206例功能部位深度烧伤患者的综合康复治疗研究  

Comprehensive rehabilitation in deep burn injury of position of function after deep burn injury

作　　者：王德怀[1] 钟宇[1] 陈大夫[1] 赵伟[1] 李虹[1] 张定敏[1] 王晓[1] 周建文[1] 牛文化[1] 

机构地区：[1]四川省成都市第二人民医院烧伤整形外科,610017

出　　处：《中华损伤与修复杂志（电子版）》2008年第4期43-45,共3页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

摘　　要：目的探讨早期综合康复治疗对功能部位深度烧伤愈后瘢痕增生及挛缩畸形的防治作用。方法对2004年至2007年收治的功能部位深Ⅱ度以上烧伤患者206例,共计586个功能部位,采取早期切削痂中厚皮移植和复合皮(脱细胞异体真皮加自体表皮)移植,术后固定于伸直或功能位。7～10天逐渐开始康复功能训练,拆线后即行硅胶膜贴敷及弹力套加压治疗和康复功能锻炼。结果206例患者共计586个功能部位用该方法获得了满意的治疗效果,功能及外形良好者达90%以上。结论功能部位深度烧伤在伤后3～5天内行切削痂植皮手术,术后正确的固定和早期进行功能锻炼以及瘢痕增生的综合防治是保证各关节功能部位恢复良好的关键,综合康复措施应贯穿治疗的全过程。Objective To prevent the proliferation of scar deformity contracture in position of function after deep burn injury and restore every position good function. Methods 586 positions （206 cases） with deep second degree bum from 2004 to 2007 were enrolled in this study. The escharectomy and skin grafting were performed between two and five days after bum injury. Early functional exercise was done and elastic glove and silicone gel sheeting were used to compress the grafting. Results The satisfactory effects were obtained in more than 90% of cases, the function and outline were excellent. Conclusions The best time of early eseharectomy is within five days after bum. Treating position of function 0.5 deep bums with early escharectomy and skin grafting not only prevent the joint position from deformation and restore the joint function but also shorten the period of treatment and alleviate the suffering and expensive burden for the pa- tients. Comprehensive rehabilitation measures should run through the whole process of treatment.

关 键 词：烧伤 植皮 康复 硅胶 压力治疗 

分 类 号：R644[医药卫生—外科学] R743.3[医药卫生—临床医学]