持续被动活动在烧伤爪形手术后康复中的应用研究  

Application of CPM in Rehabilitation for Postoperative Claw Hands after Burns

作　　者：樊佳俊[1] 许佳 韩冬[1] FAN Jiajun;XU Jia;HAN Dong(Department of Plastic and Reconstructive Surgery,Shanghai Ninth People's Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院整复外科,上海市200011

出　　处：《组织工程与重建外科杂志》2019年第2期92-94,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探讨持续被动活动(Continues passive motion,CPM)在烧伤爪形手整形术后康复中的应用效果。方法回顾分析2017年1月至2018年12月收治的28例(41只手)烧伤爪形手患者的临床资料,分为观察组和对照组,对照组进行常规康复治疗,观察组在常规康复治疗基础上增加CPM训练。比较两组第2～5指的掌指关节的主动活动度(Active range of motion,AROM)、被动活动度(Passive range of motion,PROM)以及疼痛视觉模拟评分(Visual analogue scale,VAS)在康复治疗前后的变化。结果康复治疗后两组AROM、PROM都有明显改善,VAS明显降低(P<0.05);组间比较显示,第2、4、8周时,观察组比对照组AROM、PROM提高更为显著,VAS降低更加明显(P<0.05)。结论 CPM能够明显减少烧伤爪形手常规康复治疗中产生的疼痛,提高患者的依从性,加快术后康复进程,取得更好的康复效果。Objective To investigate the application efficacy of continues passive motion(CPM)in rehabilitation for postoperative claw hands after burns.Methods Clinical records of 28 cases(41 hands)with claw hands were retrospectively analyzed from January 2017 to December 2018.All the patients were divided into observation group and control group.Patients in control group were given conventional rehabilitation therapy,while patients in observation group were given CPM on the basis of conventional rehabilitation therapy.VAS,AROM and PROM of 2nd-5th metacarpophalangeal joint were compared in the two groups before and after treatment.Results After treatment,significant increment in AROM,PROM and significant reduction in VAS(P<0.05)were observed in the two groups.AROM,PROM in observation group were higher than those in control group at each time point(2 w,4 w,8 w),while VAS in observation group was much lower than that in control group(P<0.05).Conclusion CPM can significantly reduce the pain during conventional rehabilitation therapy,improve patient compliance,accelerate the rehabilitation process,and achieve better results.

关 键 词：持续被动活动 烧伤爪形手 康复 

分 类 号：R622[医药卫生—整形外科]