断指再植术后血管危象的多因素分析  

Multi-factor Analysis of Vascular Crisis After Replantation of Severed Finger

作　　者：赖天 林金贵[1] 吴昊[1] LAI Tian;LIN Jingui;WU Hao(The 13th District of Orthopedics Department,Fuzhou Second Hospital,Fuzhou Fujian 350007,China)

机构地区：[1]福建省福州市第二医院骨科十三区

出　　处：《中国卫生标准管理》2020年第2期32-35,共4页China Health Standard Management

摘　　要：目的对断指再植术后血管危象的影响因素进行分析。方法选取2017年8月-2019年7月,在我院治疗的68例断指再植术患者,共98指。所有患者采取断指再植术治疗,发生血管危象23例(33.82%),共34指(34.69%),分析血管危象诱发相关因素及具体影响程度。结果未发生血管危象患者与发生血管危象患者的损伤原因、就医时间、吸烟史、SAS评分及SDS评分均存在明显差异(P <0.05);Logistic多因素分析显示,撕脱伤、就医时间≥1.5 h、有吸烟史、存在明显不良情绪是血管危象发生的独立危险因素(P <0.05)。结论断指再植术后血管危象的危险因素较多,应对上述危险因素进行重点关注,及时采取恰当的处理措施,预防血管危象发生。Objective To analyze the influencing factors of vascular crisis after replantation of severed finger. Methods 68 cases of replantation of amputated finger(98 fingers in total) were selected from August 2017 to July 2019 in our hospital. All the patients were treated with replantation of severed finger, and 23 cases(33.82%) of them had vascular crisis, with a total of 34 fingers(34.69%). Results There were significant differences in the causes of injury, time of medical treatment, smoking history, SAS score and SDS score between patients without vascular crisis and patients with vascular crisis(P < 0.05). Logistic multivariate analysis showed that avulsion injury, medical treatment time ≥ 1.5 h, smoking history and presence of obvious adverse emotions were independent risk factors for vascular crisis(P < 0.05). Conclusion There are many risk factors of vascular crisis after replantation of severed finger, so we should pay more attention to the above risk factors and take appropriate measures in time to prevent the occurrence of vascular crisis.

关 键 词：血管危象 断指再植术 单因素 多因素 损伤原因 就医时间 

分 类 号：R658[医药卫生—外科学]