序贯压力联合自制简易矫形器在儿童手部烧伤瘢痕挛缩康复期的应用  

Study on the application of sequential pressure combined simple orthosis for rehabilitation of scar contracture in children with hand burn

作　　者：潘南芳[1] 卓金 王欣[1] 

机构地区：[1]海南省人民医院烧伤与皮肤修复外科,海南海口570311 [2]海南省人民医院康复医学科,海南海口570311

出　　处：《临床和实验医学杂志》2016年第6期587-590,共4页Journal of Clinical and Experimental Medicine

基　　金：海南省自然科学基金资助项目(编号:80006)

摘　　要：目的探讨序贯压力联合自制简易矫形器在儿童手部烧伤瘢痕挛缩康复期的应用效果。方法手部烧伤瘢痕挛缩患儿120例根据随机抽签原则分为治疗组与对照组各60例,所有患者均采用统一的手术方案治疗,康复期对照组给予序贯压力康复,在此基础上治疗组加用积极自制简易矫形器进行康复,康复周期为8周。比较两组临床临床疗效、日常生活活动能力评分以及手指关节主动与被动活动度等情况。结果治疗组与对照组的康复优良率分别为95.0%和78.3%,治疗组的康复优良率明显高于对照组(P<0.05)。康复后治疗组的进食与洗脸评分为12.51±2.16和12.52±2.93分,对照组为9.43±2.85分和8.52±3.17分,两组的进食与洗脸评分明显高于康复前(P<0.05),且治疗组高于对照组,差异有统计学意义(P<0.05)。康复后治疗组的手指关节主动与被动活动度为44.93±2.64°和42.26±2.37°,对照组为34.23±2.06°和33.21±2.01°,两组的手指关节主动与被动活动度都明显高于康复前(P<0.05),且治疗组高于对照组,差异有统计学意义(P<0.05)。结论序贯压力联合自制简易矫形器在儿童手部烧伤瘢痕挛缩康复期的应用能有效提高手部关节活动度,促进患儿日常生活行为能力的提高,从而改善总体康复效果。Objective To explore the effect of application of sequential pressure combined simple orthosis for the rehabilitation of scar contracture in children with hand burn. Methods A total of 120 pediatric patients with scar contracture in hands caused by burn were equally divided into trial group and control group based on random draw principle,all patients were treated with uniform surgergical program,rehabilitation of patients in control group received sequential pressure for recovery,on this basis,patients in trial group were given with actively sequential pressure combined simple orthosis,and the rehabilitation period was eight weeks. Results The excellent rates of rehabilitation in patients of trial group and control group were 95. 0% and 78. 3% respectively,and the excellent rate in patients of trial group was significantly higher than that of patients in control group（ P〈0. 05）. The rating scores of eating and washing were 12. 51 ± 2. 16 and 12. 52 ± 2. 93 points in patients of trial group after rehabilitation,and those in patients of control group were 9. 43 ± 2. 85 points and 8. 52 ± 3. 17 points respectively,and the scores of eating and washing in these two group were significantly higher than those before the rehabilitation（ P〈0. 05）,and the difference between these two groups was statistically significant（ P〈0. 05）. The degrees of active and passive activities of finger joints were 44. 93 ± 2. 64° and 42. 26 ±2. 37° respectively in patients of trial group after rehabilitation,and those in patients of control group were 34. 23 ± 2. 06° and 33. 21 ± 2. 01°points respectively,the active and passive activities of finger joints in these two group were significantly higher than those before rehabilitation（ P〈0. 05）,and the difference between these two groups was statistically significant（ P〈0. 05）. Conclusion The application of sequential pressure combined simple orthosis for rehabilitation of scar contracture in hands of pediatric patients with hand burn can improve the

关 键 词：儿童 手部烧伤瘢痕挛缩 序贯压力 自制简易矫形器 康复 

分 类 号：R473.72[医药卫生—护理学]