【摘要】 目的 〖JP2〗探討護(hù)理干預(yù)對(duì)前臂游離皮瓣移植修復(fù)口腔癌圍手術(shù)期軟組織缺損患者的經(jīng)驗(yàn)?！》椒ā?005年6月—2009年6月，對(duì)收治的63例口腔癌術(shù)后軟組織缺損應(yīng)用前臂橈側(cè)游離皮瓣修復(fù)患者的圍手術(shù)期護(hù)理方法進(jìn)行回顧性分析，并做好術(shù)前心理護(hù)理及相關(guān)準(zhǔn)備，術(shù)后嚴(yán)密觀察皮瓣移植情況，以便及時(shí)發(fā)現(xiàn)血管危象，同時(shí)做好口腔、呼吸道、體位及皮瓣供受區(qū)護(hù)理?！〗Y(jié)果 通過(guò)精心護(hù)理，密切觀察移植皮瓣，及早發(fā)現(xiàn)、及時(shí)處理血管危象，從而確保63例患者皮瓣移植一次性成活率達(dá)95.24%，療效滿意?！〗Y(jié)論 科學(xué)合理的圍手術(shù)期護(hù)理是前臂游離皮瓣移植修復(fù)口腔癌術(shù)后軟組織缺損成功的重要保證?！続bstract】 Objective To investigate the perioperative nursing experiences of the transplanted forearm free flaps for reconstruction of soft tissue defects after oral cancer operation. Methods We retrospectively analyzed the clinical data of perioperative nursing care for 63 patients with soft tissue defects after oral cancer reconstructed with radial forearm free flaps. Psychological care and related preparation work was well carried out before operation. After operation, we closely monitored the outcome of transplantation of skin flaps to detect vascular crisis as early as possible, and at the same time, intensive care for oral cavity, respiratory tract, flap position and the affected areas was done. Results By intensive care, closely monitoring the transplanted flaps, and early discovery and management of the vascular crisis, we achieved a satisfying one-time transplantation survival rate of 95.24% for the 63 patients. Conclusion Scientific and proper perioperative care is an important factor in the successful reconstruction of soft tissue defects with free forearm flaps after oral cancer operation.