《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (12): 1174-1176.

• 论文 • 上一篇    下一篇

外科手术结合物理治疗对严重烧伤后功能重建的效果

陈静，王甲汉，杨磊，李志清，任加良   

  1. 南方医科大学南方医院烧伤科，广东广州市510515。
  • 收稿日期:2013-01-11 修回日期:2013-02-25 出版日期:2013-12-25 发布日期:2013-12-25

Effects of Surgical and Physical Therapy on Functional Reconstruction post Severe Burn

CHEN Jing, WANG Jia-han, YANG Lei, et al.   

  1. Department of Burns Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong, China
  • Received:2013-01-11 Revised:2013-02-25 Published:2013-12-25 Online:2013-12-25

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被引次数

14

摘要： 目的评估外科手术结合物理治疗对严重烧伤后功能重建的影响。方法39 例严重烧伤患者中，21 例(观察组)接受规范化功能康复体系治疗，18 例(对照组)仅定期返院接受外科手术治疗。手术和物理治疗分别在烧伤治疗中心和医学康复中心完成。采用改良Barthel 指数和温哥华瘢痕量表观测患者伤后3 个月、1 年和2 年的日常生活活动能力及体表瘢痕康复情况。结果与对照组相比，观察组日常生活活动能力明显提高(P<0.01)，体表瘢痕明显改善(P<0.01)，整形手术总次数明显减少(P<0.01)。结论外科手术结合物理治疗可提高严重烧伤后期功能障碍矫正效果。

关键词: 烧伤, 功能障碍, 外科手术, 康复, 评估

Abstract: Objective To evaluate the effects of surgical and physical therapy on functional reconstruction post severe burn. Methods 21 patients with severe burn accepted comprehensive rehabilitation, while the other 18 cases accepted surgical therapy only. Modified Barthel Index and Vancouver Scar Scale were applied to assess their activities of daily living (ADL) and scar recovery 3 months, 1 year or 2 years post injury. Results Compared with the control group, the observation significantly improved in ADL and scar recovery with fewer operations (P<0.01). Conclusion The surgical and physical therapy facilitates to improve the functional recovery post severe burn.

Key words: burn, functional dysfunction, surgery, rehabilitation, evaluation