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目的研究断指再植手术术中护理配合的应用效果。方法选取2015年1月至2016年10月我院68例断指患者作为研究对象,均行断指再植手术,随机数字表法分组,各34例。对照组采用常规护理,观察组在对照组基础上加强手术护理配合。统计对比2组术后断指成活率及手术前后焦虑、抑郁状况(SAS、SDS)评分,随访半年,评估对比两组断指恢复状况。结果观察组断指成活率与对照组(98.04%VS96.00%)比较,差异无统计学意义(P>0.05);2组术前SAS、SDS评分对比,差异无统计学意义(P>0.05);观察组术后SAS、SDS评分低于对照组,差异有统计学意义(P<0.05);随访半年,2组断指功能、感知恢复评分对比,差异无统计学意义(P>0.05);观察组断指外观恢复评分高于对照组,差异有统计学意义(P<0.05)。结论断肢再植手术配合有效护理,断指成活率高,可减轻患者焦虑情绪,改善断指恢复状况。
Objective To study the application effect of nursing cooperation in replantation of severed finger. Methods From January 2015 to October 2016, 68 cases of severed finger in our hospital were selected as the research object. All the patients underwent replantation of severed finger. The control group received routine nursing, and the observation group strengthened the surgical nursing cooperation on the basis of the control group. Statistical comparison of the survival rate of the severed finger and the anxiety and depression before and after operation (SAS, SDS) were compared between the two groups, followed up for six months. Results Compared with the control group (98.04% vs 96.00%), the survival rate of the broken fingers in the observation group was not significantly different (P> 0.05). There was no significant difference between the two groups in preoperative SAS and SDS scores ). SAS and SDS scores in the observation group were lower than those in the control group (P <0.05). There was no significant difference between the two groups in the follow-up of six months, ; The appearance score of the severed finger in the observation group was higher than that in the control group, the difference was statistically significant (P <0.05). Conclusion replantation of severed limbs combined with effective nursing, severed fingers high survival rate, reduce anxiety and improve recovery of severed fingers.