[1]王 梅,蔡幸娟,黄彩妹.早期功能锻炼对手部深度烧伤患者功能恢复和外观改善的影响[J].中国美容医学,2020,(11):35-38.
　WANG Mei,CAI Xing-juan,HUANG Cai-mei.Effect of Early Functional Exercise on Functional Recovery and AppearanceImprovement of Patients with Hand Deep Burn[J].Medical Aesthetics and Beauty,2020,(11):35-38.
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早期功能锻炼对手部深度烧伤患者功能恢复和外观改善的影响
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年11期
页码:
35-38
栏目:
出版日期:
2020-11-10

文章信息/Info

Title:
Effect of Early Functional Exercise on Functional Recovery and Appearance
Improvement of Patients with Hand Deep Burn
文章编号:
1008-6455（2020）11-0035-04
作者:
王 梅; 蔡幸娟; 黄彩妹
Author(s):
WANG Mei; CAI Xing-juan; HUANG Cai-mei
关键词:
[关键词]早期功能锻炼; 深度烧伤; 手部; 功能恢复; 外观改善
Keywords:
Key words: early functional exercise;  deep burn;  hand;  functional recovery;  appearance improvement
分类号:
R644
文献标志码:
A
摘要:
[摘要]目的：研究早期功能锻炼对手部深度烧伤患者功能恢复和外观改善的影响。方法：回顾性分析笔者医院2016年
3月-2019年1月收治的95例手部深度烧伤患者的临床资料，所有患者依据入院先后顺序分为对照组（n =46）和观察组
（n=49），均接受削痂植皮术治疗。对照组在此基础上联合常规康复干预，观察组在对照组基础上联合早期功能锻炼，比较
两组手部瘢痕评分、手功能评分、手关节活动度、手部外观及并发症发生情况。结果：观察组血管分布、色泽、厚度及柔软
度评分均低于对照组，差异有统计学意义（P ＜0.05）。干预后，两组手功能评分均上升，且观察组高于对照组，差异有统
计学意义（P＜0.05）。观察组关节活动度优良率及手部外观优良率均高于对照组，差异有统计学意义（P ＜0.05）。两组植
皮均成功，无再次植皮患者，且无感染、创面愈合不良等并发症发生。结论：早期功能锻炼能够降低手部深度烧伤患者的瘢
痕严重程度，促进手部功能恢复，并有利于手部外形的改善。

Abstract:
Abstract: Objective To study the effect of early functional exercise on functional recovery and appearance improvement of
patients with hand deep burns. Methods The clinical data of 95 patients with deep hand burns admitted to our hospital from
March 2016 to January 2019 were retrospectively analyzed. All patients were divided into the control group (n =46) and the
observation group (n =49) according to the admission order, and all received escharectomy and skin grafting. The control group
was combined with routine rehabilitation intervention on this basis. The observation group was combined with early functional
exercise on the basis of the control group. The hand scar score, hand function score, hand joint activity, hand appearance and
complications were compared between the two groups. Results The vascular distribution, color, thickness and softness scores
of the observation group were lower than those of the control group, the differences were statistically signifi cant (P ＜0.05).
After the intervention, the hand function scores of the two groups increased, and the observation group was higher than the
control group (P ＜0.05). The excellent and good rate of joint motion and hand appearance in the observation group were higher
than those in the control group (P ＜0.05). Skin grafting was successful in both groups. There was no skin graft again, and no
infection, wound healing and other complications occurred. Conclusion Early functional exercise can reduce the scar severity
of patients with deep hand burns, promote the recovery of hand function, and is benefi cial to the improvement of hand shape.

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更新日期/Last Update: 2020-11-24