烧伤康复体系的建设

Construction of the burn rehabilitation system

烧伤康复是烧伤学科的重要组成部分,随着烧伤治疗的目标从挽救生命、消灭创面转变成高质量恢复机体功能,烧伤康复逐步融入烧伤治疗的各个层面中。在临床实践中,随着早期预防性康复观念的确立、创面修复中功能性重建观念的重塑以及整体康复观念的明晰,烧伤康复的理念发生了根本性变化。烧伤康复体系不是指向性医疗技术的简单堆砌,而是多项医疗技术的加成表达,涵盖多学科内容,包括交叉学科新技术的引进与应用,也涉及亚专科方面。烧伤康复始终贯穿、游走于整个烧伤治疗过程中,包括早期的体位摆放,以及后期的针对性物理、化学治疗,乃至神经认知治疗方面,且在整个康复过程中伴随着对康复质量的评价。

Burn rehabilitation is an important part of burn discipline.As the goal of burn treatment has changed from saving lives and wound elimination to high-quality recovery of body function,burn rehabilitation has been integrated into all levels of burn treatment.In clinical practice,with the establishment of the concept of early preventive rehabilitation,the remodeling of the concept of functional reconstruction in wound repair,and the clarity of the concept of overall rehabilitation,the concept of burn rehabilitation has changed fundamentally.Burn rehabilitation system is not a simple accumulation of directional medical technologies,but an additive expression of multiple medical technologies,covering multi-disciplinary content,including the introduction and application of interdisciplinary new technologies,and involvement of subspecialties.Burn rehabilitation runs throughout the whole process of burn treatment,including early body positioning,later targeted physical and chemical treatments,and even the neurocognitive treatment,which is accompanied by the evaluation of rehabilitation quality throughout the entire process of rehabilitation.