断指再植术后改良治疗对再植成活率和血管危象发生率的影响

Effect of modified treatment after replantation of severed finger on survival rate and incidence of vascular crisis

目的分析断指再植术后改良治疗对血管危象发生率与再植成活率的影响.方法随机选择本院2015年1月至2018年1月诊治的60例断指再植术患者,随机分成研究组(30例)与对照组(30例).对照组给予常规术后治疗,研究组接受术后改良治疗,比较两组临床效果.结果研究组再植成活率为96.67%,优于对照组,静脉危象发生率3.33%、动脉危象发生率6.67%,少于对照组(均P<0.05);研究组术后疼痛度(2.72±0.81)分、舒适度(82.46±1.97)分、住院时间(8.43±0.92)d,优于对照组(均P< 0.05);研究组社会功能(76.53±7.56)分、情绪功能(75.47±6.73)分、物质生活(74.83±6.72)分、躯体功能(73.62±6.61)分,优于对照组(均P<0.05).结论断指再植术后改良治疗可有效提升患者的再植成活率,减少发生血管危象的概率,缩短住院时长,提升舒适度及生活质量.

Objective To analyze the effect of modified treatment after replantation of severed fingers on the incidence of vascular crisis and survival rate of replantation.Methods 60 patients taking replantation of severed fingers at our hospital from January,2015 to January,2018 were randomly divided into a study group (n=30) and a control group (n=30).The control group were routinely treated;and the study group took modified treatment.The clinical effects were compared between the two groups.Results The survival rate of replantation and the incidences of venous and artery crisis were 96.67%,3.33%,and 6.67% in the study group,which were better than those in the control group (all P < 0.05).The postoperative pain degree,comfort,and hospital stay were (2.72±0.81),(82.46±1.97),and (8.43±0.92) d in the study group,which were better than those in the control group (all P < 0.05).The scores of social function,emotional function,material life and somatic function were (76.53±7.56),(75.47±6.73),(74.83±6.72),and (73.62±6.61) in the study group,which were better than those in the control group (all P < 0.05).Conclusion The improved treatment after replantation of severed finger can effectively improve the survival rate of replantation,reduce the probability of vascular crisis,shorten the length of hospital stay,and enhance comfort and quality of life.