目的：构建断指再植患者围手术期血管危象风险评估量表，为降低或避免术前、术中、术后血管危象的发生提供参考依据。方法：通过文献回顾、半结构式访谈及临床资料分析，形成断指再植患者围手术期血管危象风险评估初期量表，应用德尔菲法对30名相关领域专家进行2轮咨询。结果：2轮函询专家的积极系数分别为100.00%、93.33%，权威系数分别为0.92、0.93，专家协调程度分别为0.41和0.41（均P < 0.001）。最终形成包括术前、术中和术后3个维度、20个条目的断指再植患者围手术期血管危象风险评估量表。结论：断指再植患者围手术期血管危象风险评估量表构建方法科学、内容简明实用，可作为断指再植患者围手术期血管危象风险评估的参考工具。

Objective：To construct a perioperative vascular crisis risk assessment scale for patients with severed finger replantation，so as to provide reference for reducing or avoiding the occurrence of preoperative，intraoperative and postoperative vascular crises. Methods：Through literature review，semi-structured interview and clinical data analysis，the initial scale of perioperative vascular crisis risk assessment in patients with severed finger replantation was formed，and 30 experts in related fields were consulted by Delphi method for 2 rounds. Results：The positive coefficients were 100.00% and 93.33%，the authority coefficients were 0.92 and 0.93，and the coordination degree of experts were 0.41 and 0.41（all P < 0.001）. Finally，the perioperative vascular crisis risk assessment scale of patients with severed finger regrafting was formed，which included 3 dimensions before，during and after operation and 20 items. Conclusion：The perioperative vascular crisis risk assessment scale is scientific，simple and practical，and can be used as a reference tool for perioperative vascular crisis risk assessment in patients with severed finger replantation.