Clinical efficacy of enhanced recovery after surgery nursing in patients with multiple severed fingers replantation

中华手外科杂志 Pub Date : 2020-02-10 DOI:10.3760/CMA.J.ISSN.1005-054X.2020.01.013

Xiaochun Huang, Xiaobing Deng, Ying Wan

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Abstract

Objective To study the clinical efficacy of enhanced recovery after surgery nursing in patients with multiple severed fingers replantation. Methods From December 2016 to June 2018, 90 patients (232 fingers) with replantation of severed fingers were divided into experimental group and control group, 45 cases in each group. The experimental group was given enhanced recovery after surgery nursing and the control group was given routine nursing. The complications such as embolism and necrosis of replanted fingers in the two groups were analyzed, and nursing satisfaction was compared. Results The incidence of complications in the experimental group was 4.44%, which was lower than that in the control group of 17.78% with the difference being significant (P<0.05). The nursing satisfaction of the experimental group was 97.78%, which was higher than that of the control group of 84.44% with the difference being significant (P<0.05). Conclusion After the replantation of severed fingers, the nursing plan of enhanced recovery after surgery was used to intervene the patients, which can significantly reduce the risk of complications, promote the recovery of the condition, improve the prognosis effect, and improve the clinical nursing quality. Key words: Replantation; Postoperative complications; Enhanced recovery after surgery; Nursing care

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多指断指再植术中提高术后恢复的护理效果

目的探讨多指再植术后加强康复护理的临床疗效。方法自2016年12月至2018年6月，将90例（232指）断指再植患者分为实验组和对照组，每组45例。实验组给予术后强化康复护理，对照组给予常规护理。对两组再植手指栓塞、坏死等并发症进行分析，并比较护理满意度。结果实验组并发症发生率为4.44%，低于对照组17.78%，差异有统计学意义（P<0.05），实验组护理满意度为97.78%，结论断指再植术后，采用术后强化恢复的护理方案对患者进行干预，可显著降低并发症发生的风险，促进病情的恢复，改善预后效果，提高临床护理质量。关键词：重播；术后并发症；术后恢复增强；护理

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中华手外科杂志

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