以质量求发展，以服务铸品牌

护理学报 ›› 2018, Vol. 25 ›› Issue (23): 47-50.doi: 10.16460/j.issn1008-9969.2018.23.047

• 临床护理 • 上一篇    下一篇

基于三维重建辅助设计备皮图谱及应用的效果观察

李洁莉, 王蓓   

  1. 武汉大学中南医院 神经外科,湖北 武汉 430071
  • 收稿日期:2018-08-24 出版日期:2020-07-09 发布日期:2020-07-09
  • 通讯作者: 王 蓓（1974-）,女,湖北武汉人,本科学历,主管护师,护士长。E-mail：1715783532@qq.com
  • 作者简介:李洁莉（1987-）,女,湖北武汉人,本科学历,硕士研究生在读,主管护师。
  • 基金资助:
    国家临床护理重点专科武汉大学中南医院护理科研项目（H201608）; 国家自然科学青年基金项目（81502180）

Design and Application of 3D Reconstruction-based Skin Preparation Map

LI Jie-li, WANG Bei   

  1. Dept. of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
  • Received:2018-08-24 Online:2020-07-09 Published:2020-07-09

PDF (PC)

99

赞

摘要： 目的 探索神经外科开颅手术患者备皮最佳方法及运用效果。方法 利用医学影像技术及虚拟三维可视化技术,形成了区域备皮图谱,并在临床中应用。共纳入神经外科开颅手术病人244例,根据入院先后顺序分为观察组126例和对照组118例。观察组采用基于三维重建辅助设计备皮图谱实施编发及备皮,对照组采用全颅备皮。分别比较2组患者皮肤破损率、医生及患者对备皮的满意度及术后焦虑抑郁发生率。结果 2组患者结局指标比较,观察组患者皮肤破损率为0,较对照组皮肤破损率2.5%下降,P>0.05;观察组医生满意度得分（98.53±5.72）分及患者满意度得分（99.87±3.56）分均高于对照组,均P<0.001;观察组患者术后焦虑发生率（19.8%）及抑郁情绪发生率（16.7%）较对照明显著降低,均P<0.001。结论 基于三维重建辅助设计备皮图谱临床应用效果显著,可减少患者皮肤破损,提高医生及患者满意度,同时降低患者术后焦虑抑郁发生率,可推广应用。

关键词: 区域备皮, 三维可视化技术, 神经外科, 三维重建

Abstract: Objective To explore the best method and application effect of skin preparation in patients undergoing neurosurgical craniotomy. Methods With medical imaging technology and virtual 3D visualization technology, a regional skin preparation map was formed and applied in clinical practice. A total of 244 patients with neurosurgical craniotomy were enrolled and divided into in the observation group (n=126) and the control group (n=118). The observation group performed the removal of part of the hair according to 3D reconstruction-based skin preparation map, and the control group removed all the hair. The skin damage rate, doctor and patient satisfaction, and the incidence of postoperative anxiety and depression in the 2 groups were compared. Results The skin damage rate of the observation group was 0, which was lower than that of the control group by 2.5%(P>0.05); the score of doctor satisfaction (98.53±5.72) and patient satisfaction (99.87±3.56) of the observation group were higher than that of the control group (both P<0.001); the incidence of postoperative anxiety (19.8%) and that of depression (16.7%) were significantly lower in the observation group than those in the control group (both P<0.001). Conclusion 3D-reconstruction-aided skin preparation map is effective for reducing the skin damage of patients, improving the satisfaction of doctors and patients, and reducing the incidence of postoperative anxiety and depression. It is worth to be popularized clinically.

Key words: regional skin preparation, 3D visualization technology, neurosurgery, three-dimensional reconstruction

中图分类号: 

