早期系统康复在手烧伤患者中的应用价值研究

朱珍玉

DOI：10.16662/j.cnki.1674-0742.2019.35.108

[摘要] 目的 探究早期系统康复在手烧伤患者中的应用价值。方法 该次研究对象方便选取该院于2017年5月—2019年5月收治的手烧伤患者100例，并将其根据随机原则实施分组，分为对照组（n=50）与观察组（n=50）。给予对照组外科常规护理，而观察组则实施早期系统康复护理。比较两组的护理效果，同时比较两组干预前后神经功能评分量表（ASIA）、手指关节活动度（TAM）。 结果 观察组的护理总有效率（96.00%）明显高于对照组（82.00%）（χ2=5.010;P<0.05）;干预后，两组患者的ASIA评分均比干预前升高，但观察组更高于对照组（P<0.05）;且手指关节活动优良率（80.00%）也较高于对照组（62.00%）（χ2=3.930;P<0.05）。 结论 针对手烧伤患者，应用早期系统康复护理干预，其护理效果较为理想，能有效改善患者的神经功能和手指关节活动功能，恢复效果更好，值得临床推广。

[关键词] 早期系统康复;手部烧伤;手指关节活动度

[中图分类号] R5          [文献标识码] A          [文章编号] 1674-0742（2019）12（b）-0108-03

Application Value of Early Systematic Rehabilitation in Patients with Hand Burns

ZHU Zhen-yu

Department of Burns， Putian First Hospital， Putian， Fujian Province， 351100 China

[Abstract] Objective To explore the value of early systematic rehabilitation in patients with hand burn. Methods Convenient election 100 cases of hand burn patients admitted to the hospital from May 2017 to May 2019 were selected as subjects of this study， and they were divided into control group （n=50） and observation group （n=50） according to the random principle. The control group was given routine surgical nursing， while the observation group was given early systematic rehabilitation nursing. The nursing effects of the two groups were compared， as well as the neurological function rating scale （ASIA） and finger range of motion （TAM） before and after the intervention. Results The total effective rate （96.00%） of the observation group was significantly higher than that of the control group （82.00%）（χ2=5.010 P<0.05）; After intervention， ASIA scores of patients in both groups were higher than before intervention， but the observation group was higher than the control group （P<0.05）; In addition， the excellent and good rate of finger joint activity （80.00%） was higher than that of the control group （62.00%）（χ2=3.930 P<0.05）. Conclusion For hand burn patients， the application of early systematic rehabilitation nursing intervention， the nursing effect is relatively ideal， can effectively improve the nerve function and finger joint movement function of patients， better recovery effect， is worthy of clinical promotion.

[Key words] Early systemic rehabilitation; Hand burns; Finger joint mobility

手是人類不可或缺的一个重要器官，当手出现烧伤后则会导致人们的正常生活受到严重影响。若是烧伤程度较深，可会使手部皮肤出现瘢痕，而瘢痕的形成则会使患者出现疼痛、瘙痒难耐等症状，甚至会损害患者手指的相关关节功能[1-2]。因此，临床在给予患者有效治疗的同时，也应高度重视后续的护理工作，以促进患者关节功能早期恢复。基于此，该文研究通过对该院2017年5月—2019年5月收治的50例手烧伤患者实施早期系统康复护理，并重点对其护理效果进行探究，现报道如下。