaric oxygen treatment on skin flap after transplantation the value of early intervention.Methods 40 cases flap transplantation patients were randomly assigned randomly into observation group 20 cases and control group 20 cases;the control group only received conventional treatment.The observation group in the hyperbaric oxygen therapy was given based on conventional treatment and nursing.During treatment for transcutaneous oxygen saturation,skin temperature quantitative observation,on the color,appearance were recorded to determine the outcome of treatment.Results The observation group after transposition flap for 10 days and 30 days survival rates were 95.00% and 90.00%,it is obviously higher than the control group,the difference was statistically significant(P<0.01).Conclusion Skin flap transplantation early hyperbaric oxygen treatment significantly helps to improve skin flap survival rate,and on oxygen saturation and skin temperature quantitative observation eliminates artificial subjective factors interference,objective the effective judgment of prognosis.the method is suitable for clinical application.

【基金】 东莞市医疗卫生单位科技项目经费资助(编号:201110515024068)
  • 【文献出处】 中国美容医学 ,Chinese Journal of Aesthetic Medicine , 编辑部邮箱 ,2013年09期
  • 【分类号】R622
  • 【被引频次】3
  • 【下载频次】71
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