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《疤痕電療儀配合持續(xù)被動(dòng)活動(dòng)機(jī)治療燒傷后期膝關(guān)節(jié)疤痕攣縮的效果觀察》由會(huì)員上傳分享,免費(fèi)在線閱讀,更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫。
1、2008年12月護(hù)理學(xué)報(bào)December,200840第15卷第12期JournalofNursing(China)Vol.15No.12※外科護(hù)理疤痕電療儀配合持續(xù)被動(dòng)活動(dòng)機(jī)治療燒傷后期膝關(guān)節(jié)疤痕攣縮的效果觀察江敏君,謝蝶蘭,唐綺玲(深圳市龍崗中心醫(yī)院燒傷科,廣東深圳518116)[摘要]目的探討疤痕電療儀配合持續(xù)被動(dòng)活動(dòng)(continuouspassivemotion,CPM)治療燒傷后期膝關(guān)節(jié)疤痕攣縮的效果。方法將96例燒傷后期膝關(guān)節(jié)疤痕攣縮患者按抽簽法隨機(jī)分為3組,CPM組30例,采用CPM治療;疤痕電療儀組30例,采用疤痕電療儀進(jìn)行治療;疤
2、痕電療儀配合CPM組36例,采用疤痕電療儀配合CPM進(jìn)行治療。比較3組在膝關(guān)節(jié)活動(dòng)度和整體療效方面的差異。結(jié)果3組治療后4周膝關(guān)節(jié)活動(dòng)度均較治療前改善,差異具有統(tǒng)計(jì)學(xué)意義(P<0.01);疤痕電療儀配合CPM組膝關(guān)節(jié)活動(dòng)度較單純CPM組和疤痕電療儀組增大,差異具有統(tǒng)計(jì)學(xué)意義(P<0.01);3組整體療效比較,差異具有統(tǒng)計(jì)學(xué)意義(P<0.01),根據(jù)平均秩次推斷,疤痕電療儀配合CPM組療效最好。結(jié)論疤痕電療儀配合CPM對(duì)燒傷后期膝關(guān)節(jié)攣縮具有良好的治療效果,恰當(dāng)?shù)淖o(hù)理方法有助于患者的康復(fù)。[關(guān)鍵詞]燒傷后期;膝關(guān)節(jié);疤痕攣縮;疤痕電療儀;持續(xù)被動(dòng)活動(dòng)[
3、中圖分類號(hào)]R473.6[文獻(xiàn)標(biāo)識(shí)碼]A[文章編號(hào)]1008-9969(2008)12-0040-04ObservationoftheTreatmentEffectsofElectro-therapeuticalScarTreatmentApparatusCombinedwithCPMonPost-burnKneeJointContractureJIANGMin-jun,XIEDie-lan,TANGQi-ling(Dept.ofBurn,ShenzhenLonggangCentralHospital,Shenzhen518116,China)Abs
4、tract:ObjectiveToexplorethetreatmenteffectsofelectro-therapeuticalscartreatmentapparatuscombinedwithCPMonpost-burnkneejointcontracture.Methods96caseswithpost-burnkneejointcontracturewererandomlydividedintothreegroupsbymeansoflotdrawing,with30intheCPMgroup,whichreceivedCPMtreatm
5、ent,30intheelectro-therapeuticalapparatusgroup,whichreceivedelectro-treatment,and36intheappratus-and-CPMgroup,whichreceivedelectro-treatmentsupplementedbyCPM.Thenthemotionrangeofthekneejointandthecomprehensiveefficicacyamongthethreegroupswerecompared.Results4weeksafterthetreatm
6、ent,thekneemotionrangeofthepatientsimprovedinallthethreegroups,withthedifferencebeingstatisitcalsignificant(P<0.01).Thekneemotionrangeintheappratus-and-CPMgroupincrcasedmorethanthatineithertheCPMgrouportheelectro-therapeuticalapparatusgroup,withstatisticallysignificantdifferenr
7、e(P<0.01).Thedifferenceintheoveralltreatmentresultsofthe3groupshadstatisticalsignificance(P<0.01),withtheresultoftheappratus-and-CPMgroupbeingthebest.ConclusionThetreatmentofpost-burnkneejointcontracturebyusingtheelectro-therapeuticalscartreatmentapparatuscombinedwithCPMyieldsg
8、oodresults,andpropernursingcanfacilitatetherecovery.Ke