Clinical study of early rehabilitation training combined with negative pressure wound therapy for the treatment of deep partial-thickness hand burns.
Clinical study of early rehabilitation training combined with negative pressure wound therapy for the treatment of deep partial-thickness hand burns.
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早期康复训练的临床研究结合了负压伤口疗法，以治疗深度厚度的手烧伤。
DOI：
10.3389/fsurg.2023.1040407
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发表时间：
2023
影响因子：
1.8
通讯作者：
Chen, Shun
中科院分区：
文献类型：
--
作者：
Liu, Canbin;Xie, Hongteng;Wei, Pei;Gong, Teng;Wu, Guohua;Xu, Zhaorong;Chen, Shun
关键词：
本研究旨在探讨早期康复训练联合负压创面疗法（NPWT）治疗手部深度局部烧伤的临床效果。将20例手部深度局部烧伤患者随机分为实验组（n = 10）和对照组（n = 10）。实验组采用早期康复训练结合NPWT，包括负压装置的正确密封、术中塑料支具、术后早期负压治疗时的运动治疗、术中及术后身体定位。对照组进行常规NPWT治疗。两组均在NPWT创面愈合后接受4周的康复治疗，有或没有植皮。在伤口愈合后和康复后4周评估手部功能，包括手部关节总主动运动（TAM）和简短的密歇根手部问卷（bMHQ）。本研究共纳入20例患者，其中男性16例，女性4例，年龄18-70岁，手部烧伤面积占体表总面积（TBSA）的0.5% ~ 2%。两组患者去负压后TAM和bMHQ评分无显著差异。康复训练4周后，两组患者TAM评分、bMHQ评分均显著提高（p < 0.05）；其中，试验组均显著优于对照组（p < 0.05）。应用早期康复训练结合NPWT治疗手部深度部分厚度烧伤，可有效改善手部功能。
This study aims to explore the clinical effect of early rehabilitation training combined with negative pressure wound therapy (NPWT) for treating deep partial-thickness hand burns. Twenty patients with deep partial-thickness hand burns were randomly divided into an experimental group (n = 10) and a control group (n = 10). In the experimental group, early rehabilitation training combined with NPWT was performed, including the proper sealing of the negative pressure device, intraoperative plastic brace, early postoperative exercise therapy during negative pressure treatment, and intraoperative and postoperative body positioning. Routine NPWT was conducted in the control group. Both groups received 4 weeks of rehabilitation after wounds healed by NPWT with or without skin grafts. Hand function was evaluated after wound healing and 4 weeks after rehabilitation, including hand joint total active motion (TAM) and the brief Michigan Hand Questionnaire (bMHQ). Twenty patients were involved in this study, including 16 men and 4 women, aged 18–70 years, and the hand burn area ranged from 0.5% to 2% of the total body surface area (TBSA). There was no significant difference in TAM and bMHQ scores between the two groups after negative pressure removal. After 4 weeks of rehabilitation training, the TAM scores and bMHQ scores were significantly improved in both groups (p < 0.05); among them, those of the experimental group were both significantly better than those of the control group (p < 0.05). The application of early rehabilitation training combined with NPWT to treat deep partial-thickness hand burns can effectively improve hand function.
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影响因子：
1.1
作者：
Sorkin M;Cholok D;Levi B
通讯作者：
Levi B
DOI：
10.1016/j.injury.2013.01.022
发表时间：
2013-03-01
影响因子：
2.5
作者：
Howell, Julianne W.;Peck, Fiona
通讯作者：
Peck, Fiona
影响因子：
1.1
作者：
Corlew, Daniel S.;McQueen, K. A. Kelly
通讯作者：
McQueen, K. A. Kelly
影响因子：
2.7
作者：
Chen, Jian;Li-Tsang, Cecilia W. P.;Wu, Jun
通讯作者：
Wu, Jun
影响因子：
2.7
作者：
Bright, Lauren;Van der Lee, Lisa;Edgar, Dale W.
通讯作者：
Edgar, Dale W.