皮肤软组织扩张术对创伤致畸病人病理心理影响的调查研究

目的 研究使用皮肤软组织扩张器病人在扩张过程中的躯体症状及心理特征。方法 用自编调表的形式，对曾在我院行扩张术治疗的57例创伤致畸病人，分别在扩张器置入前、扩张过程中及扩张皮瓣转移后3个时期问卷调查。结果 扩张过程中，胀、痛、痒的发生率分别为52.63%,47.37%及42.11%。其中胀感最具特征性。病变的痛、痒等症状在扩张器置入前及扩张皮瓣移转后也有较高的发生率。在扩张过程中，多数病人呈明显的紧张和焦虑，对手术效果有很高的期望值（84.21%）。病人对自我情感和健康的评价在整个治疗过程中呈现出两个明显的过程。结论 扩张过程中，胀感是最典型的局部症状，紧张、焦虎是常见的心理状态，病人对皮肤软组织扩张术有很高的期望值，治疗过程中呈现先喜后忧的心理变化过程。

Physical and psychological changes in patients with traumatic deformities during the treatment of tissue expansion

Objective\ This study was to investigate the somatic symptoms and sychological specialties in trauma\|deformed patients during tissue expansion. Methods\ Using our own questionnaires, fifty\|seven patients were solicited to answer the questionnaires in three different treatment periods. Results\ It was found that local distension, pain and tickle were the common symptoms during expansion, while distension was most specific ( P <0 01). Pain and tickle also happened before implanting and after taking out of the expander. The patients often had high expectation toward tissue expansion. They felt nervous and anxious ( P <0 01) during expansion. Their emotion and healthy self\|evaluation changed obviously in different treatment periods ( P <0 01). Conclusion\ Local distension is the most specific symptom during tissue expansion. Nervousness and anxiety are common in patients at that time. Their emotion change from depression to happy at first, and then from happy to slight depression.