关键词: 断指再植, 康复训练, 微波理疗, 手指功能, 日常生活能力

Abstract: Objective To explore the effect of microwave physiotherapy combined with rehabilitation training on finger function and daily living ability of patients with severed finger replantation．Methods Patients who underwent replantation of severed fingers in our hospital from January 2022 to December 2023 were selected retrospectively．Fifty patients who received rehabilitation training were included in the control group,51 patients who were intervened by microwave physiotherapy combined with rehabilitation training were included in the observation group．The blood circulation,sensory recovery,pain score,finger function and daily living ability of the two groups were compared．Results The temperature（[28.43±5.86]℃ vs [26.15±5.39]℃,t=2.025,P<0.001） and capillary reaction（[9.76±2.63]cm/s vs [7.36±2.23]cm/s,t=4.922,P=0.046） of the affected fingers in the observation group were higher（P<0.05）．The sensory score（[15.79±3.75] vs [11.88±3.13],t=5.660,P<0.001）of the observation group was higher than that of the control group（P<0.05）．The visual analogue scale（VAS）scores of the observation group at the second week（[3.72±0.88] vs [4.39±0.92],t=3.721,P<0.001） and four weeks later（[2.67±0.32] vs [3.03±0.52],t=4.169,P=0.001）were lower than those of the control group（P<0.05）．The score of Michigan Hand Outcome Questionnair（MHQ）（[61.05±10.68] vs [52.58±10.21],t=4.054,P<0.001） in the observation group was higher（P<0.05）．The GQLI-74 score（[320.16±55.25] vs [270.85±50.06]） and Barthel index（[75.71±12.84] vs [68.58±12.23],t=2.843,P=0.005）in the observation group were higher（P<0.05）．Conclusions Microwave physiotherapy combined with rehabilitation training can improve the finger function,relieve the pain and improve the quality of daily life of patients with severed fingers．

Key words: replantation of severed fingers, rehabilitation training, microwave physiotherapy, finger function, ability of daily living