联合应用压力手套及压力垫治疗手背烧伤后瘢痕的疗效观察  

Outcome of combined pressure glove and pressure pad therapy in hypertrophic scar on dorsal hands

作　　者：石梦娜[1] 李娜[1] 王冰水[1] 梁艳[1] 朱蝉[1] 周永博[1] 

机构地区：[1]第四军医大学西京医院烧伤与皮肤外科,陕西西安710032

出　　处：《中国美容医学》2013年第1期133-135,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:观察联合应用压力手套和压力垫对手背侧烧伤后瘢痕增生的预防和治疗作用。方法:对58只烧伤后愈合患手分别采用单纯压力手套和联合应用定制压力手套及压力垫进行干预,用Sawada评分方法对两组治疗前、治疗3个月及治疗6个月手背瘢痕色泽、厚度、硬度及敏感度进行定量评分,比较其治疗差异。结果:联合治疗组在治疗6个月后效果优于单纯治疗组,具有统计学差异(P<0.05)。结论:联合治疗组较单纯治疗组更有效控制瘢痕增生及因瘢痕增生引起的继发畸形,外观改善明显。Objective To observe the clinical efficacy of combined pressure glove and pressure pad therapy for prevention and treatment of hypertrophic scar on dorsal hands. Methods Fifty-eight hands healed after burn insult were divided into two groups, with one treated with combined pressure gloves and pressure pads therapy and the other treated with single pressure gloves therapy. Color, thickness, hardness and sensitivity of the scar on all hands were evaluated by Sawada scoring system prio-treatment, or at 3 months and 6 months post-treatment. Then the score was compared and analyzed between two groups. Results The combined pressure glove and pressure pad therapy is better than the single pressure gloves treatment, with significant difference （P〈0.05）. Conclusion The combined pressure glove and pressure pad therapy may present better outcome for prevention and treatment of hypertrophic scar on dorsal hands, which effectively controlled the hypertrophic scar and reduced the resultantly secondary deformity of the hands.

关 键 词：瘢痕 手 指蹼 压力手套 压力垫 

分 类 号：R622[医药卫生—整形外科] R619.6[医药卫生—外科学]