Application study of warm heparin sodium saline hydrotherapy on the wound scab formation of patients underwent finger replantation surgery

ZHU Xiaoyun; HUANG Xinyan; QIAN Huijuan

doi:10.3969/j.issn.1002-7386.2026.01.038

Abstract：Objective To evaluate the effect of warm heparin sodium saline hydrotherapy on wound scab formation in patients underwent finger replantation surgery.Methods A total of 80 patients with bleeding and scabbing after finger replantation surgery who were treated from November 2023 to June 2024 were selected as the research subjects.They were randomly divided into the study group and control group by drawing lots.All patients in the control group received routine nursing interventions,while those in the observation group additionally received warm heparin sodium saline hydrotherapy.The integrity of blood scab clearance,pain level during and after finger scab care,nursing hours,bleeding situation,incidence of vascular crisis and local infection,and comfort satisfaction were compared between the two groups.Results In the observation group,39 patients had complete blood scab cleaning,and 1 patient had residual blood scabs that were not completely cleaned.The completeness of blood scab cleaning in the observation group was 97.50%(39/40).In the control group,30 patients had complete blood scab cleaning,while 10 patients had residual blood scabs that were not completely cleaned.The completeness of blood scab cleaning in the control group was 75.00%(30/40),which was significantly higher in the observation group than the control group(P<0.05).The numerical rating scale(NRS)scores of the two groups of severed finger scabs after care decreased compared to the pre-treatment values before care.The NRS scores of the observation group after nursing care of severed finger scabs care were significantly lower than the control group(P<0.05).The nursing time after hydrotherapy in the observation group was(7.82±1.39)minutes,while the cotton ball wiping nursing time in the control group was(26.58±3.29)minutes.The nursing hours in the observation group were significantly shorter than the control group(P<0.05).The incidence of blood leakage,vascular crisis,and local infection in the observation group was 2.50%(1/40),2.50%(1/40),and(0/40),respectively.The incidence of blood leakage,vascular crisis,and local infection in the control group was(0/40),20.00%(8/40),and(0/40),respectively.The incidence of vascular crisis in the observation group was significantly lower than that the control group(P<0.05),while the incidence of blood leakage and local infection was comparable between the two groups(P>0.05).The comfort satisfaction was significantly higher in the observation group compared with the control group(97.50%vs 75.00%,P<0.05).Conclusion Warmed heparin sodium saline hydrotherapy can improve the integrity of blood scab cleaning in patients,shorten nursing hours,alleviate patient pain,reduce the incidence of vascular crisis,and enhancing patient comfort satisfaction.