| 摘要: |
| 目的 设计一种简易便携角度测量器，并评价其在口腔癌术后患者头位精准管理中的应用效果。方法 采用便利抽样法，选取2024年1月至2025年6月在本院口腔颌面外科行口腔癌术后游离皮瓣移植修复的100例患者作为研究对象，将其随机分为试验组与对照组，每组各50例。试验组采用自制便携式角度测量器进行头位管理，对照组采用传统经验目测摆放方法。比较两组患者术后6小时及72小时皮瓣恢复情况评分、血管危象发生率、术后6小时头位摆放角度偏差绝对值及医护人员对头位管理满意度的差异。结果 术后6小时，两组患者皮瓣颜色、皮温、毛细血管充盈度及质地评分比较，差异无统计学意义（P＞0.05）；术后72小时，试验组患者皮瓣颜色、皮温、毛细血管充盈度及质地评分均优于对照组，差异均有统计学意义（P＜0.05）；组内比较显示，对照组术后 72 小时皮瓣评分较术后 6 小时升高（评分越高代表恢复越差），呈现不良趋势；而试验组评分则持续下降，提示皮瓣恢复情况稳步改善。此外，试验组患者血管危象发生率2.00%，显著低于对照组14.00%，差异有统计学意义（?2 =4.891，P＜0.05）。试验组患者术后6小时头位摆放角度偏差绝对值为（8.90±3.39）°，显著低于对照组（13.34±4.17）°，差异有统计学意义（t=5.841，P＜0.05）。试验组医护人员对头位精准管理方法满意度总分及各维度得分均显著高于对照组，差异有统计学意义（P＜0.05）。结论 便携式角度测量器能够显著提高口腔癌术后患者头位摆放的精准度，有利于游离皮瓣血供恢复，降低血管危象发生率，提升护理质量与医护协作效率。 |
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Yin Lihua
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| Abstract: |
| Objective To design a simple, portable angle-measuring device and evaluate its clinical efficacy in the precision management of head positioning for patients following oral cancer surgery. Methods Using a convenience sampling method, 100 patients who underwent free flap transplantation for oral cancer reconstruction at our hospital"s Department of Oral and Maxillofacial Surgery between January 2024 and June 2025 were enrolled. The subjects were randomly assigned into an experimental group and a control group (n = 50 each). The experimental group received head position management guided by a self-developed portable angle-measuring device, while the control group was managed using traditional empirical visual estimation. The two groups were compared regarding flap recovery scores at 6 and 72 hours postoperatively, the incidence of vascular crisis, the absolute angular deviation of head positioning at 6 hours postoperatively, and medical staff satisfaction with the management protocols. |
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