Effects of the order of individual liquid on the survival of skin flap in patients after free flap transplantation

Abstract

Objective To investigate the effects of the order of individual liquid on the survival of skin flap in patients after free flap transplantation. Methods From March 2013 to March 2016, 102 patients with trauma in extremities and underwent free flap transplanation in our hospital were randomly assigned to the study groupand the control group, with 51 cases in each group. Patients in the study group were treated with adjusted liquid order according to physiological and biochemical indexes. Patients in the control group were treated according to the order of medical orders. The occurrence of vascular crisis 48 h after operation and flap necrosis that 10 days after free flap transplantation were compared. Results 48 h after operation, there were 6 cases of postoperative vessel thrombosis and 3 cases of necrosis in the study group(χ2=5.795, P<0.05). 10 d after operation, there were 11 cases of postoperative vessel thrombosis and 3 cases of necrosis in the control group (χ2=5.299, P<0.05). Conclusions The individualized order liquid infusion can effectively reduce the occurance rate of vascular crisis and necrosis after free flap transplantation. Key words: Graft survival; Free flap; Vascular crisis; Necrosis; Order of individual liquid