Yu J A, Zhang X H
Department of Burn Surgery, the First Hospital of Jilin University, Changchun 130061, China.
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2023 Dec 20;39(12):1101-1108. doi: 10.3760/cma.j.cn501225-20230804-00038.
Burn rehabilitation is an important part of burn discipline. As the goal of burn treatment has changed from saving lives and wound elimination to high-quality recovery of body function, burn rehabilitation has been integrated into all levels of burn treatment. In clinical practice, with the establishment of the concept of early preventive rehabilitation, the remodeling of the concept of functional reconstruction in wound repair, and the clarity of the concept of overall rehabilitation, the concept of burn rehabilitation has changed fundamentally. Burn rehabilitation system is not a simple accumulation of directional medical technologies, but an additive expression of multiple medical technologies, covering multi-disciplinary content, including the introduction and application of interdisciplinary new technologies, and involvement of subspecialties. Burn rehabilitation runs throughout the whole process of burn treatment, including early body positioning, later targeted physical and chemical treatments, and even the neurocognitive treatment, which is accompanied by the evaluation of rehabilitation quality throughout the entire process of rehabilitation.
烧伤康复是烧伤学科的重要组成部分。随着烧伤治疗目标从挽救生命和消除创面转变为高质量恢复身体功能,烧伤康复已融入烧伤治疗的各个层面。在临床实践中,随着早期预防性康复理念的确立、创面修复中功能重建理念的重塑以及整体康复理念的明确,烧伤康复的概念发生了根本性变化。烧伤康复体系并非定向医疗技术的简单累加,而是多种医疗技术的叠加式呈现,涵盖多学科内容,包括跨学科新技术的引入与应用以及亚专业的参与。烧伤康复贯穿烧伤治疗的全过程,包括早期的体位摆放、后期针对性的物理和化学治疗,甚至神经认知治疗,并且在整个康复过程中都伴随着康复质量评估。