Cangzhou Hospital of integrated Traditional Chinese Medicine and Western Medicine of Hebei, Hebei 061000, China.
Comput Math Methods Med. 2022 Jun 30;2022:9631858. doi: 10.1155/2022/9631858. eCollection 2022.
After replantation of severed fingers in infants, the utility model patent upper limb restrictive brace-assisted bed rest braking, combined with psychological intervention, can alleviate children's anxiety, so as to reduce the occurrence of vascular crisis.
The study period was from April 2015 to July 2018. In this paper, 30 children with finger injuries in hand surgery in the CIS electronic medical record system of Cangzhou Integrated Traditional Chinese and Western Medicine Hospital were selected as the research objects. Replantation was performed in 30 infants with severed fingers. Among them, 15 cases were applied with the method of aircraft chest arm gypsum splint combined with sedative drug braking and the utility model patented product upper limb restrictive brace fixation-assisted bed rest braking, and the method of psychological intervention was applied at the same time.
Among the 15 fingers in the control group, 6 had vascular crisis and 1 in the experimental group. The incidence of vascular crisis in the experimental group was lower, and the difference between the two groups was statistically significant ( < 0.05). The patients were followed up for 9~18 months, with an average of 9.72 ± 1.07 months. In the control group, 15 cases of severed fingers survived, and there were 13 cases of replantation finger necrosis in 2 cases of intractable arterial crisis. In the experimental group, 14 cases of severed fingers survived in 15 cases and there was 1 case of replanted finger necrosis in intractable arterial crisis after operation. There was no significant difference in the survival rate between the two groups ( > 0.05). In addition, the replanted finger function was evaluated. In the control group, 9 cases were excellent, 4 cases were good, and 1 case was fair. In the experimental group, 14 cases were excellent, 1 case was good, and 0 case was fair. The functional evaluation of the experimental group was better than that of the control group, and the difference between the two groups was statistically significant ( < 0.05).
For infants after replantation of severed fingers, the application of the utility model patented product upper limb restrictive brace can effectively make up for the insufficient fixation of aircraft chest arm gypsum splint, reduce the occurrence of vascular crisis, and assist children in bed. In addition, the application of psychological intervention can reduce children's postoperative crying and is conducive to children's postoperative recovery.
在婴幼儿断指再植术后，应用实用新型专利上肢约束支具辅助卧床制动，并结合心理干预，可以减轻患儿焦虑，从而减少血管危象的发生。
研究期间为 2015 年 4 月至 2018 年 7 月，选取沧州市中西医结合医院 CIS 电子病历系统中手部外科的 30 例儿童手指外伤患儿为研究对象，对 30 例断指婴幼儿进行再植，其中 15 例采用飞机胸廓臂石膏夹板联合镇静药物制动与实用新型专利上肢约束支具固定辅助卧床制动的方法，并同时应用心理干预。
对照组 15 指中，发生血管危象 6 例，实验组发生 1 例，实验组血管危象发生率较低，两组比较差异有统计学意义（<0.05）。患者均获随访，随访时间 9~18 个月，平均 9.72±1.07 个月。对照组 15 例断指全部存活，2 例难治性动脉危象中出现 2 例再植指坏死；实验组 15 例断指中存活 14 例，术后出现难治性动脉危象 1 例再植指坏死，两组成活率比较差异无统计学意义（>0.05）。此外，对再植手指功能进行评价，对照组优 9 例，良 4 例，可 1 例；实验组优 14 例，良 1 例，可 0 例，实验组再植手指功能评定优于对照组，两组比较差异有统计学意义（<0.05）。
对于婴幼儿断指再植术后，应用实用新型专利上肢约束支具可有效弥补飞机胸廓臂石膏夹板固定的不足，减少血管危象的发生，辅助患儿卧床，此外，应用心理干预可减少患儿术后哭闹，有利于患儿术后恢复。
