摘要
目的 探究皮瓣移植患者实施加速康复外科（ERAS）护理的作用。方法 48例皮瓣移植患者随机均等分为对照组（常规护理）、观察组（ERAS护理），比较两组术后康复指标及并发症发生率。结果 观察组护理前后手功能恢复及疼痛评分改善更显著，康复训练依从性更好，皮瓣感觉功能和手部肌腱功能优良率更高，且并发症发生率更低，与对照组差异P<0.05。结论 ERAS护理的实施，能促进患者术后快速康复，值得在皮瓣移植中应用。
关键词： 手外伤；皮瓣移植；加速康复外科护理
Abstract
Objective To explore the effect of accelerated recovery after surgery (ERAS) nursing in patients with flap transplantation. Methods 48 patients with flap transplantation were randomly divided into a control group (conventional care) and an observation group (ERAS care), and the postoperative rehabilitation indicators and complication rates were compared between the two groups. Results The hand function recovery and pain score of the observation group were more significantly improved before and after nursing, the compliance of rehabilitation training was better, the flap sensory function and hand tendon function were higher, and the complication rate was lower, with a difference of P<0.05 compared with the control group. Conclusion The implementation of ERAS nursing can promote the rapid recovery of patients after surgery, and it is worth applying in flap transplantation.
Key words： Hand trauma; Flap transplantation; Accelerated recovery after surgery nursing
参考文献 References
[1] 司琰.手外伤皮瓣移植手术患者实施舒适护理对术后并发症的影响[J].中文科技期刊数据库（文摘版）医药卫生,2023(3):0096-0098.
[2] 郭易,酆波,镡云艳,等.渐进式护理在手外伤患者皮瓣移植修复中的效果及对皮瓣成活率的影响分析[J].临床医药文献电子杂志, 2022(39):110-112,106.
[3] 龙黎,郎咸云,黎慧,等.快速康复外科理念在手外伤围手术期护理中应用效果的Meta分析[J].海军医学杂志, 2023, 44(9):978-984.
[4] 王少娜,孙喜莲,于建红,等.可控温烤灯在带蒂皮瓣修复手外伤老年患者中的应用效果观察[J].老年医学研究, 2023, 4(2):40-43.
[5] 王文洁.序贯康复护理在手外伤游离皮瓣移植术后患者中的应用效果[J].中国民康医学, 2023, 35(13):190-192.
[6] 蒋萍.加速康复外科理念指导下的改良延续性护理模式在手外伤术后患者中的应用[J].中文科技期刊数据库（全文版）医药卫生,2022(7):0047-0050.
[7] 庞志敏,密芳,张伟,等.加速康复外科对中青年复杂性手外伤显微修复术后功能康复的影响[J].中国现代医生,2021,59(3):180-183.
[8] 梁娟娟,张爱华.ERAS护理在手外伤腹部皮瓣转移修复术患者围术期中的应用观察[J].中文科技期刊数据库（引文版）医药卫生, 2022(1):121-123.
[9] 陶红芳,谢丽梅.加速康复外科对手外伤显微修复术患者的效果[J].中国城乡企业卫生,2022,37(3):120-122.