蔡俊燕,肖王静,孙子荔,等.康复训练联合阶段式压力治疗对手部深度烧伤后瘢痕增生及运动功能的影响[J].中华物理医学与康复杂志,2025,47(6):524-529
扫码阅读全文
|
| 康复训练联合阶段式压力治疗对手部深度烧伤后瘢痕增生及运动功能的影响 |
|
| |
| DOI：10.3760/cma.j.cn421666-20250224-00091 |
| 中文关键词: 康复训练 阶段式压力治疗 手部深度烧伤 瘢痕 手运动功能 |
| 英文关键词: Rehabilitation training Staged pressure therapy Burns Scarring Hand motor function |
| 基金项目:国家自然科学基金青年科学基金项目（82305238） |
|
| 摘要点击次数: 137 |
| 全文下载次数: 122 |
| 中文摘要: |
| 目的 探讨康复训练联合阶段式压力治疗对手部深度烧伤后瘢痕增生及运动功能的影响。 方法 采用随机数字表法将60例手部深度烧伤患者分为观察组及对照组，每组30例。2组患者均接受烧伤专科治疗及早期康复训练，对照组在此基础上辅以常规压力治疗，观察组则辅以阶段式压力治疗，2组患者治疗周期均为6个月。于治疗前、治疗3个月、6个月后分别采用温哥华瘢痕量表（VSS）、握力和捏力测试、Jebsen手功能测试（JHFT）对2组患者瘢痕增生及手功能恢复情况进行评定，同时检测2组患者手指关节总主动活动度（TAM）及总被动活动度（TPM），记录2组患者治疗期间并发症发生情况。 结果 治疗3个月、6个月后观察组患者VSS评分［分别为（3.53±0.78）分和（5.13±1.20）分］、手指关节TAM评分［分别为（2.33±0.48）分和（3.43±0.68）分］、TPM评分［分别为（2.67±0.55）分和（3.60±0.56）分］、握力［分别为（17.47±2.96）kg和（24.40±3.38）kg］、侧捏力［分别为（5.36±0.85）kg和（7.29±1.06）kg］、三指捏力［分别为（4.75±0.81）kg和（6.70±1.00）kg］、指尖捏力［分别为（3.03±0.64）kg和（4.05±0.61）kg］及JHFT测试结果［分别为（314.07±21.16）s和（194.20±29.06）s］均显著优于治疗前及同期对照组水平（P＜0.05）。治疗期间观察组、对照组分别有1例患者、2例患者出现皮肤水疱，分别有2例患者出现皮肤轻度瘙痒或过敏，可自行愈合或经对症处理后症状缓解。 结论 在康复训练基础上辅以阶段式压力治疗，能更有效抑制手部深度烧伤后瘢痕增生，改善手指关节活动度，增强手部肌力，加速手功能恢复，且安全性较高，该联合疗法值得临床推广、应用。 |
| 英文摘要: |
| Objective To explore the effect of staged pressure therapy, in addition to rehabilitation training, on scar hyperplasia and motor function after a deep hand burn. Methods Sixty patients with deep hand burns were randomly divided into a control group (n=30) and an observation group (n=30). In addition to specialized burn treatment and early rehabilitation training, the control group was given routine pressure treatment, while the observation group was provided with staged pressure therapy for 6 months. Before the treatment and after 3 and 6 months of treatment, scar hyperplasia and hand function in both groups was evaluated using the Vancouver scar scale (VSS), grip strength and pinch strength tests, and the Jebsen hand function test (JHFT). Total active motion (TAM) and total passive motion (TPM) of the finger joints was quantified, and any complications during the treatment were recorded. Results After 3 and 6 months of the treatment, all of the observations in both groups had improved significantly, but the improvements were significantly better among the treatment group, on average. Conclusions Staged pressure therapy can more effectively inhibit scar hyperplasia after a deep hand burn. In conjunction with rehabilitation training，it better improves the mobility of the finger joints, hand muscle strength and the recovery of hand function. It is worthy of clinical promotion and application. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
