[1] 倪少俊,徐秋月. 不同年龄手部烧伤瘢痕挛缩畸形患者修复后功能恢复水平比较[J].中国美容医学,2021,(4):89-91.
　 NI Shao-jun,XU Qiu-yue. Comparison of Functional Recovery in Different Ages Patients with Hand Burn ScarContracture Deformity after Repair[J].Medical Aesthetics and Beauty,2021,(4):89-91.
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 不同年龄手部烧伤瘢痕挛缩畸形患者修复后功能恢复水平比较
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年4期
页码:
89-91
栏目:
出版日期:
2021-04-10

文章信息/Info

Title:
 Comparison of Functional Recovery in Different Ages Patients with Hand Burn Scar
Contracture Deformity after Repair
文章编号:
1008-6455（2021）04-0089-03
作者:
 倪少俊1; 徐秋月2
Author(s):
 NI Shao-jun1; XU Qiu-yue2
关键词:
 [关键词]瘢痕; 烧伤; 手部; 挛缩畸形; 功能恢复; 年龄差异
Keywords:
 Keywords: scar;  burn;  hand;  contracture deformity;  functional recovery;  age difference
分类号:
R619+.6
文献标志码:
A
摘要:
[摘要]目的：分析烧伤后手部瘢痕挛缩畸形患者接受修复治疗后的功能恢复情况，并比较不同年龄的恢复差异。方法：以笔
者医院2017年1月-2019年12月确诊的74例烧伤后手部瘢痕挛缩畸形患者为研究对象，均接受相同康复治疗包括加压治疗、
手指主被动活动、温水治疗、作业疗法，分析康复治疗后功能恢复情况，并分年龄段探讨其恢复情况。结果：本组74例患者
在接受康复治疗后1个月手部主动活动与被动活动度、生活自理能力ADL评分均明显大于治疗前，治疗后3个月明显大于治疗
前、治疗后1个月，差异有统计学意义（P ＜0.05）；相同年龄段组内比较，治疗后1、3个月主被动活动度、生活自理能力
ADL评分均高于治疗前，且治疗后3个月高于治疗后1个月，差异有统计学意义（P ＜0.05）；不同年龄段组间比较，41～60
岁、61～71岁组治疗后1、3个月主被动活动度、生活自理能力ADL评分均低于24～40岁，且61～71岁组低于41～60岁组，差
异有统计学意义（P ＜0.05）。结论：烧伤后手部瘢痕挛缩畸形患者接受积极的康复治疗可保证功能的有效恢复，且恢复质
量与年龄呈正相关，年龄越小的患者恢复速度越快，恢复质量越高。

Abstract:
Abstract: Objective To analyze the functional recovery of patients with hand scar contracture deformity after burn treatment
and compare the age differences. Methods Seventy-four patients with post-burn scar contracture deformity diagnosed in our
hospital from January 2017 to December 2019 were enrolled as subjects. All patients received the same rehabilitation treatment,
including pressure treatment, finger active and passive activity, warm water treatment and occupational therapy. The functional
recovery after rehabilitation treatment was analyzed, and the recovery was discussed by age. Results The ADL scores of active
and passive hand activity and life self-care ability after 1 month rehabilitation treatment among the patients were significantly
greater than before treatment, and were even significantly greater after 3 months treatment, the differences were statistically
significant (P ＜0.05). Within the same age group, the ADL scores of active and passive activity and life self-care ability at 1 and
3 months after treatment showed to be higher, morever the scores were higher for 3 months than 1 month (P＜0.05). Comparison
of different age groups showed us that the patients in 41～60 years old, 61～71 years old group, the ADL scores of life selfcare
ability was both lower than 24～40 years old group, and 61～71 years old group was lower than the level of 41～60 years
old group (P ＜0.05). Conclusion Patients with scar contracture deformities of hands after active burns can receive effective
rehabilitation, and the quality of recovery is positively correlated with age. The younger the patients, the faster the recovery
speed and the higher the recovery quality.

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更新日期/Last Update: 2021-05-11