连续造作为一个有效的方法,烧伤痕收缩康复:一个案例系列
Stephanie Schetzsle1, Weber Wei Chiang Lin2, Prabhu Purushothaman1
1Department of Surgery, Firefighters Burn Treatment Unit, University of Alberta Hospital, Edmonton, AB, CanadaT6G 2B7.
概括
连续造有效地改善了烧伤收缩的运动范围和痕外观. 这项研究提出了最佳的造频率,以开发用于烧伤康复的标准化协议.
科学领域:
- 康复医学 康复医学 康复医学
- 整形外科手术 整形外科手术
- 烧伤护理 烧伤护理
背景情况:
- 有限的指导方针存在于骨架在烧伤痕收缩的康复.
- 以前的造研究由于方法上的局限性而存在概括性问题.
- 这项研究调查了最佳的串行造频率,用于烧伤合并.
研究的目的:
- 为了确定连续造的最佳频率,用于烧伤痕合症康复.
- 促进开发一个标准化的串行造协议.
- 评估连续造在改善关节运动范围和痕质量的有效性.
主要方法:
- 包括7名患有烧伤痕和关节收缩的患者.
- 患者每周进行1次,3次或5次的连续造.
- 在每次造应用之前,通过伸展和炼来优化关节运动范围.
主要成果:
- 活动运动范围从65.8°增加到108.1° (或57.8%到96.7%的正常值).
- 修改后的温哥华痕评分从9.5提高到4.9.
- 治疗效果在平均8.5天和4.0次造应用内实现.
结论:
- 连续造是一种有效的治疗烧伤痕收缩.
- 该研究提供了数据,以告知标准化的串行造协议.
- 优化造频率可以提高烧伤患者的康复结果.
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