Liu Canbin, Xie Hongteng, Wei Pei, Gong Teng, Wu Guohua, Xu Zhaorong, Chen Shun
Burn & Wound Repair Department, Fujian Medical University Union Hospital, Fuzhou, China.
Fujian Burn Institute, Fujian Medical University Union Hospital, Fuzhou, China.
Front Surg. 2023 Feb 8;10:1040407. doi: 10.3389/fsurg.2023.1040407. eCollection 2023.
This study aims to explore the clinical effect of early rehabilitation training combined with negative pressure wound therapy (NPWT) for treating deep partial-thickness hand burns.
Twenty patients with deep partial-thickness hand burns were randomly divided into an experimental group ( = 10) and a control group ( = 10). In the experimental group, early rehabilitation training combined with NPWT was performed, including the proper sealing of the negative pressure device, intraoperative plastic brace, early postoperative exercise therapy during negative pressure treatment, and intraoperative and postoperative body positioning. Routine NPWT was conducted in the control group. Both groups received 4 weeks of rehabilitation after wounds healed by NPWT with or without skin grafts. Hand function was evaluated after wound healing and 4 weeks after rehabilitation, including hand joint total active motion (TAM) and the brief Michigan Hand Questionnaire (bMHQ).
Twenty patients were involved in this study, including 16 men and 4 women, aged 18-70 years, and the hand burn area ranged from 0.5% to 2% of the total body surface area (TBSA). There was no significant difference in TAM and bMHQ scores between the two groups after negative pressure removal. After 4 weeks of rehabilitation training, the TAM scores and bMHQ scores were significantly improved in both groups ( < 0.05); among them, those of the experimental group were both significantly better than those of the control group ( < 0.05).
The application of early rehabilitation training combined with NPWT to treat deep partial-thickness hand burns can effectively improve hand function.
本研究旨在探讨早期康复训练联合负压伤口治疗（NPWT）对手部深度烧伤的临床疗效。
20例手部深度烧伤患者随机分为实验组（n = 10）和对照组（n = 10）。实验组采用早期康复训练联合NPWT，包括负压装置的妥善密封、术中塑形支具、负压治疗期间的术后早期运动疗法以及术中和术后的体位摆放。对照组采用常规NPWT。两组在NPWT联合或不联合植皮伤口愈合后均接受4周的康复治疗。伤口愈合后及康复治疗4周后评估手部功能，包括手部关节总主动活动度（TAM）和简明密歇根手部问卷（bMHQ）。
本研究纳入20例患者，其中男性16例，女性4例，年龄18 - 70岁，手部烧伤面积占全身表面积（TBSA）的0.5%至2%。负压去除后两组TAM和bMHQ评分无显著差异。康复训练4周后，两组TAM评分和bMHQ评分均显著改善（P < 0.05）；其中，实验组的评分均显著优于对照组（P < 0.05）。
早期康复训练联合NPWT应用于手部深度烧伤可有效改善手部功能。
