目的:探究甲根部生化床部分切除治疗复发型踇趾甲沟炎的效果.方法:本次研究对象为2018年1月-9月期间我院门诊收治的30例踇趾复发型甲沟炎患者,手术方法为切除部分甲根部生化床,总结治疗效果.结果:患者的术后愈合时间、恢复正常活动时间,分别为(10. 46 ± 3. 02)天、(6. 02 ± 1. 02)天,换药次数为(5. 41 ± 2. 01)次;术后1周患者疼痛度评分较术前下降明显,术前为(6. 60 ± 2. 57)分,术后为(2. 11 ± 1. 02)分,指标间有较大的差异(P<0. 05),有统计学意义;患者的治疗总有效率较高,为93. 33% ;随访4个月,观察组的并发症率较低为6. 67% ,无1例复发、畸形.结论:甲根部生化床部分切除治疗复发型踇趾甲沟炎的效果良好,能缩短患者的恢复时间,无复发现象,且新生甲板外观良好,穿鞋、剧烈运动无疼痛感,值得临床进一步推广.

Objective We were to investigate the clinic effects of air-fluidized bed in the treatment of large-area burns patients.Methods From January 2012 to December 2013, 56 cases of large-area burns patients were enrolled in this study and they were randomly divided into experimental group and control group.Patients in both groups received routine care, except that patients in the control group received adjuvant therapy by using common stand up bed,patients in experimental group received adjuvant therapy with air-fluidized bed.Treatment effects of the two groups were observed.Results The treatment success rate of experimental group was 96.3%, whereas the control group was 80.0%.Compared with the control group, dry scab and wound healing time of experimental group were shorter, body temperature during infection was lower and had more urine and fluid volume during the shock (P<0.05).Conclusions The application of air-fluidized bed assisted therapy can obtain satisfactory effect based on the routine care.

目的：探讨指端缺损患者采用指动脉逆行岛状皮瓣进行修复的疗效和护理方法。方法观察34例指端缺损患者，共有40指进行指动脉逆行岛状皮瓣修复的皮瓣成活情况，分析围手术期护理方法。结果经过围手术期护理，32例38指的皮瓣均顺利成活，其中含2例有3指的皮瓣出现水泡，均对症处理后获得治愈，另2例的2指出现皮瓣皮肤坏死，二期经游离植皮术获愈，成活率达94.1%。结论采用指动脉逆行岛皮瓣对缺损指端进行修复，制定最佳的护理方案，配合良好的围手术期护理，有效预防血管危象的发生，取得较满意的效果，值得临床推广应用。