CAJ | 학술논문

目的探讨在断指再植术后采用不同时相点暴露疗法对护理效果的影响.方法选取断指再植术后患者605例,按照术后伤口开始暴露疗法的不同时间分为4组,A组术后1～2 h开始,B组术后6～8h,C组术后12～24 h,D组术后实施全程敷料包扎疗法至14 d伤口拆线;比较4组在再植手指血液循环、伤口感染、存活率、医疗成本等方面差异.结果 B组再植手指成功率99.5%,其血液循环、伤口感染、医疗成本等方面均优于其他组,并使平均医疗费用、住院时间、并发症均减少.结论在断指再植术后6～8 h实施暴露疗法,可降低再植手指血管危象的发生率,降低医疗成本支出,提高再植手指的成活率.
목적 탐토재단지재식술후채용불동시상점폭로요법대호리효과적영향.방법 선취단지재식술후환자605례,안조술후상구개시폭로요법적불동시간분위4조,A조술후1～2 h개시,B조술후6～8h,C조술후12～24 h,D조술후실시전정부료포찰요법지14 d상구탁선;비교4조재재식수지혈액순배、상구감염、존활솔、의료성본등방면차이.결과 B조재식수지성공솔99.5%,기혈액순배、상구감염、의료성본등방면균우우기타조,병사평균의료비용、주원시간、병발증균감소.결론 재단지재식술후6～8 h실시폭로요법,가강저재식수지혈관위상적발생솔,강저의료성본지출,제고재식수지적성활솔.
Objective To explore the influence to nursing efficiency using exposed wound care ( EWC) at different time point after finger replantation. Methods 60S patients after finger replantation were recruited according to selection criteria and were randomly divided into 4 groups. 136 cases in group A were treated with EWC without gauze dressing cover 1 to 2 hours after operation. 183 cases in group B were treated with EWC 6 to 8 hours after operation. 159 cases group C were treated with EWC 12 to 24 hours after operation. 127 cases in group D were treated with gauze dresssing cover all the time until taking the stiches out ( 14 days). Blood circulation, wound infection, finger survival rate, medical costs were observed and compared among 4 groups. Results Compared with the other 3 groups, group B had better outcomes including blood circulation, wound infection, survival rate and medical costs of replanted finger. The EWC therapy could decrease expenditures of inpatient, length of stay, and incidence of complications. Conclusions The EWC therapy should be used 6 to 8 hours after operation when dressing oozing did not dry completely. That therapy can decrease the incidence of blood vessel crisis of replanted finger, reduce medical expenditures and improve survival rate of replanted finger.