Clinical application analysis of constant temperature management in complex distal amputation replantation surgery
恒温管理在复杂末节离断伤再植术临床应用分析

摘要

目的 探讨恒温管理在复杂末节离断伤再植术临床应用分析。方法 选择于2022年1月-2024年12月期间内在我院接受复杂末节离断伤再植术的患者共60例，将其按随机分组方法分为对照组和观察组，对照组和观察组各30例，其中对照组采取常规断指再植术治疗，观察组采用恒温管理措施配合常规断指再植术治疗，对两组患者的早期断指成活率、血管危象（静脉危象和动脉危象）发生率、断指活动度评分、生活能力评分、感觉评分及血液循环状态评分进行对比和评估。结果 治疗后，观察组和对照组的早期断指成活率差异无统计学意义（P>0.05）。观察组患者的静脉危象和动脉危象发生率均低于对照组（P＜0.05）。观察组患者的断指活动度评分、生活能力评分、感觉评分及血液循环状态评分均高于对照组（P＜0.05）。结论 在对接受复杂末节离断伤再植术的患者实施恒温管理可取得明显的效果，显著降低患者的血管危象发生率，提高患者断指功能。有较高应用价值。

Abstract

Objective Exploring the clinical application of constant temperature management in the replantation of complex distal amputation injuries.
Methods A total of 60 patients who underwent complex distal amputation replantation surgery in our hospital from January 2023 to December 2024 were randomly divided into a control group and an observation group, with 30 patients in each group. The control group received conventional finger replantation treatment, while the observation group received constant temperature management measures in combination with conventional finger replantation treatment. The early survival rate of severed fingers, incidence of vascular crisis (venous crisis and arterial crisis), finger mobility score, life ability score, sensory score, and blood circulation status score of the two groups were compared and evaluated.
Results After treatment, there was no statistically significant difference in the survival rate of early severed fingers between the observation group and the control group (P>0.05). The incidence of venous crisis and arterial crisis in the observation group was lower than that in the control group (P<0.05). The activity score, life ability score, sensory score, and blood circulation status score of the observation group patients were higher than those of the control group (P<0.05).
Conclusion   The implementation of constant temperature management in patients undergoing complex distal amputation and replantation surgery can achieve significant results, significantly reducing the incidence of vascular crisis and improving finger function. Has high application value.