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目的观察和探讨手术联合康复治疗对手部烧伤后瘢痕挛缩畸形的临床疗效。方法 50例手部烧伤后瘢痕挛缩畸形患者,按照入院时间分成研究组和对照组,各25例。所有患者均给予常规手术治疗,研究组在此基础上给予术后康复治疗,对照组给予常规指导手部功能锻炼。比较两组患者日常生活活动能力(ADL)评分。结果治疗前,两组ADL评分比较,差异无统计学意义(t=0.096,P>0.05);治疗后,研究组ADL评分明显高于对照组,差异具有统计学意义(t=5.924,P<0.05)。结论手术联合康复治疗对手部烧伤后瘢痕挛缩畸形患者的手部功能恢复具有明显疗效,能显著改善患者的生活质量,值得应用。
Objective To observe and discuss the clinical effect of combined surgery and rehabilitation on scar contracture deformity after hand burns. Methods Fifty patients with scar contracture after hand burn were divided into study group and control group according to the time of admission, with 25 cases in each group. All patients were given conventional surgical treatment, the study group was given postoperative rehabilitation on this basis, the control group given conventional hand exercises. The daily living activity (ADL) scores of two groups were compared. Results Before treatment, there was no significant difference in ADL score between the two groups (t = 0.096, P> 0.05). After treatment, the ADL score of the study group was significantly higher than that of the control group (t = 5.924, P < 0.05). Conclusion Operation combined with rehabilitation therapy has obvious curative effect on hand function recovery of patients with scar contracture after hand burns, which can significantly improve the quality of life of patients and is worthy of application.