面部烧伤后综合康复疗法与单纯中药蒸汽喷雾的疗效比较

Comparison of the efficacy of skin rehabilitation therapies between comprehensive treatment and simpleChinese medicine steam spray after deep facial burn

目的探讨面部深Ⅱ度烧伤愈合后单纯中药蒸汽喷雾治疗与综合康复疗法的疗效比较。方法将80例患者随机分为：中药蒸汽喷雾治疗＋压力治疗＋物理治疗＋康复训练＋心理治疗为治疗组（综合康复治疗40例）；单纯中药蒸汽喷雾治疗为对照组（40例）。3个月后对两组患者分别进行临床疗效评定。结果治疗3个月后，治疗组大部分患者色素沉着消失，无瘢痕增生，接近正常皮肤。治愈率72．5％，显效率12．5％，有效率7．5％。对照组部分患者面部仍有轻度的瘢痕增生但已不明显，原色素沉着面积缩小、色素变浅但肤色末接近正常皮肤。治愈率42．5％，显效率12．5％，有效率25．0％。两组疗效比较差异有统计学意义（P〈0．05）。结论面部烧伤后综合康复治疗能减少色素沉着、减轻增生瘢痕、提高生活质量等。

Objective To study the efficacy of simple Chinese medicine steam spray and com- prehensive rehabilitation nursing after facial burn deep Ⅱ degree. Methods 80 patients were random- ized into the treatment group （40 cases） and the control group （40 cases）. The treatment group was given the treatment of Chinese medicine steam spray. The control group was given the treatment of Chinese medicine steam spray, pressure therapy, physical therapy, rehabilitation training and psycho therapy. The clinical efficacy of two groups was evaluated respectively after 3 months. Results After 3 months, the skins of most of patients in the treatment group were nearly normal with no pigmenta- tion and scar hyperplasia. The cure rate was 72.5%, the obvious effective rate was 12.5%, and the effective rate was 7.5%. Some patients in the control group were lightly and inconspicuously pigmen- ted, hut the pigmentation area was reduced. The colour of their skins was not different from that of the normal skin. The cure rate was 42.5%, the obvious effective rate was 12.5%, and the effective rate was 25.0%. The effects of the two groups were significant differences （P〈0.05）. Conclusions Comprehensive rehabilitation nursing after the facial burn can reduce the pigmentation and scar hyper- plasia and improve the quality of life.