  • R473.6
[1] Morrison T N, Chen A F, Taneja M, et al.Single vs Repeat Surgical Skin Preparations for Reducing Surgical Site Infection After Total Joint Arthroplasty: A Prospective, Randomized, Double-blinded Study[J]. J Arthroplasty, 2016, 31(6):1289-1294.
[2] 薛俊玲. 三维可视化技术在计算机体层成像中的应用[J].无线互联科技,2018, 15(4):137-138.DOI:10.3969/j.issn.1672-6944.2018.04.065.
[3] 信瑞强,刘彤,张双,等.三维重建技术在颅内肿瘤术前风险评估及手术策略制定中的临床价值[J].现代医学,2016,44(8):1068-1070.DOI:10.3969/j.issn.1671-7562.2016.08.007.
[4] 郭佳,尹作娟.护理人员临床思维培养现状分析[J].护理学报,2010,17(15):1-4.DOI:10.16460/j.issn1008-9969.2010.15.016.
[5] 王锦程,郁芸,胡新华,等.基于Matlab GUI的脑胶质瘤三维显示辅助诊断系统的设计[J]. 生物医学工程研究,2017,12(4):336-339.DOI:10.19529/j.cnki.1672-6278.2017.04.12.
[6] 宋凤磊,马琳,王世波,等.显微外科治疗前交通动脉瘤手术入路的选择及疗效分析[J].临床神经外科杂志,2016,13(5):360-363.DOI:10.3969/j.issn.1672-7770.2016.05.011.
[7] Zigmond A S, Snaith R P.The Hospital Anxiety and Depression Scale[J]. Acta Psychiatrica Scandinavica, 1983, 67(6):361-370.
[8] 叶维菲,徐俊冕.“综合性医院焦虑抑郁量表”在综合性医院病人中的应用与评价[J]. 中华行为医学与脑科学杂志,1993,2(3):17-19.
[9] Tokimura H, Tajitsu K, Tsuchiya M, et al.Cranial Surgery Without Head Shaving[J]. J Craniomaxillofac Surg,2009,37(8):477-480.
[10] Lefebvre A, Saliou P, Lucet J C, et al.Preoperative Hair Removal And Surgical Site Infections: Network Meta-Analysis of Randomized Controlled Trials[J]. J Hosp Infect, 2015, 91(2):100-108.
[11] 董婷,刘素珍,李继平.四川省2931例社区老年高血压糖尿病患者护理服务的满意度及影响因素分析[J].护理报,2017, 24(9):7-10.DOI:10.16460/j.issn1008-9969.2017.09.007.
[12] 李洁莉,孙蔚宇,王蓓.区域条状备皮对神经外科手术患者焦虑抑郁情绪的影响[J].护理学杂志,2018,33(2):83-85.DOI:10.3870/j.issn.1001-4152.2018.02.083.
[13] 程若莺,周郁秋.社会支持在脑卒中患者配偶家庭亲密度中的中介和调节作用分析[J]. 护理学报, 2013,20(11A):73-76.DOI:1008-9969(2013)11A-0073-04.
[1] 廖招娣, 王洪干, 林征, 潘红, 任晓敏. PICC中心静脉置管双层保护套在神经外科危重患者中的应用[J]. 护理学报, 2019, 26(11): 71-73.
[2] 王耀娟,房会娥,朱美琴,施景芳,周松茂,李天乐. 坐位与侧卧位排痰对神经外科气管切开患者通气功能的影响研究[J]. 护理学报, 2018, 25(6): 54-57.
[3] 吴姣娣,林芹,蔡於莹,贺思怡,许诺,王冬华. 神经外科护士同情心疲乏的影响因素分析[J]. 护理学报, 2018, 25(1): 61-65.
[4] 刘冬莲,程薇,王建新,熊丹丹. 简易床头角度描记法及应用[J]. 护理学报, 2015, (19): 77-78.
[5] 肖倩,王艳玲,吴瑛,孙柳,王军,郭桂丽,鲍月红,张秀云. 神经外科ICU患者胃内容物反流误吸的影响因素分析[J]. 护理学报, 2014, (7): 50-53.
[6] 田杏音,萧蕊英,杨富英,朱颖洁. 神经外科住院患者跌倒风险评估管理中的品管圈实践[J]. 护理学报, 2014, (5): 25-27.
[7] 周翠,刘朝霞,刘瑜. 神经外科轮转护士的情景模拟培训[J]. 护理学报, 2014, (3): 22-24.
[8] 谭媛,白建萍,王海英,何瑞荣. 神经外科患者留置管道的风险分级管理体会[J]. 护理学报, 2014, (3): 28-30.
[9] 姜 雪,郎红娟,李瑞刚,薛玉洁,李 娟,侯 芳. 流程优化对神经外科手术室工作效率的影响[J]. 护理学报, 2013, (8): 16-18.
[10] 刘洪娟,方汉萍,历春林,廖宗峰,胡娜,刘星,刘英. 神经外科ICU患者家属疾病不确定感与生活质量的分析与对策[J]. 护理学报, 2013, (18): 69-71.
[11] 鄢丽萍,杨晓兰. 神经外科偏瘫与全瘫患者压疮发生率的比较[J]. 护理学报, 2013, (16): 52-53.
[12] 周萍,何巧芳,张益辉,王海琴. 失效模式与效应分析法在神经外科手术压疮预防中的应用[J]. 护理学报, 2012, 19(8): 43-46.
[13] 聂玉平,罗青. 细节管理在预防神经外科患者走失中的应用[J]. 护理学报, 2012, (17): 40-41.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!