【摘要】 目的 探討吸入性損傷氣管切開置管，導管脫出的原因及正確的護理方法，提高護士對患者的預見性護理能力。 方法 對2005年1月-2011年3月收治的158例吸入性損傷氣管切開患者，其中9例術后發生導管脫出的原因及護理對策進行回顧性總結。 結果 9例患者發生導管脫出的主要原因有導管選用不當、劇烈咳嗽、系帶過松、氣囊充氣不足或氣囊破裂、切口過大，以及自行拔出。9例發生脫管時間不一，最短于氣管切開術后第1天，最長于術后15 d，8例經予以緊急處理而尚未影響后續治療，1例因缺氧時間太長而死亡。 結論 充分認識吸入性損傷患者氣管切開脫管原因，并采取預見性的觀察及護理措施，可減少脫管發生，確保患者安全。【Abstract】 Objective To explore the reasons and correct nursing methods of placing endotracheal tubes and tubes prolapsing after incision of trachea for inhalation injury. Methods The clinical data of nine patients with endotracheal tubes prolapse after incision of trachea out of 158 patients suffering from incision of trachea for inhalation injury from January 2005 to March 2011 were retrospectively analyzed. Results The reasons of nine patients suffering from endotracheal tubes prolapse included tubes incongruity, severe cough, too slack bridles, insufficiency and break of aerocysts, too large incision and extraction by themselves. The prolapse time of nine patients was different. The shortest time was postoperative one day, the longest one was postoperative 15 days. Eight patients were treated emergently and healed normally. One patient died of long oxygen deficiency. Conclusions The reasons of endotracheal tubes prolapse after incision of trachea are sufficiently recognized. Predictable observing and nursing methods may decrease the incidence rate of tubes prolapse.
【摘要】 目的 探討肢體深度燒傷后，影響功能康復的相關因素。 方法 采用美國日常生活自理量表和功能性日常生活量表，對2009年4月-2010年7月來門診復診的101例肢體深度燒傷患者的功能康復情況進行問卷調查和統計學分析。 結果 接受專業康復的患者得分明顯低于自我康復患者得分，差異有統計學意義（Plt;0.01）；不同性別、不同文化程度之間的比較差異有統計學意義（Plt;0.001）；年齡14～50歲的患者對是否接受專業康復的比較，差異有統計學意義（Plt;0.001）；年齡lt;14歲、gt;50歲及婚姻狀況，在是否接受專業康復的比較差異無統計學意義（Pgt;0.01）。 結論 肢體深度燒傷后患者在專業醫師的指導下進行專業功能康復比自我康復的患者效果更好，使得燒傷患者社會期日常生活自理能力得到提高。【Abstract】 Objective to explore the related factors affecting the function recovery of deeply burned limps. Methods Adopting ADL body independent living scale and functional daily life scale, the questionnaire survey of the function recovery situation and statistical analysis were performed on the patients from the 101 outpatient appointment patients whose limbs were deeply burned from April 2009 to July 2010. Results The score of patients who accepted professional rehabilitation was significantly lower than that of the self healing patients, and the difference was significant (Plt;0.01); the difference of sex and the comparison between different literate degree were statistically significant (Plt;0.001); the difference in whether to accept the comparison of the professional rehabilitation among the patients with age oflt;14 years old, gt;50 years old and different marital status was not statistically significant (Pgt;0.01). Conclusion patients with deeply burned limbs recover better under the professional function recovery direction of professional doctor than the patients who have self recovery.
【摘要】 目的 總結皮膚擴張器用于巨痣整形的護理措施。 方法 2008年4月-2009年11月對28例皮膚擴張器置入治療巨痣整形的護理措施進行總結和分析，重點加強了心理護理、健康教育及注水期間的護理。 結果 術后患者皮膚色澤正常，外觀滿意出院。隨診1年，效果佳。 結論 加強心理護理，有針對性的健康教育，重視注水期間護理措施的實施，對皮膚擴張器置入術用于巨痣整形患者至關重要。【Abstract】Objective To summarize the nursing interventions of skin expander plasty of giant nevus. Methods From April 2008 to November 2009, 28 cases of giant nevus were admitted for skin expander surgery.The nursing interventions，especially the mental nursing, health education and nursing care during the infusion period were summarized and analyzed. Results The results were satisfactory including the color and the appearance by one-year follow-up. Conclusion It is important to emphasize the mental nursing, health education and nursing care during the infusion period for the patient undergoing giant nevus plasty treated with skin expander.
