CAJ | 학술논문

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。
목적：평고외과수술결합물리치료대엄중소상후공능중건적영향。방법39례엄중소상환자중，21례(관찰조)접수규범화공능강복체계치료，18례(대조조)부정기반원접수외과수술치료。수술화물리치료분별재소상치료중심화의학강복중심완성。채용개량Barthel지수화온가화반흔량표관측환자상후3개월、1년화2년적일상생활활동능력급체표반흔강복정황。결과여대조조상비，관찰조일상생활활동능력명현제고(P<0.01)，체표반흔명현개선(P<0.01)，정형수술총차수명현감소(P<0.01)。결론외과수술결합물리치료가제고엄중소상후기공능장애교정효과。
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 opera-tions (P<0.01). Conclusion The surgical and physical therapy facilitates to improve the functional recovery post severe burn.