手部烧伤瘢痕挛缩畸形整形术后综合康复联合点阵二氧化碳激光治疗的临床效果

Clinical effect of comprehensive rehabilitation combined with fractional carbon dioxide laser for hand burn scar contracture deformity after plastic surgery

目的探讨综合康复联合点阵二氧化碳激光治疗在手部烧伤瘢痕挛缩畸形整形术后的应用效果。方法选取2020年1月至2023年6月赣州市人民医院烧伤整形与创面修复科收治的手部烧伤瘢痕挛缩畸形整形术后患者56例,采用抽签法随机将患者分为观察组和对照组,每组28例。观察组采用综合康复联合点阵二氧化碳激光治疗,对照组单纯采用综合康复治疗,观察并比较2组治疗后6个月生活质量、手指关节总活动度、日常生活能力、治疗依从性、治疗效果及手功能恢复情况。患者生活质量采用简明健康调查量表(SF-36)评价,手功能恢复情况采用中华医学会手外科学会上肢部分功能评定试用标准进行评价。结果观察组患者生活质量、手指关节总活动度、日常生活能力、治疗依从性、治疗效果及手功能恢复情况均优于对照组,差异均有统计学意义(P<0.05)。结论手部烧伤瘢痕挛缩畸形整形术后给予综合康复联合点阵二氧化碳激光治疗效果显著优于单纯综合康复治疗,早期采用点阵二氧化碳激光治疗值得推荐。

Objective To explore the application effect of comprehensive rehabilitation combined with fractional carbon dioxide laser for hand burn scar contracture deformity after plastic surgery.Methods A total of 56 patients who underwent plastic surgery for hand burn scar contracture deformity from January 2020 to June 2023 at the Department of Burn Plastic and Wound Repair,Ganzhou People′s Hospital were randomly divided into an observation group and a control group using a lottery method,with 28 cases in each group.The observation group received comprehensive rehabilitation combined with fractional carbon dioxide laser treatment,while the control group received comprehensive rehabilitation treatment alone.The difference in quality of life,total active motion of finger,daily living ability,treatment compliance,treatment effectiveness,and hand function recovery between the two groups at 6 months after treatment was observed.The quality of life of patients was evaluated using 36-items short form health survey(SF-36),and the recovery of hand function was evaluated using the upper limb functional assessment criteria issued by the Hand Surgery Society of the Chinese Medical Association.Results The quality of life,total active motion of finger,daily living ability,treatment compliance,treatment effectiveness,and hand function recovery of the observation group were all better than those of the control group,with statistical difference(P<0.05).Conclusion The effect of comprehensive rehabilitation combined with fractional carbon dioxide laser for hand burn scar contracture deformity after plastic surgery is significantly better than that of simple comprehensive rehabilitation treatment.Early use of fractional carbon dioxide laser treatment is recommended.