首页|断指再植术后血管危象的危险因素探讨及预防对策:110例回顾性研究

断指再植术后血管危象的危险因素探讨及预防对策:110例回顾性研究

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目的 分析 110 例断指再植术后患者血管危象的危险因素,并制定相应预防对策.方法 回顾性选取2018年1 月至 2023 年 6 月郑州仁济医院110 例断指再植术患者,根据术后是否发生血管危象将其分为对照组(87例,未发生血管危象)和观察组(23 例,发生血管危象).统计两组的一般资料,对其进行单因素、多因素Logistic回归分析,以筛选出断指再植术后血管危象的相关危险因素.结果 两组的性别、年龄、吸烟史、移植静脉、缺血时间、创伤类型、离断平面、就诊时间比较,差异具有统计学意义(P<0.05);两组的合并糖尿病、合并高血压、合并高血脂、断指部位比较,差异无统计学意义(P>0.05).多因素Logistic回归分析结果显示,女性、年龄<12岁、有吸烟史、有移植静脉、缺血时间≥10 h、挤压切割、末节离断、就诊时间≥1.5 h是断指再植术后血管危象的独立危险因素(P<0.05).结论 女性、年龄<12岁、有吸烟史、有移植静脉、缺血时间≥10 h、挤压切割、末节离断、就诊时间≥1.5 h是断指再植术后血管危象的独立危险因素,临床上应注意对高危患者实施相应的预防措施,减少血管危象的发生,改善患者预后.
Risk factors and preventive measures of vascular crisis after replantation of severed fingers:a retrospective study of 110 cases
Objective To analyze the risk factors of vascular crisis in 110 patients after replantation of severed fingers,and to formulate corresponding preventive measures.Methods A total of 110 patients with replantation of severed fingers in Zhengzhou Renji Hospital from January 2018 to June 2023 were retrospectively selected and divided into control group(87 cases,no vascular crisis occurred)and observation group(23 cases,vascular crisis occurred)according to whether vascular crisis occurred after operation.The general data of the two groups were analyzed by univariate and multivariate Logistic regression analysis to screen out the related risk factors of vascular crisis after replantation of severed fingers.Results There were significant differences in gender,age,smoking history,transplanted vein,ischemia time,trauma type,disconnection plane and treatment time between the two groups(P<0.05);there were no significant differences in diabetes mellitus,hypertension,hyperlipidemia and finger position between the two groups(P>0.05).Multivariate Logistic regression analysis showed that female,age<12 years old,smoking history,transplanted vein,ischemia time≥10 h,extrusion cutting,distal amputation,and treatment time≥1.5 h were independent risk factors for vascular crisis after replantation of severed fingers(P<0.05).Conclusion Female,age<12 years old,smoking history,transplanted vein,ischemia time≥10 h,extrusion cutting,distal amputation,and treatment time≥1.5 h are independent risk factors for vascular crisis after replantation of severed fingers.Clinically,attention should be paid to the implementation of corresponding preventive measures for high-risk patients to reduce the occurrence of vascular crisis and improve the prognosis of patients.

replantation of severed fingervascular crisisrisk factor

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郑州仁济医院,河南 郑州,450004

断指再植术 血管危象 危险因素

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(17)