断指再植术后血管危象多因素分析及预防

目的 探讨断指再植术后发生血管危象的预测影响因素及预防性护理措施.方法 采用回顾性调查法,查阅了2006年1月至2008年6月住院行断指再植术的726例患者的病历.共有120例发生血管危象,对断指再植术后发生血管危象的可能影响因素进行单因素分析与多因素Logistic回归分析.结果 通过多因素Logistic回归分析确定性别、年龄、吸烟史、受伤原因、缺血时间、离断平面为断指再植术后发生血管危象的影响因素.结论 应针对预测影响因素及时采取护理措施,预防和减少断指再植术后血管危象的发生,提高断指再植成活率.

Influencing factors and prevention of vascular crisis after digital replantation

Objective To explore the influencing factors and preventive measures of vascular crisis after digital replantation.Methods The clinical data of 726 patients with digital replantation from Jan 2006 to Jun 2008 were retrospectively investigated.Among which,120 cases suffered from vascular crisis after digital replantation.The possible influencing factors of vascular crisis were analyzed by Logistic regression analysis.Results Logistic regression analysis showed that sex,age,smoking history,causes of injury,ischemia duration,and surface of division were the predictors of vascular crisis after digital replantation.Conclusion Appropriate preventive measures aimed at the influencing factors should be taken to prevent and reduce vascular crisis after digital replantation,and thereby to increase the survive rate of replanted digits.