中药水疗加磁疗治疗小儿深Ⅱ度烧伤创面愈合后瘢痕的效果  

Effects of hydrotherapy with traditional Chinese medicine and magnetotherapy on treatment of scars after healing of deep partial-thickness burn wounds in children

作　　者：刘锐[1] 曹卫红 刘红丽[2] 张丹丹[2] Liu Rui;Cao Weihong;Liu Hongli;Zhang Dandan(Department of Burns,Heilongjiang Provincial Hospital,Harbin 150036,China)

机构地区：[1]黑龙江省医院烧伤科,哈尔滨150036 [2]空军总医院烧伤科

出　　处：《中华烧伤杂志》2018年第8期516-521,共6页Chinese Journal of Burns

基　　金：黑龙江省自然科学基金（QC2016101、QC2016102）;哈尔滨市科技创新人才研究专项基金（2016RAXYJ069）

摘　　要：目的研究中药水疗＋磁疗对治疗小儿深Ⅱ度烧伤创面愈合后瘢痕的效果。方法2016年1-12月，空军总医院烧伤科收治的48例深Ⅱ度烧伤创面愈合后形成瘢痕患儿符合本研究入选标准，回顾性分析其病历资料。在创面完全愈合后1个月以内，根据患儿及其家属意愿，24例患儿瘢痕处外用硅酮霜2次/d且全天佩戴弹力套，设为常规治疗组；另24例患儿在采用常规治疗组治疗方法的基础上，每2天采用复春散2号进行30 min中药水疗1次，每天早晚各采用脉冲磁疗仪进行30～60 min磁疗1次，设为水疗＋磁疗组。治疗前及治疗12周后，采用温哥华瘢痕量表评定患儿瘢痕情况，采用Wong－Baker面部表情量表评定患儿瘢痕疼痛程度，采用数字评价量表评定患儿瘢痕瘙痒程度，采用改良Barthel指数评定患儿日常生活活动能力（ADL），采用运动功能评定量表评价患儿瘢痕所在四肢的功能障碍情况。治疗12周后，计算患儿畸形的发生率。对数据行t检验、χ2检验。结果治疗前，常规治疗组、水疗＋磁疗组患儿瘢痕情况评分相近（t＝0.517，P＝0.721）；治疗12周后，水疗＋磁疗组患儿的瘢痕情况评分为（2.8±0.8）分，明显低于常规治疗组的（3.9±0.8）分（t＝5.725，P〈0.01）。治疗前，常规治疗组、水疗＋磁疗组患儿瘢痕疼痛、瘙痒程度评分相近（t＝0.373、0.241，P＝0.712、0.631）；治疗12周后，水疗＋磁疗组患儿瘢痕疼痛、瘙痒程度评分分别为（0.52±0.21）、（0.7±0.4）分，明显低于常规治疗组的（1.13±0.32）、（1.3±0.4）分（t＝6.057、5.259，P〈0.01）。治疗前，常规治疗组、水疗＋磁疗组患儿ADL评分相近（t＝0.082，P＝0.964）；治疗12周后，水疗＋磁疗组患儿的ADL评分为（67±13）分，明显高于常规治疗组的（48±10）分（t＝5.378，P〈0.01）。治疗前，常规治疗组、水疗＋磁疗组患儿瘢痕所�ObjectiveTo study the effects of hydrotherapy with traditional Chinese medicine combined with magnetotherapy on treatment of scars after healing of deep partial-thickness burn wounds in children.MethodsForty-eight children with scars after healing of deep partial-thickness burn wounds admitted to the Burn Department of Air Force General Hospital from January to December in 2016 met the criteria for inclusion in this study, and their medical records were analyzed retrospectively. Within one month after the wound was completely healed, 24 children were treated with silicone cream for 2 times per day and wore elastic sleeves all day long according to the wishes of the children and their families, and they were enrolled in routine treatment group. The other 24 children were treated by hydrotherapy with traditional Chinese medicine Fuchunsan No. 2 once every 2 days for 30 min each time on the basis of treatment methods of routine treatment group, plus magnetotherapy using pulse magnetotherapy apparatus in the morning and evening of each day for 30-60 min each time, and they were enrolled in hydrotherapy＋ magnetotherapy group. Before treatment and 12 weeks after treatment, the Vancouver Scar Scale was used to assess the scar condition of children, the Wong-Baker Facial Expression Scale was used to assess the degree of scar pain of children, the Numerical Rating Scale was used to assess the degree of scar itching of children, the modified Barthel Index was used to assess the activity of daily living （ADL） of children, and the Motor Function Evaluation Scale was used to assess the dysfunction condition of limbs with scar. After 12 weeks of treatment, the incidence of deformity of children was calculated. Data were processed with t test and chi-square test.ResultsBefore treatment, the scores of scar condition of children between routine treatment group and hydrotherapy＋ magnetotherapy group were similar （t=0.517, P=0.721）. After 12 weeks of treatment, the score of scar condition of children in hydrotherapy＋

关 键 词：烧伤 康复 儿童 中药水疗 磁疗 

分 类 号：R726[医药卫生—儿科]