CAJ | 학술논문

目的：阐明系统性康复治疗在儿童烧烫伤患者康复治疗作用中的意义。方法以2014年1月至2014年11月哈尔滨市第五医院收治的96例儿童烧烫伤患者为研究对象，随机分为治疗组（n ＝48）和对照组（n ＝48），对照组采用传统康复治疗方法，外用瘢痕舒均匀涂布创面（2次／d）、佩戴弹力套。治疗组在对照组治疗基础上，创面愈合后采用主动、被动肢体运动疗法、佩戴弹力套、超声药物离子导入、蜡疗、音乐治疗等系统性康复治疗8周。分析两组瘢痕增生指数、疼痛评分、瘙痒评分、日常生活活动（ADL）能力评价、畸形发生率。结果经过综合治疗后，患儿的瘢痕增生程度方面，治疗组瘢痕厚度（2．81±1．26）分和瘢痕颜色（1．56±0．82）均低于对照组（4．15±1．32）、（2．71± 0．69）分，差异具有统计学意义（t ＝2．646，3．851，P ＜0．05）；疼痛程度，治疗组为（0．79±0．36）分低于对照组（1．27±0．34）分，差异具有统计学意义（t ＝3．41 1，P ＜0．05）；瘙痒程度，治疗组为（1．55±0．98）分低于对照组（2．29±0．57）分，差异具有统计学意义（t ＝2．484，P ＜0．05）；日常生活活动能力，治疗组患儿 ADL 评分为（75．6±20．5）明显高于对照组（48．7±13．1），差异具有统计学意义（t ＝2．507，P ＜0．05）；畸形发生率治疗组患儿畸形发生率为14．3％，明显优于对照组20％（χ2＝5．17， P ＜0．05）。结论系统性康复治疗可以明显减轻儿童烧烫伤患者瘢痕增生程度，疼痛程度，瘙痒程度，ADL 能力明显改善，降低了畸形发生率。
목적：천명계통성강복치료재인동소탕상환자강복치료작용중적의의。방법이2014년1월지2014년11월합이빈시제오의원수치적96례인동소탕상환자위연구대상，수궤분위치료조（n ＝48）화대조조（n ＝48），대조조채용전통강복치료방법，외용반흔서균균도포창면（2차／d）、패대탄력투。치료조재대조조치료기출상，창면유합후채용주동、피동지체운동요법、패대탄력투、초성약물리자도입、사료、음악치료등계통성강복치료8주。분석량조반흔증생지수、동통평분、소양평분、일상생활활동（ADL）능력평개、기형발생솔。결과경과종합치료후，환인적반흔증생정도방면，치료조반흔후도（2．81±1．26）분화반흔안색（1．56±0．82）균저우대조조（4．15±1．32）、（2．71± 0．69）분，차이구유통계학의의（t ＝2．646，3．851，P ＜0．05）；동통정도，치료조위（0．79±0．36）분저우대조조（1．27±0．34）분，차이구유통계학의의（t ＝3．41 1，P ＜0．05）；소양정도，치료조위（1．55±0．98）분저우대조조（2．29±0．57）분，차이구유통계학의의（t ＝2．484，P ＜0．05）；일상생활활동능력，치료조환인 ADL 평분위（75．6±20．5）명현고우대조조（48．7±13．1），차이구유통계학의의（t ＝2．507，P ＜0．05）；기형발생솔치료조환인기형발생솔위14．3％，명현우우대조조20％（χ2＝5．17， P ＜0．05）。결론계통성강복치료가이명현감경인동소탕상환자반흔증생정도，동통정도，소양정도，ADL 능력명현개선，강저료기형발생솔。
Objective To investigate the significance of comprehensive systemic rehabilitation therapy in burned children.Methods Ninety-six burned children were involved in this study .They were admitted at the Fifth Hospital of Harbin during January to November in 201 4,they were randomly divided into treatment group (n =48)and control group (n =48),the control group only received topical drug dressing <br> and wearing elastic body suit.The treatment group based on the control group,they were all received systemic rehabilitation treatment for 8 weeks after the wound healing.Methods of systemic rehabilitation consist of passive and active functional exercise,pressure garment,ultrasound treatment,music therapy.The VSS scar score,pruritus degree,pain severity,activitie daily life (ADL)ability and deformity incidence will be compared between this two groups after 8 weeks.Results After systemic rehabilitation treatment,the VSS scar scores incuding scar thickness and scar color of the treatment group were (2.81 ±1 .26),(1 .56 ± 0.82 ),which was lower than the control group (4.1 5 ±1 .32 ),(2.71 ±0.69 ),the difference was statisitically significant (t =2.646,3.851 ,P <0.05).The pruritus degree and pain severity scores of the treatment group were(0.79 ±0.36),(1 .55 ±0.98)which was lower than the control group(1 .27 ±0.34), (2.29 ±0.57)the difference was statisitically significant (t =3.41 1 ,2.484,P <0.05).The score of ADL ability was (75.6 ±20.5 ),which was significantly higher than the control group (48.7 ±1 3.1 )the difference was statisitically significant (t =2.507,P <0.05).The deformity incidence of the treatment group was 1 4.3%,which was lower than the control group (20%)the difference was statisitically significant (χ2 =5.1 7,P <0.05).Conclusions Systemic rehabilitation could effectively reduce the degree of scar hyperplasia,pruritus degree,pain severity and deformities incidence in burned children,and the ADL ability in these patients was improved significantly.