【摘要】 目的 通過對老年人燒傷的原因進行調查與分析，為預防老年人燒傷提供有效的依據。 方法 調查分析2000年1月-2009年6月收治的270例60歲以上老年燒傷住院患者的致傷因子、好發年齡、燒傷月份、燒傷程度、燒傷地點、家庭及居住情況。 結果 270例老年燒傷中，致傷因子以火焰燒傷最多占147例（54.44%），與其他的致傷因子比較有統計學意義（Plt;0.05）；好發年齡以60～69歲年齡段發生率最高占153例（56.67%），與其他年齡段比較有統計學意義（Plt;0.05）；老年燒傷一年四季均可發生，但以寒冷的冬季12月-次年2月居多，占158例（58.52%），與其他季節比較有統計學意義（Plt;0.05）；燒傷程度以輕度為主共142例（52.59%）；燒傷地點大多發生在家中共213例（78.89%），且為獨居占191例（70.74%）；老年燒傷家庭以農村家庭居多共208例（77.04%）。 結論 隨著老年人群逐步增加，燒傷發生率也增高，在日常生活中應采取有效防范措施，防止和減少老年燒傷的發生。【Abstract】Objective To provide the effective evidence for preventing burn injury of aged people by investigating and analyzing the reasons of burn injury. Methods The injury factors, age, month, degree, place, family and habitation of 270 aged people over 60 years old were analyzed between January, 2000 to June, 2009 in this department. Results In 270 aged patients, there were 147 patients whose injury factors were flame (54.44%) , and there was statistical difference compared with other injury factors (Plt;0.05) . The injury age of the highest incidence rate was 60 to 69 (153 patients, 56.67%) , and there was statistical difference compared with other injury age (Plt;0.05) .The aged burn injury may happen in all seasons, but the highest incidence rate appeared in winter (from December to next February) and there was statistical difference compared with other seasons (Plt;0.05) (158, 58.52%). There were 142 minor injury degree patients mainly (52.59%). The most injury places were at home (213 patients, 78.89%) and 191 patients (70.74%) were living alone.Two hundred and eight patients (77.04%) came from countryside. Conclusion With the aged people increasing, the incidence rate of burn injury is also raised.So effective methods should be adopted to prevent and decrease the incidence of age burn injury.
ObjectiveTo develop a standardized venous thromboembolism (VTE) prevention program for burn patients and verify its safety and effectiveness by comparing with traditional thrombus prophylaxis.MethodsAll burn patients admitted and met selection criteria betweem April 2017 and September 2018 were included. Patients between January 2018 and September 2018 were included as the interventional group to implement standardized VTE prevention programs, while patients between April 2017 and December 2017 were included as the control group and traditional active and passive exercises were used to prevent VTE. There was no significant difference in the age, gender, ethnic group, marriage, education, occupation, type and site of the injury, burn area, operation time, and hospital stay between the two groups (P>0.05), which was comparable. The incidence of VTE, number of cases of tissue or organ hemorrhage, survival rate of skin grafting, and time of wound healing were compared.ResultsThe incidence of VTE was obviously lower in the interventional group (1.56%, 1/64) than in the control group (10.17%, 6/59) (χ2=?2.05, P=0.04). No bleeding occurred in any tissue or organ in the two groups. The survival rate of skin grafting and the time of wound healing were 89.06% (57/64) and (11.78±3.08) days respectively in the interventional group and 91.53% (54/59) and (11.66±2.30) days respectively in the control group; and the differences between the two groups were not statistically significant (χ2=0.21, P=0.65; t=?0.22, P=0.83).ConclusionThe standardized VTE prevention program can effectively prevent the occurrence of VTE, and its safety is relatively high.
