Objective To investigate the intervention effect of the application of baking lamp combined with hazard analysis and critical control point(HACCP)program after limb flap transplantation.Methods The clinical data of 84 patients with limb flap transplantation in Nanjing Jiangbei Hospital from February 2022 to February 2023 were retrospectively studied.According to different intervention schemes,they were divided into two groups,with 42 cases in each group.The control group was given routine nursing,while the study group was combined with baking lamp and HACCP scheme.The postoperative recovery time,flap score at different times,flap survival rate,7-d pedicle scission recovery rate,the incidence of complications and nursing satisfaction were compared between two groups.Results The disappearance time of postoperative effusion and swelling,the application time of antibiotics,the healing time of flap wound and the length of hospital stay in the study group were shorter than those in the control group(P＜0.05).The flap scores of the study group at 6 h and 72 h after operation were better than those of the control group(P＜0.05).The survival rate of flap,the recovery rate of pedicle amputation 7 days after operation and the nursing satisfaction in the study group were higher than those in the control group(P＜0.05).The incidence of postoperative complications in the study group was lower than that in the control group(4.76％vs 19.05％,x2=4.086,P＜0.05).Conclusion Baking lamp combined with HACCP can effectively improve the survival rate of skin flap,reduce postoperative complications,shorten postoperative rehabilitation time,and have high patient satisfaction.It can promote the rehabilitation after limb flap transplantation.
关键词
烤灯/危害分析和关键控制点方案/四肢皮瓣移植/皮瓣存活率/并发症/术后康复时间
Key words
Baking lamp/Hazard analysis and critical control point scheme/Limb flap transplantation/Flap survival/Complications/Postoperative recovery time
维普
万方数据