Ause-Ellias K L, Richard R, Miller S F, Finley R K
Miami Valley Hospital, Regional Adult Burn Center, Dayton, Ohio 45409.
J Burn Care Rehabil. 1994 Jan-Feb;15(1):29-33. doi: 10.1097/00004630-199401000-00006.
Chronic hand edema after wound healing is a troublesome condition to treat in patients with burns. Stagnant edema can cause fibrosis, which impedes rehabilitation and may lead to deformity. Although favorable results have been reported with mechanical compression used in acute injuries, no literature was found on the effects of compression for the treatment of chronic hand-burn edema. Five male patients with nine chronically edematous burned hands were subject to mechanical compression at 55 mm Hg pressure. A single-cell unit was used for a 30-minute treatment at 4:1 treatment ratio. Goniometric and volumetric hand measurements were recorded both before and after treatment. Although patients expressed a subjective feeling of improvement, no statistical difference was found in finger joint range of motion nor in hand volume when comparing pretreatment and posttreatment measurements. Many different treatment protocols exist in the literature and are discussed.
伤口愈合后慢性手部水肿是烧伤患者治疗中一个棘手的问题。淤滞性水肿会导致纤维化，阻碍康复并可能导致畸形。尽管在急性损伤中使用机械压迫已报告有良好效果，但未发现关于压迫治疗慢性手部烧伤水肿效果的文献。五名男性患者的九只慢性水肿烧伤手接受了55毫米汞柱压力的机械压迫。使用单细胞装置以4:1的治疗比例进行30分钟治疗。在治疗前后记录手部角度测量和体积测量数据。尽管患者表示主观感觉有所改善，但比较治疗前和治疗后测量数据时，手指关节活动范围和手部体积均未发现统计学差异。文献中有许多不同的治疗方案并进行了讨论。
