Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY, USA.
J Hand Surg Eur Vol. 2020 Sep;45(7):737-741. doi: 10.1177/1753193420910054. Epub 2020 Mar 16.
We studied the efficacy of the glove-gauze regimen in treating superficial, partial-thickness and small full-thickness hand burns. Outcome measures included healing time, need for surgical intervention, need for formal physical therapy, restoration of range of motion, return to function and incidence of infection. All patients ( = 123) successfully completed the regimen with an average healing time of 3.7 weeks. None required surgical debridement and seven (6%) required formal physical therapy. One hundred and eighteen patients (96%) regained full range of motion and 122 (99%) returned to their previous level of work. We believe that the glove-gauze regimen provides a simplified and effective means of managing hand burns. We conclude from our patients that the glove-gauze regimen is an effective treatment that can ensure uneventful healing of superficial, partial-thickness and small full-thickness burns. A majority of our patients healed with full range of motion and function without formal physical therapy. IV.
我们研究了手套-纱布方案治疗表浅性、部分厚度和小面积全层手烧伤的疗效。疗效评估指标包括愈合时间、是否需要手术干预、是否需要正规物理治疗、关节活动度恢复、功能恢复和感染发生率。所有患者( = 123)均成功完成了方案治疗,平均愈合时间为 3.7 周。无患者需要手术清创,7 例(6%)需要正规物理治疗。118 例患者(96%)恢复了全关节活动度,122 例(99%)恢复到以前的工作水平。我们认为手套-纱布方案为管理手烧伤提供了一种简化而有效的手段。我们的患者得出结论,手套-纱布方案是一种有效的治疗方法,可以确保表浅性、部分厚度和小面积全层烧伤的愈合过程顺利。我们的大多数患者在无需正规物理治疗的情况下实现了全关节活动度和功能的愈合。