综合康复治疗手背深度烧伤中厚皮移植术后的疗效

目的:观察早期综合康复治疗对手背深度烧伤行手部切痂中厚皮移植术后患者的疗效。方法:手背深度烧伤(深2度、3度)并行手背切痂中厚皮移植术后患者78例(109只患手),对患手实施早期良肢位摆放、压力疗法、超声药物透入、蜡疗及手部功能训练的综合康复治疗。治疗前后采用总主动活动度评分(TAM)、简易上肢功能评分、Barthel指数进行评定。结果:治疗28d后,患者TAM评分较治疗前明显好转(P<0.01),Barthel指数评分及各年龄阶段简易上肢功能评分较治疗前均明显提高(均P<0.01)。结论:对手背深深2度、3度烧伤后行切削痂中厚皮移植术的患者早期进行综合康复治疗,是保证手功能恢复良好的关键。

Curative effectiveness of comprehensive rehabilitation on opisthenars deep burn after medium thick skin grafting

Objective：To study the clinical effectiveness of comprehensive rehabilitation on opisthenars deep burn after medium thick skin grafting. Methods：Seventy-eight patients with Ⅱ or Ⅲ deep burn in opisthenars（109 affect ed hands）after medium thick skin grafting were treated by comprehensive rehabilitation,including correct position of affected hands, compression therapy, ultrasound drug penetration, paraffin therapy and hand function training. Total active motion（TAM）,the limited degree of upper limb movement, and the Barthel index（BI） were evaluated before and after treatment. Results： After treatment for 28 days, the scores of TAM were markedly improved, and STEF and BI were significantly increased（all P〈0.01）. Conclusion： Early comprehensive rehabilitation on opisthenars Ⅱ or Ⅲ deep burn after medium thick skin grafting plays an important role in the recovery of hand function.