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一项关于小儿烧伤瘢痕成熟度的前瞻性研究:年龄有影响吗?

A prospective study of burn scar maturation in pediatrics: does age matter?

作者信息

Schwanholt C A, Ridgway C L, Greenhalgh D G, Staley M J, Gaboury T J, Morress C S, Walling S J, Warden G D

机构信息

OT/PT Department, Shriners Burns Institute, Cincinnati, OH 45229-3095.

出版信息

J Burn Care Rehabil. 1994 Sep-Oct;15(5):416-20. doi: 10.1097/00004630-199409000-00007.

DOI:10.1097/00004630-199409000-00007
PMID:7995814
Abstract

A prospective study was performed to determine whether patterns of burn scar maturation varied among different pediatric age groups. Patients were divided into three groups according to age at the time of burn injury: birth to 3 years, 4 to 11 years, and 12 to 18 years. Scarring of sheet grafts on an extremity was assessed throughout the maturation process in three areas: vascularity, pliability, and height. A 1-inch square was selected on the graft edge adjacent to unburned skin. Two experienced therapists independently evaluated the test area and averaged their scores. There were no significant differences in rate of scar maturation between age groups. Burn scar maturation of sheet skin grafts in the pediatric patient with burns demonstrated a rapid peak of scarring (1 to 2 months) and scar maturation (9 to 13 months).

摘要

进行了一项前瞻性研究,以确定不同小儿年龄组之间烧伤瘢痕成熟模式是否存在差异。根据烧伤时的年龄将患者分为三组:出生至3岁、4至11岁和12至18岁。在整个成熟过程中,对四肢片状移植皮片的瘢痕形成在三个方面进行评估:血管分布、柔韧性和高度。在靠近未烧伤皮肤的移植边缘选择一个1平方英寸的正方形区域。两名经验丰富的治疗师独立评估测试区域并计算平均分。各年龄组之间瘢痕成熟率无显著差异。小儿烧伤患者片状皮肤移植的烧伤瘢痕成熟表现出瘢痕形成(1至2个月)和瘢痕成熟(9至13个月)的快速高峰。

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