朱珍玉

DOI：10.16662/j.cnki.1674-0742.2019.35.108

[摘要] 目的 探究早期系統(tǒng)康復(fù)在手燒傷患者中的應(yīng)用價(jià)值。方法 該次研究對(duì)象方便選取該院于2017年5月—2019年5月收治的手燒傷患者100例，并將其根據(jù)隨機(jī)原則實(shí)施分組，分為對(duì)照組（n=50）與觀察組（n=50）。給予對(duì)照組外科常規(guī)護(hù)理，而觀察組則實(shí)施早期系統(tǒng)康復(fù)護(hù)理。比較兩組的護(hù)理效果，同時(shí)比較兩組干預(yù)前后神經(jīng)功能評(píng)分量表（ASIA）、手指關(guān)節(jié)活動(dòng)度（TAM）。 結(jié)果 觀察組的護(hù)理總有效率（96.00%）明顯高于對(duì)照組（82.00%）（χ2=5.010;P<0.05）;干預(yù)后，兩組患者的ASIA評(píng)分均比干預(yù)前升高，但觀察組更高于對(duì)照組（P<0.05）;且手指關(guān)節(jié)活動(dòng)優(yōu)良率（80.00%）也較高于對(duì)照組（62.00%）（χ2=3.930;P<0.05）。 結(jié)論 針對(duì)手燒傷患者，應(yīng)用早期系統(tǒng)康復(fù)護(hù)理干預(yù)，其護(hù)理效果較為理想，能有效改善患者的神經(jīng)功能和手指關(guān)節(jié)活動(dòng)功能，恢復(fù)效果更好，值得臨床推廣。

[關(guān)鍵詞] 早期系統(tǒng)康復(fù);手部燒傷;手指關(guān)節(jié)活動(dòng)度

[中圖分類號(hào)] R5 ? ? ? ? ?[文獻(xiàn)標(biāo)識(shí)碼] A ? ? ? ? ?[文章編號(hào)] 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個(gè)重要器官，當(dāng)手出現(xiàn)燒傷后則會(huì)導(dǎo)致人們的正常生活受到嚴(yán)重影響。若是燒傷程度較深，可會(huì)使手部皮膚出現(xiàn)瘢痕，而瘢痕的形成則會(huì)使患者出現(xiàn)疼痛、瘙癢難耐等癥狀，甚至?xí)p害患者手指的相關(guān)關(guān)節(jié)功能[1-2]。因此，臨床在給予患者有效治療的同時(shí)，也應(yīng)高度重視后續(xù)的護(hù)理工作，以促進(jìn)患者關(guān)節(jié)功能早期恢復(fù)?；诖?，該文研究通過對(duì)該院2017年5月—2019年5月收治的50例手燒傷患者實(shí)施早期系統(tǒng)康復(fù)護(hù)理，并重點(diǎn)對(duì)其護(hù)理效果進(jìn)行探究，現(xiàn)報(bào)道如下。