Keller K, Krenzer-Scheidemantel G, Meyer T
Abteilung für Kinderchirurgie, Chirurgische Univ.-Klinik, Würzburg, Deutschland.
Zentralbl Chir. 2014 Dec;139(6):638-42. doi: 10.1055/s-0031-1271362. Epub 2011 Apr 8.
Burns and scalds are among the most common trauma in childhood and more often than not lead to hypertrophic scarring. Compression therapy is one of the main concepts in the prophylaxis and therapy for hypertrophic scars. However, the mode of action and the optimal pressure are still unknown. In this study, we evaluated the possibility of measuring the pressure under compression garments with a simple pressure measuring device.
The pressure under the compression garments was measured with the Kikuhime®-Subbandage & Body Pressure Measuring Device.
(1) Patient's age or sex did not make any significant difference. (2) Mean detected pressure was 25.7 mmHg. (3) The mean pressure was as follows: upper limb: 27 mmHg, lower limb: 30 mmHg, thorax: 19 mmHg, abdomen: 21 mmHg, neck: 19 mmHg and face: 16 mmHg. (4) Long-term results showed a clear decrease in pressure (12.15 %) during a period of 8 weeks. (5) A compression that was incorrectly fitted or incorrectly measured led to significantly worse results.
Compression garments used in the therapy for hypertrophic scars must be individually fitted in order to guarantee a sufficient pressure of on average 26 mmHg. Incorrectly measured compression garments lead to the development of highly hypertrophic scars. Our results also showed that compression garments must be changed regularly because of the natural loss of pressure. Only an individual compression therapy can guarantee perfect cosmetic as well as surgical results.
烧伤和烫伤是儿童时期最常见的创伤之一，往往会导致增生性瘢痕。压迫疗法是增生性瘢痕预防和治疗的主要方法之一。然而，其作用方式和最佳压力仍不清楚。在本研究中，我们评估了使用一种简单的压力测量装置测量压力衣下压力的可能性。
使用菊姬®亚绷带及身体压力测量装置测量压力衣下的压力。
（1）患者的年龄或性别没有显著差异。（2）检测到的平均压力为25.7mmHg。（3）平均压力如下：上肢：27mmHg，下肢：30mmHg，胸部：19mmHg，腹部：21mmHg，颈部：19mmHg，面部：16mmHg。（4）长期结果显示，在8周内压力明显下降（12.15%）。（5）佩戴不当或测量不当的压迫会导致明显更差的结果。
用于增生性瘢痕治疗的压力衣必须量身定制，以确保平均有足够的26mmHg压力。测量不当的压力衣会导致高度增生性瘢痕的形成。我们的结果还表明，由于压力自然下降，压力衣必须定期更换。只有个性化的压迫疗法才能保证完美的美容和手术效果。
