基于家庭远程康复平台的延续性康复改善手烧伤患者抗瘢痕治疗的疗效  

Continuous rehabilitation based on home tele-rehabilitation platform improved the efficacy of anti-scar treatment in patients with hand burns

作　　者：史娜 金晓燕[1] 赵凯平 王洁 赵春月 杨磊 沈余明 SHI Na;JIN Xiaoyan;ZHAO Kaiping;WANG Jie;ZHAO Chunyue;YANG Lei;SHEN Yuming(Department of Basic Teaching and Research,Nursing School of Peking University,Beijing 100191,China;Department of Medical Record Statistics,Capital Medical University,Beijing Jishuitan Hospital,Beijing 100035,China;Burn Department,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China)

机构地区：[1]北京大学护理学院基础教研室,北京100191 [2]首都医科大学附属北京积水潭医院病案统计科,北京100035 [3]首都医科大学附属北京积水潭医院烧伤科,北京100035

出　　处：《中国医科大学学报》2023年第9期810-814,共5页Journal of China Medical University

基　　金：首都卫生发展科研专项项目(2020-2-1123);北京大学朗泰科研基金项目(LTHL19ZD02)。

摘　　要：目的评价基于家庭远程康复(HTR)平台的延续性康复对手烧伤患者手部瘢痕和关节总主动活动度(TAM)的影响。方法本研究为前瞻性随机对照研究,收集80例出院后居家康复的深Ⅱ°~Ⅲ°手烧伤患者,分为电话组(n=38)和HTR组(n=42),分别给予常规电话随访指导和基于HTR平台的远程视频随访指导。比较2组患者创面愈合后第0、4、12、24周(W0、W4、W12、W24)的瘢痕评分和关节TAM。结果2组患者比较,瘢痕评分的差异有统计学意义(F_(组间)=30.160,P<0.001),HTR组患者在W12和W24时的瘢痕评分均明显低于电话组(均P<0.001)。2组患者关节TAM比较差异有统计学意义(F_(组间)=16.988,P<0.001),HTR组患者在W4、W12和W24时的关节TAM均明显高于电话组(均P<0.05)。结论基于HTR平台的延续性康复能改善患者的手部瘢痕和关节TAM,对抗瘢痕治疗起积极促进作用。Objective To evaluate the effect of continuous rehabilitation based on a home tele-rehabilitation(HTR)platform on the scars and total active movement(TAM)of joints in patients with hand burns.Methods This was a prospective randomized controlled study,and 80 patients with deep two-and three-degree hand burns who underwent home rehabilitation after discharge were selected.The patients were divided into a telephone group(received routine telephone follow-up guidance,n=38)and an HTR group(received remote video follow-up guidance based on an HTR platform,n=42).The scar scores and joint TAM at weeks 0(W0),4(W4),12(W12),and 24(W24)after wound healing were compared between the two groups.Results The differences in scar scores between the two groups were statistically significant(F_(group)=30.160,P<0.001),and the scar scores in the HTR group at W12 and W24 were significantly lower than those in the telephone group(both P<0.001).The differences in the joint TAM between the two groups were also statistically significant(F _(group)=16.988,P<0.001),and the joint TAM in the HTR group at W4,W12,and W24 were significantly higher than those in the telephone group(all P<0.05).Conclusion Continuous rehabilitation based on the HTR platform can improve the scars and joint TAM of patients with hand burns and also has a positive effect on anti-scar treatment.

关 键 词：手烧伤 瘢痕 延续性康复 家庭远程康复 

分 类 号：R644[医药卫生—外科学]