37例小儿断指再植不利因素分析及护理对策

摘要

目的 探讨小儿断指再植护理特点、方法及临床护理效果.方法 分析总结2010年7月至2012年7月37例小儿断指再植护理,针对小儿依从性差35例、情绪不稳定32例、体温波动31例、血管危象11例、父母日常护理知识缺乏35例,采用镇静、制动、保暖、禁烟、早期家属健康指导等护理措施.结果 再植指体动脉栓塞坏死1例,静脉栓塞坏死1例,成活35例,总成活率94.6％.结论 小儿断指再植难配合治疗护理,影响再植指体治愈和功能恢复的因素多而复杂,护理较困难.采用镇静、制动、保暖、禁烟、家属健康教育等方法,可取得了满意的疗效.%Objective To investigate the characteristics,methods,and clinical effects of nursing for children undergoing digital replantation.Methods The data on nursing for 37 pediatric patients who had undergone digital replantation during the period of July July 2010 to July 2012 were analyzed.Of the 37 patients,35 had poor compliance,32 had emotional instability,31 had unstable body temperature,and 11 had vascular crisis.The parents of 35 children lacked of a knowledge about daily care.The nursing measures including sedation,immobilization,keeping warm,non-smoking,and early family health education were taken.Results Arterial embolization and necrosis in the replanted finger developed in one child and venous thrombosis and necrosis occurred in one patient.The inplanted fingers survived in 35 children,with an overall survival rate of 95.2％.Conclusions It is difficult for pediatric patients undergoing digital replantation to cooperate with treatment and nursing care.The factors affecting the healing and functional recovery are various and complicated and thus nursing is difficult.Application of sedation,immobilization,keeping warm,non-smoking,family health education can obtain a satisfactory efficacy.