系统综合康复治疗对烧烫伤患儿预后效果的比较研究  

Comparative study of curative efficacy of using comprehensive systemic treatment in burned children

作　　者：刘锐 曹卫红[2] 李宗瑜 苏海涛 赵洪伟 朱英来 阚侃 唐金树[3] 

机构地区：[1]哈尔滨市第五医院烧伤科,哈尔滨150040 [2]解放军空军总医院,北京100142 [3]解放军总医院第一附属医院骨科康复中心,北京100048

出　　处：《中华损伤与修复杂志（电子版）》2015年第1期51-54,共4页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

基　　金：北京市科学技术委员会重点项目(D13110700490000);全军"十二五"后勤科研计划课题资助项目(CKJ12J027)

摘　　要：目的阐明系统性康复治疗在儿童烧烫伤患者康复治疗作用中的意义。方法以2014年1月至2014年11月哈尔滨市第五医院收治的96例儿童烧烫伤患者为研究对象,随机分为治疗组(n=48)和对照组(n=48),对照组采用传统康复治疗方法,外用瘢痕舒均匀涂布创面(2次/d)、佩戴弹力套。治疗组在对照组治疗基础上,创面愈合后采用主动、被动肢体运动疗法、佩戴弹力套、超声药物离子导入、蜡疗、音乐治疗等系统性康复治疗8周。分析两组瘢痕增生指数、疼痛评分、瘙痒评分、日常生活活动(ADL)能力评价、畸形发生率。结果经过综合治疗后,患儿的瘢痕增生程度方面,治疗组瘢痕厚度(2.81±1.26)分和瘢痕颜色(1.56±0.82)均低于对照组(4.15±1.32)、(2.71±0.69)分,差异具有统计学意义(t=2.646,3.851,P<0.05);疼痛程度,治疗组为(0.79±0.36)分低于对照组(1.27±0.34)分,差异具有统计学意义(t=3.411,P<0.05);瘙痒程度,治疗组为(1.55±0.98)分低于对照组(2.29±0.57)分,差异具有统计学意义(t=2.484,P<0.05);日常生活活动能力,治疗组患儿ADL评分为(75.6±20.5)明显高于对照组(48.7±13.1),差异具有统计学意义(t=2.507,P<0.05);畸形发生率治疗组患儿畸形发生率为14.3%,明显优于对照组20%(χ2=5.17,P<0.05)。结论系统性康复治疗可以明显减轻儿童烧烫伤患者瘢痕增生程度,疼痛程度,瘙痒程度,ADL能力明显改善,降低了畸形发生率。Objective To investigate the significance of comprehensive systemic rehabilitation therapy in burned children. Methods Ninety-six burned children were involved in this study . They were admitted at the Fifth Hospital of Harbin during January to November in 2014, they were randomly divided into treatment group （ n = 48） and control group （ n = 48）, the control group only received topical drug dressing and wearing elastic body suit. The treatment group based on the control group, they were all received systemic rehabilitation treatment for 8 weeks after the wound healing. Methods of systemic rehabilitation consist of passive and active functional exercise, pressure garment, ultrasound treatment, music therapy. The VSS scar score, pruritus degree, pain severity, activitie daily life （ADL） ability and deformity incidence will be compared between this two groups after 8 weeks. Results After systemic rehabilitation treatment,the VSS scar scores incuding scar thickness and scar color of the treatment group were （2.81±1.26 ）, （ 1.56±0.82 ）, which was lower than the control group （4. 15±1. 32 ）, （2.71±0.69 ）, the difference was statisitically significant （t =2. 646, 3. 851, P 〈0. 05）. The pruritus degree and pain severity scores of the treatment group were（0.79±0.36）, （ 1.55 ±0.98） which was lower than the control group（ 1.27 ±0.34）, （2.29 ±0.57） the difference was statisitically significant （ t = 3.41 l, 2. 484, P 〈 0. 05 ）. The score of ADL ability was （ 75. 6± 20.5 ）, which was significantly higher than the control group （ 48. 7 ±13. 1 ） the difference was statisitically significant （t = 2. 507, P 〈 0. 05 ）. The deformity incidence of the treatment group was 14. 3%, which was lower than the control group （20%） the difference was statisitieally significant （X2 = 5. 17, P 〈 0. 05 ）. Conelusions Systemic rehabilitation could effectively reduce the degree of scar hyperplasia, pruritus degree, pain severity and deformities incidence in

关 键 词：烧伤 康复 儿童 瘢痕 系统综合治疗 

分 类 号：R726.5[医药卫生—儿科]