摘要
目的观察烧伤ICU内大面积重度烧伤患者早期康复治疗的临床效果。方法面积、深度、部位相近的182例患者中，97例（观察组）于ICU内行康复治疗：伤后48h即开始行保持肢体功能位，在休克期过后行功能训练，部分创面愈合后即行抗瘢痕治疗；85例未行ICU内康复治疗（对照组）。采用温哥华瘢痕评定量表（VSS）对1年以上两组患者瘢痕增生及关节功能障碍等情况进行评价、比较。结果治疗1年后，观察组VSS评分为3．1±1．2，对照组VSS评分为5．2±1．3，差异有统计学意义（P〈0．05）。结论对烧伤ICU内大面积重度烧伤患者实施早期康复治疗可行，且效果较好。
Objective To evaluate the efficacy of early rehabilitation for severely burned patients in intensive care unit （ICU）. Methods One hundred and eighty two severely burned patients were enrolled in the study, including 97 patients receiving early rehabilitation in ICU （rehabilitation group） and 85 patients without early rehabilitation （ control group ）. There were no significant differences in burned surface area, depth and locations between two groups. After one year＇s treatment, patients were evaluated by the Vancouver Scar Scale （VSS）. Results The mean VSS score of rehabilitation group was significantly lower than that of control group （3.1 ±1.2 vs. 5.2 ± 1.3, P 〈 0.05 ）. Conclusion Early rehabilitation therapy is beneficial for severely burned patients in ICU.
出处
《中华全科医师杂志》
2014年第9期756-758,共3页
Chinese Journal of General Practitioners
关键词
烧伤
重症监护病房
康复
Burns
Intensive care units
Rehabilitation
