| 钟莉,王建春.红外线照射联合前馈控制干预在手烧伤后瘢痕增生患者中的应用[J].中国医药导报,2024,21(2):170-174 |
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| 红外线照射联合前馈控制干预在手烧伤后瘢痕增生患者中的应用 |
| Application of infrared irradiation combined with feedforward control intervention in patients with scar hyperplasia after hand burn |
| 收稿日期：2023-02-17 |
| DOI：10.20047/j.issn1673-7210.2024.02.36 |
| 关键词: 手部烧伤 瘢痕增生 红外线照射 前馈控制干预 |
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| 摘要:目的 分析红外线照射联合前馈控制干预在手烧伤后瘢痕增生患者中的应用。 方法 前瞻性纳入四川大学华西医院2022年1月至2023年2月的150例手烧伤后瘢痕增生患者，按随机数字表法将其分为三组，对照1组、对照2组和观察组，各50例。对照1组应用红外线照射及常规护理，对照2组应用前馈控制干预及常规护理，观察组应用红外线照射联合前馈控制干预及常规护理。比较三组干预前后疼痛程度[视觉模拟评分法（VAS）评分]、日常生活活动能力[日常生活活动能力量表（ADL）评分]，比较两组护理满意度及随访2个月后手部功能、瘢痕程度[温哥华瘢痕量表（VSS）评分]。 结果 干预后，三组VAS评分均低于干预前，且观察组低于对照1、2组（P＜0.05）；三组ADL评分均高于干预前，且观察组高于对照1、2组（P＜0.05）；三组VSS各条目评分均低于干预前，且观察组低于对照1、2组（P＜0.05）；观察组手部功能、满意度优于对照1、2组（P＜0.05）。 结论 红外线照射联合前馈控制干预可缓解手烧伤后瘢痕增生患者疼痛程度，提高日常生活能力，改善手部功能，减轻瘢痕严重程度，且患者满意度更高。 |
| Abstract:Objective To analyze the application of infrared irradiation combined with feedforward control intervention in patients with scar hyperplasia after hand burn. Methods A total of 150 patients with scar hyperplasia after hand burn admitted to West China Hospital of Sichuan University from January 2022 to February 2023 were prospectively included, and according to random number table method, they were divided into three groups, control 1 group, control 2 group, and observation group, with 50 cases in each group. Control 1 group was treated with infrared irradiation and routine nursing, control 2 group was treated with feedforward control intervention and routine nursing, observation group was treated with infrared irradiation combined with feedforward control intervention and routine nursing. The pain degree (visual analogue scale [VAS] score), activities of daily living (activities of daily living scale [ADL] score), and nursing satisfaction were compared among three groups before and after intervention. Hand function and scar degree (Vancouver scar scale [VSS] score) were compared after two months of follow-up. Results After intervention, the VAS scores of all three groups were lower than that before intervention, and the observation group was lower than the control 1 and 2 group (P＜0.05). The ADL scores of all three groups were higher than before intervention, and the observation group was higher than those of the control 1 and 2 group (P＜0.05). The scores of all items in the three groups of VSS were lower than that before intervention, and the observation group was lower than those of the control 1 and 2 group(P＜0.05). The hand function and satisfaction of the observation group were better than those of the control 1 and 2 group (P＜0.05). Conclusion Infrared irradiation combined with feedforward control intervention can relieve the pain degree, improve the ability of daily living, improve the hand function, and reduce the severity of scar in patients with scar hyperplasia after hand burns, and the satisfaction of patients is higher. |
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