系列矫形支具在烧伤后手功能恢复中的应用  

Application with a series of orthotic splints for recovery of hand function after burn

作　　者：易南[1] 王冰水[2] 朱雄翔[1] 胡大海[1] 秦茵[3] 石梦娜[1] 

机构地区：[1]第四军医大学西京医院全军烧伤中心,西安710032 [2]第四军医大学西京医院全军康复理疗科,西安710032 [3]南京军区福州总医院中医理疗科

出　　处：《中华烧伤杂志》2008年第3期191-194,共4页Chinese Journal of Burns

摘　　要：目的了解自制静态和动态手支具对烧伤后手功能恢复的作用。方法在烧伤后不同治疗阶段，为32例患者的52只手制作不同类型支具，针对不同个体单独或联合使用，采用Carroll上肢功能评定标准，对上肢及手的整体功能（包括粗动作及精细动作如抓、握、捏、夹及手臂旋前、旋后、取物、放置等）进行定量评定，比较使用支具治疗前后手部功能恢复情况。结果按Carroll上肢功能评定标准，治疗前患手功能Ⅳ级7只、Ⅲ级15只、Ⅱ级23只、Ⅰ级7只。治疗3个月后重新评定，手功能Ⅵ级9只、Ⅴ级28只、Ⅳ级9只、Ⅲ级6只。28例患者46只手的对指、对掌、握、捏等功能恢复较好，可完成日常生活中的手部活动。结论该自制手支具对预防和治疗手烧伤后瘢痕挛缩有良好的效果，可明显促进手功能的恢复。Objective To observe the effect of static and dynamic splints on recovery of hand functions in burn patients. Methods Tirty-two burn patients with 52 injured hands were treated with orthotic splints （single or combined application） during different therapeutic stages. Carroll＇s upper limb functional test was used to evaluate the function of upper limbs and hands from rough to fine movements, including grasp,pinch,nip, foream pronation and supination, fetching, etc. The hand functions were compared before and after treatment. Results There were 7 hands with grade Ⅳ function, 15 hands with grade Ⅲ, 23 hands with grade Ⅱ , and 7 hands with grade Ⅰ before treatment ,while 9 hands achieved grade Ⅳ function, 28 hands grade Ⅴ, 9 hands grade Ⅵ, and 6 hands grade Ⅲ after treatment for three months. Twentyeight patients with 46 hands recovered well enough to handle daily chores ,including digital opposition,palmar opposition, grasp, pinch, etc. Conclusion The manual splints offer good effects on preventing and treatment scar contracture of hand after burn,and they can promote the recovery of hand functions.

关 键 词：烧伤 手 挛缩 支具 

分 类 号：R644[医药卫生—外科学] R49[医药卫生—临床医学]