中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
13期
1976-1978
,共3页
断指再植%成活率%因素分析,统计学
斷指再植%成活率%因素分析,統計學
단지재식%성활솔%인소분석,통계학
Digital replantation%Survive rate%Factor analysis,Statistical
目的 探讨断指再植手术成活相关因素及临床对策.方法 选择行断指再植手术的患者27例,对断指再植的成活率与患者的各相关因素进行单因素和多因素Logistic回归分析.结果 需要再植的手指为35指,断指再植成活率为85.7%.成活组与未成活组在不同伤后处理方式、不同受伤原因、是否静脉嫁接、热缺血时间长短、是否血栓形成、是否存在血管危象差异有统计学意义(x2=6.386、3.889、4.704、6.176、10.802、4.564,均P<0.05).经Logistic多因素回归分析显示伤后处理方式、受伤原因、是否静脉嫁接、热缺血时间、是否有血栓形成、是否存在血管危象等因素对断指再植的成活率影响显著(r =0.902、0.957、0.922、1.825、2.053、1.026,均P<0.05).结论 为提高断指再植手术成活率,在断指再植术前应对患者进行调查评估,作好适应证的选择,综合考虑各方面影响因素,及时采取有针对性的预防措施.
目的 探討斷指再植手術成活相關因素及臨床對策.方法 選擇行斷指再植手術的患者27例,對斷指再植的成活率與患者的各相關因素進行單因素和多因素Logistic迴歸分析.結果 需要再植的手指為35指,斷指再植成活率為85.7%.成活組與未成活組在不同傷後處理方式、不同受傷原因、是否靜脈嫁接、熱缺血時間長短、是否血栓形成、是否存在血管危象差異有統計學意義(x2=6.386、3.889、4.704、6.176、10.802、4.564,均P<0.05).經Logistic多因素迴歸分析顯示傷後處理方式、受傷原因、是否靜脈嫁接、熱缺血時間、是否有血栓形成、是否存在血管危象等因素對斷指再植的成活率影響顯著(r =0.902、0.957、0.922、1.825、2.053、1.026,均P<0.05).結論 為提高斷指再植手術成活率,在斷指再植術前應對患者進行調查評估,作好適應證的選擇,綜閤攷慮各方麵影響因素,及時採取有針對性的預防措施.
목적 탐토단지재식수술성활상관인소급림상대책.방법 선택행단지재식수술적환자27례,대단지재식적성활솔여환자적각상관인소진행단인소화다인소Logistic회귀분석.결과 수요재식적수지위35지,단지재식성활솔위85.7%.성활조여미성활조재불동상후처리방식、불동수상원인、시부정맥가접、열결혈시간장단、시부혈전형성、시부존재혈관위상차이유통계학의의(x2=6.386、3.889、4.704、6.176、10.802、4.564,균P<0.05).경Logistic다인소회귀분석현시상후처리방식、수상원인、시부정맥가접、열결혈시간、시부유혈전형성、시부존재혈관위상등인소대단지재식적성활솔영향현저(r =0.902、0.957、0.922、1.825、2.053、1.026,균P<0.05).결론 위제고단지재식수술성활솔,재단지재식술전응대환자진행조사평고,작호괄응증적선택,종합고필각방면영향인소,급시채취유침대성적예방조시.
Objective To investigate the related factors on survival rate of digital replantation and clinical measures.Methods 27 patients with digital replantation were selected,patients'various aspects relevant factors on the survival rate of digital replantation were analyzed by the single factor analysis and multi-factor Logistic regression.Results 35 fingers were needed to be replanted,the successful rate was 85.7%.There were significant differences in survival rate based on different treatment after injury,different injury reason,use of the vein graft,duration of warm ischemia,whether thrombosis,whether vascular crisis between survival group and non-survival group (x2 =6.386,3.889,4.704,6.176,10.802,4.564,all P < 0.05).The results of multivariate Logistic regression analysis showed that processing method after injury,injury reason,use of the vein graft,warm ischemia time,whether thrombosis,whether vascular crisis were the factors directly affected the survival rate (r =0.902,0.957,0.922,1.825,2.053,1.026,all P < 0.05).Conclusion In order to improve the digital replantation survival rate,patients should be investigated and assessed before digital replantation.The indications should be reasonable selected,factors are compositely considered,preventive measures are taken timely.