Therapeutic effect of exposed wound care at different time point after finger replatation
10.3760/cma.j.issn.1674-2907.2009.34.002
- VernacularTitle:断指再植术后采用不同时相点暴露疗法的效果观察
- Author:
San-Lian HU
1
;
Xin XU
;
Yan-Ling XU
;
Hui-Fang LU
;
Yi-Wei XUE
;
Yu-Hui WENG
Author Information
1. 上海市第六人民医院
- Keywords:
Exposed wound care;
Finger replantation;
Time point;
Wound care
- From:
Chinese Journal of Modern Nursing
2009;15(34):3591-3593
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influence to nursing efficiency using exposed wound care ( EWC) at different time point after finger replantation. Methods 60S patients after finger replantation were recruited according to selection criteria and were randomly divided into 4 groups. 136 cases in group A were treated with EWC without gauze dressing cover 1 to 2 hours after operation. 183 cases in group B were treated with EWC 6 to 8 hours after operation. 159 cases group C were treated with EWC 12 to 24 hours after operation. 127 cases in group D were treated with gauze dresssing cover all the time until taking the stiches out ( 14 days). Blood circulation, wound infection, finger survival rate, medical costs were observed and compared among 4 groups. Results Compared with the other 3 groups, group B had better outcomes including blood circulation, wound infection, survival rate and medical costs of replanted finger. The EWC therapy could decrease expenditures of inpatient, length of stay, and incidence of complications. Conclusions The EWC therapy should be used 6 to 8 hours after operation when dressing oozing did not dry completely. That therapy can decrease the incidence of blood vessel crisis of replanted finger, reduce medical expenditures and improve survival rate of replanted finger.
