压力手套结合持续被动运动训练系统对手背部烧伤康复情况的影响研究  

Effect of the use of pressure gloves combined with continuous passive motion training system on the rehabilitation of opisthenar burns

作　　者：焦爱丽 王伟阁[1] 崔承铭 JIAO Ai-li;WANG Wei-ge;CUI Cheng-ming

机构地区：[1]商丘市第一人民医院烧伤整形外科,河南商丘476000

出　　处：《中国疗养医学》2024年第4期21-24,共4页Chinese Journal of Convalescent Medicine

基　　金：河南省医学科技攻关项目(LHGJ2021001236)。

摘　　要：目的 观察压力手套结合持续被动运动(CPM)训练系统对手背部烧伤患者康复情况的影响。方法 本研究为前瞻性研究,选择商丘市第一人民医院2020年2月至2022年2月收治的125例手背部烧伤患者为研究对象,根据患者是否愿意接受康复治疗,将其分为联合组(70例)和对照组(55例),两组均实施手部功能锻炼,对照组佩戴压力手套配合干预,联合组应用CPM训练系统+压力手套配合干预,所有患者开展为期1年随访,比较两组患者的手关节活动度、上肢功能、手瘢痕恢复情况、上皮覆盖率。结果 在不同干预方案下,联合组的掌指关节(MCP)、近端指间关节(PIP)、远端指间关节(DIP)活动度分别为(60.45±10.27)°、(70.36±10.27)°、(42.33±10.41)°,均高于对照组(55.32±10.47)°、(65.25±10.18)°、(35.62±8.13)°;联合组随访第3个月、12个月时的Carroll上肢功能评定法(UEFT)评分分别为(65.23±10.43)分、(78.44±10.36)分,均高于对照组(60.19±10.27)分、(72.33±10.25)分;随访第3个月、12个月时的上肢动作研究量表(ARAT)评分分别为(35.22±5.46)分、(44.76±5.38)分,均高于对照组(32.49±5.13)分、(41.24±5.49)分;联合组随访第3个月、12个月时的温哥华瘢痕量表(VSS)评分分别为(7.66±1.23)分、(4.14±1.25)分,均低于对照组[(8.82±1.95)分、(5.72±1.88)分];随访第3个月、12个月时的上皮覆盖率分别为(80.33±10.45)%、(91.25±10.27)%,均高于对照组(75.62±10.11)%、(85.94±10.33)%,差异均具有统计学意义(P<0.05)。结论 压力手套结合CPM训练系统可进一步改善手背部烧伤患者的手关节、上肢功能恢复,对促进其手部瘢痕恢复、创面愈合均有积极意义。Objective To observe the effect of the use of pressure gloves combined with continuous passive motion(CPM)training system on the rehabilitation of opisthenar burns.Methods It was a prospective study involving 125patients with opisthenar burns who were admitted in the Shangqiu First People's Hospital between February 2020 and February 2022.Based on the willing to receive rehabilitation treatment,patients were divided into the combination group(70 cases)and control group(55 cases).All patients received hand function exercise with the use of pressure gloves,and those in the combination group were additionally managed by CPM training system.All patients underwent a one-year follow-up,and the hand joint mobility,upper limb function,hand scar recovery and epithelial coverage were compared between two groups.Results After interventions,range of motions of the metacarpophalangeal(MCP)joint(60.45°±10.27°VS 55.32°±10.47°),proximal interphalangeal(PIP)joint(70.36°±10.27° VS 65.25°±10.18°)and distal interphalangeal(DIP)joint(42.33° ±10.41° VS 35.62° ±8.13°)in the combination group were significantly greater than those of control group(P<0.05).The upper extremity function test(UEFT)scores at 3 months(65.23±10.43 points VS 60.19±10.27 points)and 12months of follow-up(78.44±10.36 points VS 72.33±10.25 points)were significantly higher in the combination group than those of control group(P<0.05).The action research arm test(ARAT)scores at 3 months(35.22±5.46 points VS 32.49±5.13points)and 12 months of follow-up(44.76±5.38 points VS 41.24±5.49 points)were significantly higher in the combination group than those of control group(P<0.05).The Vancouver scar scale(VSS)scores at 3 months(7.66±1.23points VS 8.82±1.95 points)and 12 months of follow-up(4.14±1.25 points VS 5.72±1.88 points)were significantly lower in the combination group than those of control group(P<0.05).The epithelial coverage rate at 3 months(80.33±10.45)%VS(75.62±10.11)% and 12 months of follow-up(91.25±10.27)% VS(85.94±10.33)% was s

关 键 词：手背部烧伤 压力手套 持续被动运动 手功能 手部瘢痕 

分 类 号：R644[医药卫生—外科学]