摘要
目的:探讨系统的颈肩部护理对预防耳廓再造术后颈肩部活动受限并发肌肉损伤的临床疗效。方法:纳入2018年1月-2018年12月在笔者科室行耳廓再造术的117例患者为实验组,由责任护士进行系统的颈肩部护理。另纳入2017年1月-2017年12月在笔者科室行耳廓再造术且未进行系统的颈肩部护理的患者120例为对照组,分析两组术后3、6个月回访数据,分别统计颈肩部肌肉损伤症状并进行比较。结果:术后3个月,实验组患者中16例(13.7%)出现颈部活动轻度受限等颈部肌肉损伤症状,通过有针对性的护理干预后,均于术后6个月好转。术后3个月,对照组患者中30例(25.0%)出现正面观歪脖、落枕、颈肩部活动受限等颈部肌肉损伤症状,与实验组比较差异具有统计学意义(P=0.028)。此外,对照组1例患者术后6个月出现寰枢椎半脱位。结论:通过系统的颈肩部护理干预,可显著降低患者颈肩部肌肉损伤症状发生率,减少耳廓再造术后颈部活动受限、落枕等不良反应的发生率。
Objective To explore the efficacy of systematic nursing of neck and shoulder on prevention of muscle injury after auricle reconstruction.Methods 117 patients(the experimental group)who underwent auricle reconstruction and systematic neck and shoulder care given by nurses in our department from January 2018 to December 2018 were included.120 patients(the control group)who underwent auricle reconstruction without systematic neck and shoulder care in our department from January 2017 to December 2017 were included.Analyzed and compared the data of neck and shoulder muscle injury at 3 and 6 months postoperatively.Results 16 patients(13.7%)in the experimental group had symptoms of neck muscle injury such as mild restriction of neck movement 6 months postoperatively,and all the patients got relief after systematic neck and shoulder care.Three months after the operation,30 patients(25.0%)in the control group had symptoms such as head tilt,falling pillow,abnormal neck and shoulder movement.The difference between the two groups was statistically significant(P=0.028).Besides,one patient had atlantoaxial subluxation in the control group 6 months after operation.Conclusion Through systematic nursing intervention of neck and shoulder,it can significantly reduce the incidence of neck and shoulder muscle injury,such as restriction of neck movement and have a stiff neck after auricle reconstruction,and improve patient satisfaction.
作者
阮晶晶
王东丹
姜海霞
袁凤华
刘暾
RUAN Jing-jing;WANG Dong-dan;JIANG Hai-xia;YUAN Feng-hua;LIU Tun(The Fourth Department of Plastic Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China)
出处
《中国美容医学》
CAS
2020年第12期177-180,共4页
Chinese Journal of Aesthetic Medicine
关键词
小耳畸形
耳廓再造术
颈肩部肌肉损伤
康复训练
早期护理
落枕
寰枢椎半脱位
microtia
auricle reconstruction
neck and shoulder muscle injury
rehabilitation training
early nursing
stiff neck
atlantoaxial subluxation
