| 金以翔,韩磊磊,周煜达,秦郑圆,孟子伦,徐彬.体外冲击波联合常规康复对手烧伤后瘢痕及功能的疗效观察[J].中国康复,2025,40(2):94-97 |
| 体外冲击波联合常规康复对手烧伤后瘢痕及功能的疗效观察 |
| Therapeutic efficacy of extracorporeal shock wave combined with conventional rehabilitation on scar formation and hand function recovery following hand burns |
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| DOI：10.3870/zgkf.2025.02.006 |
| 中文关键词: 体外冲击波 常规康复 烧伤 瘢痕 手功能 |
| 英文关键词: extracorporeal shock wave standard rehabilitation burns scar hand function |
| 基金项目:浙江省严重创伤与烧伤诊治重点实验室基金项目（2022K05）；浙江省医药卫生科技计划项目（2025KY181） |
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| 中文摘要: |
| 目的：探讨体外冲击波联合常规康复对手烧伤后瘢痕及手功能康复的疗效。 方法：本研究采用随机对照研究，选取在本院门诊和住院收治的36例手烧伤后增生性瘢痕患者，按照随机数字表随机分成研究组和对照组，每组18例。对照组患者行常规康复治疗，研究组在对照组的基础上行体外冲击波治疗，对2组患者治疗前后的温哥华瘢痕量表（VSS）评分、手功能评分、血流灌注比进行比较。结果：治疗8周后，2组VSS评分均显著降低（P<0.01），且研究组低于对照组（P<0.01）；2组手指关节总活动度（TAM）均显著高于治疗前（P<0.01），且研究组显著高于对照组（P<0.01）；2组血流灌注比治疗前后有变化，但差异无统计学意义。结论：在常规康复治疗的基础上，增加体外冲击波治疗可有效减轻手烧伤后瘢痕增生情况，增加手指活动度，对手功能恢复有促进作用。 |
| 英文摘要: |
| Objective: To investigate the therapeutic efficacy of extracorporeal shock wave combined with conventional rehabilitation on scar formation and hand function recovery after hand burns. Methods: This study employed a randomized controlled research design, enrolling 36 patients with hypertrophic scars after hand burns treated at our outpatient and inpatient departments. Participants were randomly allocated into an experimental group and a control group, each comprising 18 cases. The control group received conventional rehabilitation treatment, while the experimental group underwent extracorporeal shock wave treatment in addition to the conventional rehabilitation. Vancouver Scar Scale (VSS) scores, hand function scores (TAM), and blood perfusion ratio were compared between the two groups before and after treatment. Results: After 8 weeks of treatment, the VSS scores in both groups significantly decreased (P<0.01), with a greater reduction observed in the experimental group than the control group (P<0.01). The total active motion (TAM) of the finger joints after treatment in both groups was also significantly improved compared to pre-treatment levels (P<0.01), and the improvement in the experimental group was significantly better than that in the control group (P<0.01). Although there were changes in blood perfusion ratio before and after treatment, these changes did not reach statistical significance. Conclusion: The combined use of conventional rehabilitation therapy and extracorporeal shock wave therapy can effectively mitigate hypertrophic scarring following hand burns, enhance finger mobility, and facilitate the recovery of hand function. |
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