DEVELOPMENT AND CLINICAL APPLICATION OF MEDICAL HEAT PRESERVATION DEVICE USED IN HAND SURGERY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WUXing ^1,3 ,  KANShilian ² , ZHAOJianyong ³ , CHENGuangxian ³ , WANGWei ³ , XIAOLi ³

1. Graduate School of Tianjin Medical University, Tianjin, 300070, P. R. China;
2. Department of Hand Surgery, Tianjin Hospital;
3. Department of Hand Surgery, Cangzhou Hospital of Integrated Traditional and Western Medicine;

Corresponding author：

KANShilian, Email: pumc@sina.com

Keywords：

Medical heat preservation device; Blood circulation; Replantation of severed finger

DOI：

10.7507/1002-1892.20150044

Video：

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Objective To introduce a new medical heat preservation device, and to explore the application value and effectiveness in replantation of severed fingers. Methods The medical heat preservation device was design, water was used as the heating medium, and temperature was set and controlled by microcomputer. Between November 2010 and January 2014, 421 cases undergoing replantation of severed fingers were divided into 2 groups. Within 9 days after operation, the medical heat preservation device was used in 210 cases (experimental group), and the conventional heat lamp was used in 211 cases (control group). There was no significant difference in gender, age, injury cause, the interval between injury and admission, injury finger side, and operation time between 2 groups (P>0.05). The vascular crisis rate, success rate of replantation of severed fingers, comfort, sleep quality, and the influence on roommates were compared. Results The comfort and the influence on roommates were good in 188 cases (89.52%) and 201 cases (95.71%) in the experimental group, which were significantly higher than those in the control group (25/211, 11.85%; 145/211, 68.72%). According to Pittsburgh sleep quality index (PSQI) for sleep quality, the results were good in 105 cases, fair in 85 cases, and poor in 20 cases in the experimental group; the results were good in 45 cases, fair in 95 cases, and poor in 71 cases in the control group. Blood vessel crisis occurred in 35 cases (16.67%) of the experimental group, which was significantly lower than that in the control group (76/211, 36.02%) (P<0.05). The survival rate of replantation in the experimental group (196/210, 93.3%) was significantly higher than that in the control group (181/211, 85.78%) (P<0.05). Significant differences were found between 2 groups (P<0.05) in above indexs. Conclusion Medical heat preservation device for replantation of severed fingers can improve the comfortable degree of patients and the quality of sleep, increase the survival rate of finger replantation, and reduce the occurrence of vascular crisis after operation.

Citation： WUXing, KANShilian, ZHAOJianyong, CHENGuangxian, WANGWei, XIAOLi. DEVELOPMENT AND CLINICAL APPLICATION OF MEDICAL HEAT PRESERVATION DEVICE USED IN HAND SURGERY. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(2): 202-205. doi: 10.7507/1002-1892.20150044 Copy

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8.	梁小玲, 陈雪梅. 自我管理教育对断指再植患者负性情绪的作用. 国际护理学杂志, 2012, 31(6):1087-1088.
9.	刘晓芳. 断指再植术后发生血管危象的原因分析及处理对策. 中华显微外科杂志, 2005, 28(3):274-276.
10.	王爱兰, 刘立平, 魏长月, 等. 战创伤显微外科全自动电子温控烤灯的研制应用. 实用医药杂志, 2006, 23(5):639-640.
11.	郭艳. 心理干预对断指再植术后血管危象发生率的影响. 中国美容医学, 2012, 21(12):573.
12.	石荣光, 李东梅, 王琳, 等. 环境条件对断指再植成功率影响的研究. 中国医师进修杂志, 2008, 31(4b):54-55.
13.	张雁, 沈小芳, 施海峰, 等. 黄芪勇安汤对断指再植术后血管新生和血液流变学影响的实验研究. 中华手外科杂志, 2014, 30(4):295-298.
14.	陈志龙, 魏任雄, 杨标, 等. 吸食麻果断指再植临床分析. 中华手外科杂志, 2012, 28(2):124.
15.	杨俊华, 闵丽华, 刘学洁. 产妇住院期间睡眠质量调查研究. 护理研究, 2006, 20(1C):213-214.

1. 魏水华, 黄蔼丽, 余诗军, 等. 新型遮光式保温灯的应用及效果评价. 护理研究, 2010, 24(6A):1443-1444.
2. 赵爱琴, 郭艳幸, 张淑卿, 等. 可调式红外线烤灯的研制. 中医正骨, 2012, 24(4):74, 76.
3. 蒋协远, 王大伟. 骨科临床疗效评价标准. 北京:人民卫生出版社, 2005:14.
4. 戴晓阳.常用心理评估量表手册. 2版. 北京:人民军医出版社, 2010:238-241.
5. 路桃影, 李艳, 夏萍, 等. 匹兹堡睡眠质量指数的信度及效度分析. 重庆医学, 2014, 43(3):260-263.
6. 宿晓雷, 杜志国, 武倩, 等. 神经安定镇痛术结合腋鞘内给药在自残性断指再植术后的应用. 实用手外科杂志, 2013, 27(2):199-200.
7. 何凌锋, 李学渊, 王欣, 等. 断指再植术后不同用药方案的临床病例对照研究. 中华手外科杂志, 2014, 30(3):230-231.
8. 梁小玲, 陈雪梅. 自我管理教育对断指再植患者负性情绪的作用. 国际护理学杂志, 2012, 31(6):1087-1088.
9. 刘晓芳. 断指再植术后发生血管危象的原因分析及处理对策. 中华显微外科杂志, 2005, 28(3):274-276.
10. 王爱兰, 刘立平, 魏长月, 等. 战创伤显微外科全自动电子温控烤灯的研制应用. 实用医药杂志, 2006, 23(5):639-640.
11. 郭艳. 心理干预对断指再植术后血管危象发生率的影响. 中国美容医学, 2012, 21(12):573.
12. 石荣光, 李东梅, 王琳, 等. 环境条件对断指再植成功率影响的研究. 中国医师进修杂志, 2008, 31(4b):54-55.
13. 张雁, 沈小芳, 施海峰, 等. 黄芪勇安汤对断指再植术后血管新生和血液流变学影响的实验研究. 中华手外科杂志, 2014, 30(4):295-298.
14. 陈志龙, 魏任雄, 杨标, 等. 吸食麻果断指再植临床分析. 中华手外科杂志, 2012, 28(2):124.
15. 杨俊华, 闵丽华, 刘学洁. 产妇住院期间睡眠质量调查研究. 护理研究, 2006, 20(1C):213-214.

Chinese Journal of Reparative and Reconstructive Surgery

DEVELOPMENT AND CLINICAL APPLICATION OF MEDICAL HEAT PRESERVATION DEVICE USED IN HAND SURGERY

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