Lowell M, Pirc P, Ward R S, Lundy C, Wilhelm D A, Reddy R, Held B, Bernard J
intermountain Burn Center and Division of Physical Therapy, University of Utah Health Sciences Center, Salt Lake City, Utah, 84108-1290, USA.
J Burn Care Rehabil. 2003 Jul-Aug;24(4):253-8; discussion 252. doi: 10.1097/01.BCR.0000075846.92114.AD.
Edema and limited function are common acute problems associated with hand burns. This case study examined the effects of 3M Coban Self-Adherent Wraps on edema and function in a 59-year-old male (46% TBSA flame injury) with newly skin grafted dorsally burned hands. At the time of each dressing change, circumferential measurements were taken of both hands and weekly active range of motion and grip strength measurements were recorded. The nine-hole peg test was used to appraise dexterity. During the 4-week study period, there was less edema, greater active range of motion and grip strength, and greater dexterity in the hand with 3M Coban Self-Adherent Wraps as compared with the control hand. This case study suggests that 3M Coban Self-Adherent Wraps were effective in reducing edema in the skin-grafted hand after skin grafting. It further appeared that the reduced edema may have contributed to improved hand function and that 3M Coban Self-Adherent Wraps as a compressive dressing do not impede hand function
水肿和功能受限是手部烧伤常见的急性问题。本案例研究考察了3M自粘绷带对一名59岁男性（46%体表面积火焰烧伤）手部水肿和功能的影响，该患者手部背部刚进行了皮肤移植。每次换药时，对双手进行周径测量，并每周记录主动活动范围和握力测量值。采用九孔插板试验评估灵活性。在为期4周的研究期间，与对照手相比，使用3M自粘绷带的手水肿减轻、主动活动范围和握力更大，灵活性更高。本案例研究表明，3M自粘绷带在皮肤移植后对减轻植皮手部的水肿有效。进一步看来，水肿减轻可能有助于手部功能改善，且3M自粘绷带作为一种加压敷料不会妨碍手部功能
