中华烧伤杂志
中華燒傷雜誌
중화소상잡지
16
2008年
3期
191-194
,共4页
易南%王冰水%朱雄翔%胡大海%秦茵%石梦娜
易南%王冰水%硃雄翔%鬍大海%秦茵%石夢娜
역남%왕빙수%주웅상%호대해%진인%석몽나
烧伤%手%挛缩%支具
燒傷%手%攣縮%支具
소상%수%련축%지구
Burns%Hand%Contracture%Splint
目的 了解自制静态和动态手支具对烧伤后手功能恢复的作用.方法 在烧伤后不同治疗阶段,为32例患者的52只手制作不同类型支具,针对不同个体单独或联合使用,采用Car-roll上肢功能评定标准,对上肢及手的整体功能(包括粗动作及精细动作如抓、握、捏、夹及手臂旋前、旋后、取物、放置等)进行定量评定,比较使用支具治疗前后手部功能恢复情况.结果 按Carroll上肢功能评定标准.治疗前患手功能Ⅳ级7只、Ⅲ级15只、Ⅱ级23只、Ⅰ级7只.治疗3个月后重新评定.手功能Ⅵ级9只、Ⅴ级28只、Ⅳ级9只、Ⅲ级6只.28例患者46只手的对指、对掌、握、捏等功能恢复较好,可完成日常生活中的手部活动.结论 该自制手支具对预防和治疗手烧伤后瘢痕挛缩有良好的效果,可明显促进手功能的恢复.
目的 瞭解自製靜態和動態手支具對燒傷後手功能恢複的作用.方法 在燒傷後不同治療階段,為32例患者的52隻手製作不同類型支具,針對不同箇體單獨或聯閤使用,採用Car-roll上肢功能評定標準,對上肢及手的整體功能(包括粗動作及精細動作如抓、握、捏、夾及手臂鏇前、鏇後、取物、放置等)進行定量評定,比較使用支具治療前後手部功能恢複情況.結果 按Carroll上肢功能評定標準.治療前患手功能Ⅳ級7隻、Ⅲ級15隻、Ⅱ級23隻、Ⅰ級7隻.治療3箇月後重新評定.手功能Ⅵ級9隻、Ⅴ級28隻、Ⅳ級9隻、Ⅲ級6隻.28例患者46隻手的對指、對掌、握、捏等功能恢複較好,可完成日常生活中的手部活動.結論 該自製手支具對預防和治療手燒傷後瘢痕攣縮有良好的效果,可明顯促進手功能的恢複.
목적 료해자제정태화동태수지구대소상후수공능회복적작용.방법 재소상후불동치료계단,위32례환자적52지수제작불동류형지구,침대불동개체단독혹연합사용,채용Car-roll상지공능평정표준,대상지급수적정체공능(포괄조동작급정세동작여조、악、날、협급수비선전、선후、취물、방치등)진행정량평정,비교사용지구치료전후수부공능회복정황.결과 안Carroll상지공능평정표준.치료전환수공능Ⅳ급7지、Ⅲ급15지、Ⅱ급23지、Ⅰ급7지.치료3개월후중신평정.수공능Ⅵ급9지、Ⅴ급28지、Ⅳ급9지、Ⅲ급6지.28례환자46지수적대지、대장、악、날등공능회복교호,가완성일상생활중적수부활동.결론 해자제수지구대예방화치료수소상후반흔련축유량호적효과,가명현촉진수공능적회복.
Objective To observe the effect of static and dynamic splints on recovery of hand func-tions in burn patients. Methods Tirty-two burn patients with 52 injured hands were treated with orthotic splints(single or combined application)during different therapeutic stages.Carroll's upper limb functional test was used tO evaluate the function of upper limbs and hands from rough to fine movements,including grasp,pinch,nip,foream pronation and supination,fetching,etc.The hand functions were compared before and after treatment. Results There were 7 hands with grade Ⅳ function,15 hands with grade Ⅲ,23 hands with grade Ⅱ.and 7 hands with grade Ⅰ before treatment,while 9 hands achieved grade Ⅳ function.28 hands grade Ⅴ,9 hands grade Ⅵ,and 6 hands grade Ⅲ after treatment for three months.Twenty-eight patients with 46 hands recovered well enough to handle daily chores,including digital opposition,pal-mar opposition,grasp,pinch,etc. Conclusion The manual splints offer good effects on preventing and treatment scar contracture of hand after burn,and they can promote the recovery of hand functions.
