Video Recording Study of Infants Undergoing Primary Cheiloplasty: Are Arm Restraints Really Needed?
Video Recording Study of Infants Undergoing Primary Cheiloplasty: Are Arm Restraints Really Needed?
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接受初次唇整形术的婴儿的视频记录研究：真的需要手臂约束吗？
DOI：
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
T. Nakatsuka
中科院分区：
文献类型：
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作者：
K. Tokioka;Susam Park;Y. Sugawara;T. Nakatsuka
目的：传统上，在唇腭裂手术的围手术期使用手臂约束，以防止受影响的婴儿损伤伤口，但这种标准做法的好处一直存在争议。为了调查使用手臂约束是否对患者有任何益处，对接受初次唇成形术的婴儿进行了录像研究。设计：分析接受唇裂整形术的婴儿的录像。单位：日本静冈静冈儿童医院。患者和方法：8例接受初次唇裂成形术的患者在手术前一天、手术当天和术后第4天记录24小时。第一作者检查了所有记录，并评估了触摸嘴唇的频率和方式。结果如下：虽然触摸频率在每24小时2至136次之间变化很大，但在3个记录日之间没有统计学差异（Friedman检验，p > 0.05）。所有婴儿都轻轻地触摸他们的嘴唇，从未试图操纵或抓挠他们的伤口。没有患者用手捏伤口上的缝线或胶带。结论：虽然被检查的婴儿触摸了他们的嘴唇，但他们从未以对伤口有害的方式触摸过嘴唇。我们的结论是，如果在3或4个月大之前进行手术，初次唇成形术后手臂限制是不必要的。
Objective: Arm restraints are traditionally used during the perioperative period for cleft surgery to prevent the affected infant from damaging the wound, but the benefits of this standard practice have been controversial. To investigate whether the use of arm restraints provides any benefit to the patient, a video recording study of infants undergoing primary cheiloplasty was conducted. Design: Analysis of video recordings of infants undergoing cheiloplasty. Setting: Shizuoka Children's Hospital, Shizuoka, Japan. Patients and Methods: Eight patients who underwent primary cheiloplasty were recorded for 24 hours on the day before the operation, the day of the operation, and the fourth postoperative day. All recordings were examined by the first author, and the frequency and manner of lip touching were evaluated. Results: Although the frequency of touching varied considerably from 2 to 136 times per 24 hours, it was not statistically different among the 3 recording days (Friedman test, p > .05). All infants touched their lips softly and never attempted to manipulate or scratch their wound. None of the patients pinched the stitches or adhesive tape on the wound with their hands. Conclusions: Although the examined infants touched their lips, they never touched them in a manner that would be harmful to the wound. We concluded that arm restraints are unnecessary after primary cheiloplasty if the procedure is performed before the age of 3 or 4 months.