断指再植术后血管危象的原因分析及护理

目的 ：分析断指再植术后血管危象的原因及护理措施,为临床提供指导.方法 ：抽取来我院治疗的62例接受断指再植术的患者（2013年5月至2015年12月）作为本次实验的目标对象,对62例接受断指再植术患者的临床资料进行回顾性分析,分析断指再植术后血管危象的原因,并结合分析结果制定和总结相关的护理管理措施.结果：62例接受断指再植术患者中,有12例患者（14指）出现血管危象;有10指（71.43%）为夜间发生血管危象,有4指（28.57%）为日间发生血管危象,夜间发生血管危象的比例显著高于日间发生血管危象的比例,P〈0.05;引起患者出现血管危象的原因主要为神经生理因素、疼痛因素、吸烟因素、心理因素、寒冷因素、体位因素、血肿及敷料的压迫等.结论：为降低断指再植术患者出现血管危象的机率,提高再植指的成活率,临床应结合患者的实际情况对其实施相关的护理干预措施,重点加强对患者夜间的护理干预.

Objective： To analyze the replantation postoperative vascular crisis causes and nursing measures for clinical guidance. Methods： Extraction to our hospital 62 patients who underwent replantation patients （May 2013 to December 2015） as the target object of this experiment, 62 cases of clinical data of patients with replantation retrospective analysis, analysis of digital replantation vascular crisis reasons, combined with the development of the analysis outcomings and summarize relevant nursing management measures. Results： 62 cases receiving replantation patients, 12 patients （mean 14） vascular crisis; there are 10 fingers （71.43%） as a vascular crisis occurred at night, there are four fingers （28.57%） for the day vascular crisis, the proportion of vascular crisis occurred at night was significantly higher than the proportion of the daytime vascular crisis, P 〈0.05; causes patients vascular crisis mainly neurophysiological factors, pain factor, smoking factors, psychological factors cold factor, postural factors, hematoma and dressing oppression. Conclusion： To reduce the chances of replantation patients with vascular crisis, improve the survival rate of replanted fingers, should be combined with the actual clinical situation of patients related to the implementation of its nursing interventions focus on strengthening the nocturnal nursing intervention.