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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10.	王愛蘭, 劉立平, 魏長月, 等. 戰創傷顯微外科全自動電子溫控烤燈的研制應用. 實用醫藥雜志, 2006, 23(5):639-640.
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12.	石榮光, 李東梅, 王琳, 等. 環境條件對斷指再植成功率影響的研究. 中國醫師進修雜志, 2008, 31(4b):54-55.
13.	張雁, 沈小芳, 施海峰, 等. 黃芪勇安湯對斷指再植術后血管新生和血液流變學影響的實驗研究. 中華手外科雜志, 2014, 30(4):295-298.
14.	陳志龍, 魏任雄, 楊標, 等. 吸食麻果斷指再植臨床分析. 中華手外科雜志, 2012, 28(2):124.
15.	楊俊華, 閔麗華, 劉學潔. 產婦住院期間睡眠質量調查研究. 護理研究, 2006, 20(1C):213-214.

1. 魏水華, 黃藹麗, 余詩軍, 等. 新型遮光式保溫燈的應用及效果評價. 護理研究, 2010, 24(6A):1443-1444.
2. 趙愛琴, 郭艷幸, 張淑卿, 等. 可調式紅外線烤燈的研制. 中醫正骨, 2012, 24(4):74, 76.
3. 蔣協遠, 王大偉. 骨科臨床療效評價標準. 北京:人民衛生出版社, 2005:14.
4. 戴曉陽.常用心理評估量表手冊. 2版. 北京:人民軍醫出版社, 2010:238-241.
5. 路桃影, 李艷, 夏萍, 等. 匹茲堡睡眠質量指數的信度及效度分析. 重慶醫學, 2014, 43(3):260-263.
6. 宿曉雷, 杜志國, 武倩, 等. 神經安定鎮痛術結合腋鞘內給藥在自殘性斷指再植術后的應用. 實用手外科雜志, 2013, 27(2):199-200.
7. 何凌鋒, 李學淵, 王欣, 等. 斷指再植術后不同用藥方案的臨床病例對照研究. 中華手外科雜志, 2014, 30(3):230-231.
8. 梁小玲, 陳雪梅. 自我管理教育對斷指再植患者負性情緒的作用. 國際護理學雜志, 2012, 31(6):1087-1088.
9. 劉曉芳. 斷指再植術后發生血管危象的原因分析及處理對策. 中華顯微外科雜志, 2005, 28(3):274-276.
10. 王愛蘭, 劉立平, 魏長月, 等. 戰創傷顯微外科全自動電子溫控烤燈的研制應用. 實用醫藥雜志, 2006, 23(5):639-640.
11. 郭艷. 心理干預對斷指再植術后血管危象發生率的影響. 中國美容醫學, 2012, 21(12):573.
12. 石榮光, 李東梅, 王琳, 等. 環境條件對斷指再植成功率影響的研究. 中國醫師進修雜志, 2008, 31(4b):54-55.
13. 張雁, 沈小芳, 施海峰, 等. 黃芪勇安湯對斷指再植術后血管新生和血液流變學影響的實驗研究. 中華手外科雜志, 2014, 30(4):295-298.
14. 陳志龍, 魏任雄, 楊標, 等. 吸食麻果斷指再植臨床分析. 中華手外科雜志, 2012, 28(2):124.
15. 楊俊華, 閔麗華, 劉學潔. 產婦住院期間睡眠質量調查研究. 護理研究, 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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