| 摘要: |
| ［摘要］ 目的 观察整形手术配合系统康复锻炼应用于手部烧伤患者瘢痕挛缩畸形中的疗效。方法 将该院2012-01～2016-08收治的手部烧伤瘢痕挛缩畸形患者80例随机分为对照组（n=38）和观察组（n=42），对照组采用整形手术配合常规功能锻炼，观察组在对照组的基础上加用系统康复锻炼，统计比较手指关节总活动度（TAM值）、日常生活能力积分和手功能优良率。结果 （1）两组治疗后TAM值均发生显著变化，观察组改善程度更大（P<0.01）。（2）3个月后，观察组洗脸、穿衣、吃饭和剪指甲积分与治疗前比较，差异均有统计学意义（P均<0.05）。对照组除了洗脸外（P<0.05），其余各项目治疗前后积分变化差异无统计学意义（P均>0.05）。（3）随访6个月，观察组手功能优良率（88.1%）显著高于对照组（65.8%）（P<0.05）。结论 整形手术配合系统康复锻炼对手部烧伤瘢痕挛缩畸形具有很好的改善作用，能明显提高手的活动度和灵活性。 |
| 关键词: 手部烧伤 瘢痕挛缩畸形 整形手术 系统康复锻炼 |
| DOI：10.3969/j.issn.1674-3806.2018.06.18 |
| 分类号:R 62 |
| 基金项目: |
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| The therapeutic effect of plastic surgery combined with systematic rehabilitation on hand burns scar contracture deformity |
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ZHAO Shu-ying, LI Chang-ming
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Department of Burns and Plastic Surgery, Zhoukou Burns Hospital, Henan 466000, China
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| Abstract: |
| ［Abstract］ Objective To explore the therapeutic effect of plastic surgery combined with systematic rehabilitation on hand burns scar contracture deformity. Methods 80 patients with hand burns scar contracture deformity were randomly divided into the observation group(n=42) and the control group(n=38). The control group received plastic surgery combined with conventional functional exercise. The observation group received the same treatment as the control group plus systematic rehabilitation exercise. The total mobility of finger joints(TAM), daily life ability and the rate of good function of hands were compared between the two groups. Results (1)The TAM values were significantly improved in both of the two groups after treatment. The improvement of the observation group was better than that of control group(P<0.01). (2)After 3 months, there were significant differences in the scores of washing face, dressing, eating and cutting finger nails in the observation group between pre and post treatment(P<0.05). However there were no significant differences in the above scores except for washing face in the control group between pre and post treatment(P>0.05). (3)The excellent and good rate of hand function in the observation group(88.1%) was significantly higher than that in the control group(65.8%) after a follow-up of 6 months(P<0.05). Conclusion Plastic surgery combined with systematic rehabilitation is effective in the treatment of hand burns scar contracture deformity. It can significantly improve the mobility and flexibility of the hands. |
| Key words: Hand burns Scar contracture deformity Plastic surgery System of rehabilitation exercise |
