Chalwade Chandrashekhar Subhash, Teja Mudunuri Ravi, Mago Raghav, Sawant Abhijeet D
Department of Plastic and Reconstructive Surgery, Seth G. S. Medical College and KEM. Hospital, Mumbai, Maharashtra, India.
Department of Plastic Surgery, Topiwala National Medical College and B. Y. L. Nair Hospital, Mumbai, Maharashtra, India.
Indian J Plast Surg. 2025 Feb 24;58(4):298-305. doi: 10.1055/s-0045-1802330. eCollection 2025 Aug.
In cases of burns affecting the hand, minimizing morbidity and disability is crucial. Early mobilization is essential to prevent persistent contractures and optimize functional outcomes by gradually improving range of motion. The purpose of this study was to determine the efficacy of a glove-based dressing regimen in treating superficial partial-thickness and small deep-dermal hand burns compared to conventional dressings.
This study was conducted in a burn department affiliated with a tertiary care center over a period of 1 year between January 2018 and December 2018. A total of 75 digits (23 hands of 14 patients) were included in the study with 38 under a case group and 37 under a control group. The primary outcome of study was evaluated by assessing the edema, healing time, and mobility of the affected digit.
Mean healing time in the case group was 12.4 days (range: 11-14, standard deviation [SD]: 0.992). The mean VAS (visual analog scale) score was 8.42 (range: 13-17, SD: 1.136). The percentage increase in mobility was 70.81% in the case group (glove dressing) as opposed to 46.57% in the control group (conventional dressing) at 10 days post-burn, which was statistically significant.
Sterile glove dressing techniques can be handy and a convenient method for dressing of hand burn injuries.
在手部烧伤病例中,将发病率和残疾程度降至最低至关重要。早期活动对于预防持续性挛缩并通过逐渐改善活动范围来优化功能结果至关重要。本研究的目的是确定与传统敷料相比,基于手套的敷料方案治疗手部浅Ⅱ度和小面积深Ⅱ度烧伤的疗效。
本研究于2018年1月至2018年12月在一家三级护理中心附属的烧伤科进行,为期1年。共有75个手指(14例患者的23只手)纳入研究,其中38个手指在病例组,37个手指在对照组。通过评估患指的水肿、愈合时间和活动度来评估研究的主要结局。
病例组的平均愈合时间为12.4天(范围:11 - 14天,标准差[SD]:0.992)。平均视觉模拟量表(VAS)评分为8.42(范围:13 - 17,SD:1.136)。烧伤后10天,病例组(手套敷料)的活动度增加百分比为70.81%,而对照组(传统敷料)为46.57%,差异有统计学意义。
无菌手套敷料技术对于手部烧伤创面的包扎是一种方便且实用的方法。