摘要
目的:探讨手指撕脱伤断指再植术后指体发生血管危象的危险因素。方法:以2015年1月-2020年8月本院144例手指撕脱伤患者为研究对象,患者均以断指再植术治疗。依据术后指体有无发生血管危象分为A组(未发生血管危象124例)和B组(发生血管危象,20例),回顾性收集两组临床资料并进行比较观察,对有统计学差异的指标项进行Logistic回归分析,分析发生血管危象的危险因素。结果:两组伤指类别、伤指离断程度、离断平面、高血压患者占比、糖尿病患者占比差异均无统计学意义(P>0.05),B组旋转撕脱伤、吸烟、就诊时间>2 h、静脉未吻合、术后焦虑患者数占比高于A组,动脉修复2根患者数占比低于A组,差异有统计学意义(P<0.05)。Logistic回归分析示,损伤原因、吸烟、就诊时间、动静脉修复度与术后焦虑是断指再植术后发生血管危象的危险因素(P<0.05)。结论:导致手指撕脱伤断指再植术后发生血管危象的危险因素众多,早期及时治疗,术中尽量多修复吻合指体动静脉,术后加强心理干预预防患者不良情绪,有助于预防血管危象。
Objective:To studied on related factors of vascular crisis in patients with finger avulsion injury after replantation of severed finger.Method:From January 2015 to August 2020,144 patients with finger lacerations in our hospital were taken as the research objects.All patients were treated with amputated finger replantation.They were divided into group A(124 cases without vascular crisis)and group B(20 cases with vascular crisis)based on whether there was a vascular crisis in the finger body,the clinical data were retrospectively collected and compared and observed,and statistics Logistic regression analysis was performed on the index items of scientific differences to analyze the risk factors of vascular crisis.Result:There were no statistically significant difference between the two groups in the category of injured fingers,the degree of broken fingers,the fracture plane,the proportion of patients with hypertension,and the proportion of diabetic patients(P>0.05).Group B in rotational avulsion injuries,smoking,and time of visits>2 h,the proportion of patients with intravenous anastomosis and postoperative anxiety were higher than those of group A,and the proportion of patients with 2 arterial repairs was lower than that of group A,the difference was statistically significant(P<0.05).Logistic regression analysis showed that the cause of injury,smoking,visit time,arteriovenous repair and postoperative anxiety were the risk factors for vascular crisis after finger replantation(P<0.05).Conclusion:There are many risk factors for vascular crisis after finger avulsion injury and severed finger replantation.Early and timely treatment,as much as possible during the operation to repair the anastomosed finger arteries and veins,and strengthen psychological intervention after the operation to prevent the patients’bad mood and help prevent blood vessels Crisis.
作者
黄飞
陈日恒
罗耀辉
林喜梅
曾倩娴
HUANG Fei;CHEN Riheng;LUO Yaohui;LIN Ximei;ZENG Qianxian(Yangjiang People’s Hospital,Yangjiang 529500,China)
出处
《中外医学研究》
2021年第11期50-52,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
手指撕脱伤
断指再植术
血管危象
危险因素
Finger avulsion
Replantation of severed finger
Vascular crisis
Risk factors
