感觉再训练对断指再植术后感觉恢复的影响

OBSERVATION ON THE EFFECT OF SENSO-RY RE-EDUCATION IN RECOVERY OF SEN-SATION FOLLOWING REPLANTED DIGITS

感觉障碍的恢复程度是衡量再植术成败的关键指标之一。为探讨感觉再训练对断指再植术后感觉恢复的影响，对１９９０年６月至１９９２年５月间，施行断指再植成活的３６例４７指，随机分组观察。结果提示：对照组与训练组在术后３个月的感觉功能评价无显著性差异（Ｐ＞０．０５），术后４．５个月的Ｓ＿２、Ｓ＿３级；６个月的Ｓ＿３、Ｓ＿３＋级和１２个月的Ｓ＿３＋、Ｓ＿４级之间两组存高度显著差异（Ｐ＜０．００１或＜０．００１）。训练组１２个月时，８９．５％的再植指感觉恢复达Ｓ＿３＋以上，其中３６．８％达Ｓ＿４，而对照组仅３１．８％达到Ｓ＿３＋，其中无１指达到Ｓ＿４。认为感觉再训练对断指再植术后感觉障碍的恢复是有益的。

AbstractThirty-six cases(47 severed fingers)aftereplanted digits were treated with re-educationof sensation from 1900 to 1002.All patientswere randomly divided into 2 groups:reeducational group and control group,andfollowed up 1 year after operation,The resultsshowed that recovery of nerve sensibility inreeducafional sroup was similtar to that in thecontrol group after 3 months.However,S_2and S_3 grade after 4.5 months, S_3 and S_(3+)grade after 6 months,S_(3+) and S_4 grade afrte1 year were recovered in reeducational andcontrol groups respectively The sensibility ofre-educational groups were significantly betterthan those in control group. Followed up 1year after rcplantation, the degree of snsory recovery in 89.5% of the case in reeducation-al group were above S_(3+),grade,among those36.8% were S_4 grade.However, the cases of31.8% were S_(3+) in control group,none wereS_4 grade,The results showed that reeducationof sensation is helpful to recover of sensationfollowing replanted digits.