康复疗法结合关节活动训练系统在深度烧伤后关节功能障碍患者中的应用效果

Application Effect of Rehabilitation Therapy Combined with Joint Activity System in Patients with Joint Dysfunction After Deep Burn

目的探讨康复疗法结合关节活动训练系统(JAS)在深度烧伤后关节功能障碍患者中的应用效果。方法选取2017年4月至2020年9月于郑州市第一人民医院接受治疗的220例深度烧伤患者为研究对象,按随机数表法分为观察组(接受康复疗法结合JAS治疗)和对照组(接受康复疗法),各110例。通过生活质量量表(QOL)评估两组治疗前后的生活质量,通过日常生活活动能力量表(ADL)评估两组治疗前后的生活能力,通过视觉模拟评分量表(VAS)评估患者的疼痛程度,通过肘关节活动范围(ROM)评估肘关节活动能力,通过美国特种外科医院膝关节评分(HSS)和Lyshom膝部评分系统评估膝关节功能。结果治疗前,两组QOL、ADL评分比较差异无统计学意义(P>0.05);治疗后,两组QOL、ADL评分均升高,且观察组高于对照组(P<0.05)。治疗前,两组VAS、肘ROM评分比较差异无统计学意义(P>0.05);治疗后,两组VAS评分降低,且观察组低于对照组,肘ROM评分升高,且观察组高于对照组(P<0.05)。治疗前,两组Lyshom、HSS评分比较差异无统计学意义(P>0.05);治疗后,两组Lyshom、HSS评分均升高,且观察组高于对照组(均P<0.05)。两组患者治疗后,观察组显效率、有效率(71.82%、22.73%)与对照组(66.36%、17.27%)比较,差异无统计学意义(P>0.05);观察组总有效率高于对照组(P<0.05)。结论康复疗法结合JAS能有效减轻深度烧伤患者关节功能障碍,增加局部关节活动度,提升其日常生活能力与质量。

Objective To explore the effect of rehabilitation therapy combined with joint activity system(JAS) in patients with joint dysfunction after deep burn.Methods A total of 220 patients with deep burn who were treated in Zhengzhou First People’s Hospital from April 2017 to September 2020 were selected as the research objects.They were divided into observation group(receiving rehabilitation therapy combined with JAS treatment) and control group(receiving rehabilitation therapy) according to the random number table,110 cases each.The quality of life of the two groups before and after treatment was evaluated by the quality of life scale(QOL),the living ability of the two groups before and after the treatment were evaluated by the activity of daily living scale(ADL),and the pain of the patients was evaluated by the visual analog scale(VAS).The range of motion of the elbow joint(ROM) is used to assess the elbow joint mobility,the degree of knee joint function is assessed by the knee joint score(HSS) of the American hospital of special surgery(HSS) and the Lyshom knee scoring system.Results Before treatment,there was no significant difference in QOL and ADL scores between the two groups(P>0.05).After treatment,the QOL and ADL scores of the two groups increased,and the observation group was higher than the control group(P<0.05).Before treatment,there was no significant difference in VAS and elbow ROM scores between the two groups(P>0.05).After treatment,the VAS scores of the two groups decreased,and the observation group was lower than the control group,the elbow ROM score increased,and the observation group was higher than the control group(P<0.05).Before treatment,there was no significant difference in Lyshom and HSS scores between the two groups(P>0.05).After treatment,the Lyshom and HSS scores of the two groups increased,and the observation group was higher than the control group(P<0.05).After treatment of the two groups of patients,there was no statistically significant difference between the observation group(71.82%,22.73%) and the control group(66.36%,17.27%)(P>0.05),and the total effective rate of the observation group was higher than that of the control group(P<0.05).Conclusion Rehabilitation therapy combined with JAS can effectively reduce the joint dysfunction of patients with deep burn,increase the local range of motion,and improve their daily life ability and quality.