摘要
目的:研究综合康复疗法与传统疗法预防烧伤后腋窝挛缩畸形的效果。方法:将腋窝周围皮肤有深Ⅱ度及Ⅲ度烧伤的患者创面基本愈合后随机分为治疗组43例56个腋窝)和对照组37例48个腋窝)两组,((治疗组采取综合康复疗法治疗,对照组采取传统疗法进行康复治疗。测量统计两组个月时肩关节主动活动度(active6rangeofmotion,AROM。)结果:两组康复治疗前肩关节屈曲、伸展、内收、外展的AROM差异均无显著性意义(P>0.05);康复治疗6个月后肩关节屈曲、伸展、外展的AROM差异均有显著性意义P<0.05),内收AROM差异无显(著性意义P>0.05)。治疗组综合康复治疗前、后肩关节屈曲、伸(展、内收、外展的AROM差异均无显著性意义(P>0.05),即综合康复治疗前、后肩关节AROM基本相同;对照组则差异有显著性意义(P<0.05),即传统疗法康复治疗后肩关节AROM小于康复治疗前。结论:应用综合康复疗法能有效预防烧伤后腋窝挛缩畸形的发生,传统疗法预防烧伤后腋窝挛缩畸形的效果较差。
AIM:To study the effect of comprehensive rehabilitation therapy and traditional rehabilitation therapy on the prevention of deformity induced by contraction of axillary fossa after burn. METHODS:The patients with deep second and third degree burn on the around skin of axillary fossa were randomly divided into treatment group (56 axillary fossa in 43 patients)and control group(48 axillary fossa in 37 patients) after wound healing.The treatment group received comprehensive rehabilitation treatment,and the control group received routine rehabilitation treatment.The active ranges of motion(AROM) of the shoulder joint in the two groups were detected in 6 months. RESULTS:There was no significant difference in the AROM of flexion, extension, adduction and abduction of the shoulder joint between the two groups before rehabilitation(P >0.05). There were significant differences in the AROM of flexion, extension and abduction of shoulder joint after 6 month rehabilitation(P< 0.05), and there was no significant difference in the AROM of adduction(P >0.05). There were no significant difference in the AROM of flexion, extension, adduction and abduction of the shoulder joint in the treatment group before and after comprehensive rehabilitation therapy(P >0.05), and namely the AROM of the shoulder joint before and after comprehensive rehabilitation therapy was almost the same. However, there was a significant difference in the control group(P< 0.05),and namely the AROM of the shoulder joint after routine rehabilitation therapy was smaller than that before rehabilitation. CONCLUSION: Application of comprehensive rehabilitation therapy is effective in preventing the axillary fossa from deformity caused by contraction after burn, however, the effect of routine rehabilitation therapy is worse.
出处
《中国临床康复》
CSCD
2004年第29期6320-6322,共3页
Chinese Journal of Clinical Rehabilitation
基金
广东省自然科学基金重点项目(020089)~~
