Objective To observe the effectiveness of the vascular crisis warning and control system applied to patients undergoing finger replantation surgery so as to provide insights for improving patient prognosis.Methods A total of 55 cases in the control group and 50 cases in the observation group were randomly selected among patients undergoing finger replantation surgery before(August 2019 to December 2020,control group)and after(January 2021 to March 2022,observation group)the implementation of the vascular crisis warning and control system management model.The perioperative indicators(flap necrosis rate,surgical success rate,vascular crisis rate),treatment compliance during the treatment period(assessed using the Morisky medication adherence scale-8(MMAS-8)),and occurrence of complications were compared between the two groups.The finger function recovery of patients at 6 months after discharge was evaluated using the criteria for evaluating the functionality of replanted limbs and the Michigan hand questionnaire(MHQ).The local hemodynamic levels(mean blood flow velocity(Vm),resistance index(RI),diastolic blood flow velocity(Vd))at the time of patient discharge were recorded.The quality of life of the two groups of patients was evaluated and compared using the Spitzer quality of life index(SQLI)and the general quality of life index-74(GQOLI-74).Results There was no statistically significant difference in the surgical success rate and flap necrosis rate between the two groups(P>0.05).The vascular crisis rate in the observation group(4.0%)was significantly lower than that in the control group(16.4%),with a statistically significant difference(χ2=4.269,P=0.039).At the time of discharge,the observation group had a higher overall excellent rate in the evaluation of replanted limb functionality(84.0%)compared to the control group(67.3%).The MHQ,GQOLI-74,SQLI,MMAS-8 scores,as well as the levels of Vm and Vd were higher in the observation group,while the RI level was lower in the observation group(P<0.05).There was no statistically significant difference in the overall incidence of complications between the two groups during the treatment period(P>0.05).Conclusions Management model under vascular crisis early warning control system can effectively reduce the incidence rates of vascular crisis events and improve the local hemodynamic indicators in replanted fingers,and it has a positive impact on enhancing the quality of life and treatment compliance of patients.
severed finger replantationvascular crisisearly warningsafety managementquality of life
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