Research Assembling
Effects of the order of individual liquid on the survival of skin flap in patients after free flap transplantation
Fan Shan, Lin Hua, Hu Jing, Meng Yang, Hou Yue, Li Huan, Dong Ajiao
Published 2016-11-26
Cite as Chin J Mod Nurs, 2016,22(33): 4796-4799. DOI: 10.3760/cma.j.issn.1674-2907.2016.33.015
Abstract
ObjectiveTo investigate the effects of the order of individual liquid on the survival of skin flap in patients after free flap transplantation.
MethodsFrom March 2013 to March 2016, 102 patients with trauma in extremities and underwent free flap transplanation in our hospital were randomly assigned to the study groupand the control group, with 51 cases in each group. Patients in the study group were treated with adjusted liquid order according to physiological and biochemical indexes. Patients in the control group were treated according to the order of medical orders. The occurrence of vascular crisis 48 h after operation and flap necrosis that 10 days after free flap transplantation were compared.
Results48 h after operation, there were 6 cases of postoperative vessel thrombosis and 3 cases of necrosis in the study group(χ2=5.795, P<0.05). 10 d after operation, there were 11 cases of postoperative vessel thrombosis and 3 cases of necrosis in the control group (χ2=5.299, P<0.05).
ConclusionsThe individualized order liquid infusion can effectively reduce the occurance rate of vascular crisis and necrosis after free flap transplantation.
Key words:
Graft survival; Free flap; Vascular crisis; Necrosis; Order of individual liquid
Contributor Information
Fan Shan
The Second Anesthesia Department of Operating Room, Xi′an Honghui Hospital, Xi′an Jiaotong University, Xi′an 710054, China
Lin Hua
Lower Extremities Ward of Trauma Department, Xi′an Honghui Hospital, Xi′an Jiaotong University, Xi′an 710054, China
Hu Jing
The Second Anesthesia Department of Operating Room, Xi′an Honghui Hospital, Xi′an Jiaotong University, Xi′an 710054, China
Meng Yang
Lower Extremities Ward of Trauma Department, Xi′an Honghui Hospital, Xi′an Jiaotong University, Xi′an 710054, China
Hou Yue
Lower Extremities Ward of Trauma Department, Xi′an Honghui Hospital, Xi′an Jiaotong University, Xi′an 710054, China
Li Huan
Lower Extremities Ward of Trauma Department, Xi′an Honghui Hospital, Xi′an Jiaotong University, Xi′an 710054, China
Dong Ajiao
Lower Extremities Ward of Trauma Department, Xi′an Honghui Hospital, Xi′an Jiaotong University, Xi′an 710054, China
