Tredget Edward E, Shupp Jeffrey W, Schneider Jeffrey C
From the *Department of Surgery, University of Alberta-Edmonton, Edmonton, Alberta, Canada; †Firefighters' Burn and Surgical Research Laboratory, MedStar Health Research Institute, Washington, DC; ‡The Burn Center, MedStar Washington Hospital Center, Washington, DC; §Massachusetts General Hospital, Shriners Hospitals for Children®-Boston, Spaulding, Boston, MA; and ‖Rehabilitation Hospital, Harvard Medical School, Boston, MA.
J Burn Care Res. 2017 May/Jun;38(3):146-147. doi: 10.1097/BCR.0000000000000548.
At the 2016 State of the Science meeting, clinicians and burn survivors met to discuss the advances in scar prevention, evaluation and treatment. While emerging evidence exists to support pressure garment treatment of scars and the use of silicone gel, further research is necessary to better delineate indications duration and efficacy of established therapies and to develop and test badly needed new treatments. More accurate and objective assessment of burn depth would assist in the prevention and identification of wounds requiring customized surgery. Laser treatment of scar while rapidly gaining popularity, still lacks high quality evidence as to its efficacy. The psychological impact of burn scars on the recovering patient is poorly appreciated and increased interaction with our patients is needed to more fully understand and address the impact on health related quality of life of their burn scars.
在2016年科学现状会议上，临床医生和烧伤幸存者齐聚一堂，讨论瘢痕预防、评估和治疗方面的进展。虽然现有新证据支持压力衣治疗瘢痕和使用硅胶凝胶，但仍需进一步研究，以更好地界定既定疗法的适应症、持续时间和疗效，并研发和测试急需的新疗法。对烧伤深度进行更准确、客观的评估，将有助于预防和识别需要定制手术的伤口。激光治疗瘢痕虽然迅速普及，但在疗效方面仍缺乏高质量证据。烧伤瘢痕对康复患者的心理影响尚未得到充分认识，需要加强与患者的互动，以更全面地了解和应对烧伤瘢痕对其健康相关生活质量的影响。
