压力面罩联合支具对烧伤后面部瘢痕的效果比较

doi:10.3969/j.issn.1006-9771.2021.11.005

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (11): 1266-1271.doi: 10.3969/j.issn.1006-9771.2021.11.005

• 专题辅助技术及临床应用 • 上一篇下一篇

压力面罩联合支具对烧伤后面部瘢痕的效果比较

朱婵¹,何林²,王洪涛¹,蔡维霞¹,赵海洋¹,齐宗师¹,张博文¹,梁敏¹,杨延辉³,韩军涛¹()

1.中国人民解放军空军军医大学第一附属医院烧伤与皮肤外科,陕西西安市 710032
2.西安交通大学第一附属医院整形美容颌面外科,陕西西安市 710032
3.陕西省康复医院作业治疗科,陕西西安市 710032

收稿日期:2021-04-28 修回日期:2021-09-01 出版日期:2021-11-25 发布日期:2021-12-03
通讯作者: 韩军涛 E-mail:hanjt@fmmu.edu.cn
作者简介:朱婵(1985-),女,汉族,陕西西安市人,主管技师,主要研究方向：烧伤康复。
基金资助:
陕西省重点研发计划项目(2019SF-106)

Effect of Compression Garment Combined with Orthosis on Facial Burn Scar

ZHU Chan¹,HE Lin²,WANG Hong-tao¹,CAI Wei-xia¹,ZHAO Hai-yang¹,QI Zong-shi¹,ZHANG Bo-wen¹,LIANG Min¹,YANG Yan-hui³,HAN Jun-tao¹()

1. Department of Burns and Cutaneous Surgery, the First Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi 710032, China
2. Department of Plastic, Aesthetic and Maxillofacial Surgery, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi 710032, China
3. Department of Occupation Therapy, Shaanxi Rehabilitation Hospital, Xi'an, Shaanxi 710032, China

Received:2021-04-28 Revised:2021-09-01 Published:2021-11-25 Online:2021-12-03
Contact: HAN Jun-tao E-mail:hanjt@fmmu.edu.cn
Supported by:
Shaanxi Key Research and Development Program(2019SF-106)

摘要/Abstract

摘要：

目的比较压力面罩联合面中部硬性支具与压力面罩和3D压力面具对烧伤后面部瘢痕的康复效果。方法选取2017年9月至2019年6月空军军医大学第一附属医院烧伤与皮肤外科收治的面部深Ⅱ°烧伤后瘢痕患者38例,根据患者意愿分别采用压力面罩(压力面罩组,n = 15)、压力面罩联合面中部硬性支具(联合组,n = 17)或3D压力面具(3D组,n = 6)进行治疗。分别于治疗前和治疗后1年,应用温哥华瘢痕量表(VSS)进行评定,问卷调查患者佩戴舒适度,并计算各组治疗总费用。结果联合组1例不能耐受。各组治疗后VSS评分下降(F = 18.49, P < 0.05),压力面罩组治疗后VSS评分比联合组高1.717分(95%CI 0.925~2.482, P < 0.001),比3D组高1.782分(95%CI 0.738~2.827, P < 0.001),联合组与3D组无显著性差异(0.065分,95%CI -0.957~1.088, P = 1.000)。3组患者舒适度分别为60%、52.9%和66.7%,无显著性差异(P > 0.05)。3D组治疗费用最高(12000~16000元),压力面罩组(3000~4800元)与联合组(3300~5300元)费用相似。结论压力面罩联合面中部硬性支具的治疗效果接近3D压力面具,费用更便宜,是经济或技术条件受限地区患者面部烧伤后瘢痕康复的合适选择。

关键词: 烧伤, 面部瘢痕, 康复, 压力面罩, 支具, 3D压力面具

Abstract:

Objective To compare the effects of compression garment combined with orthosis for central face on facial burn scar to compression garment and 3D compression mask.Methods From September, 2016 to June, 2019, 38 facial burn scar patients received compression therapy in Department of Burns and Cutaneous Surgery, the First Affiliated Hospital of Air Force Medical University. According to their preference, they wore compression garment only (CG group, n = 15), compression garment and orthosis for central face (CO group, n = 17) and 3D compression mask (3D group, n = 6) for a year. The facial scar was assessed with Vancouver Scar Scale (VSS) before and after treatment, and the comfort and medical cost was investigated with questionnaire.Results The VSS score decreased after treatment in all the groups (F = 18.49, P < 0.05), while the VSS score was higher in CG group than in CO group (1.717 points, 95%CI 0.925 to 2.482, P < 0.001) and 3D group (1.782 points, 95%CI 0.738 to 2.827, P < 0.001), the difference was less between CO group and 3D group (0.065 points, 95%CI -0.957 to 1.088, P = 1.000). The comfort rate was 60%, 52.9% and 66.7% for CG group, CO group and 3D group, respectively, with no significant difference (P > 0.05). The medical cost was the most for 3D group (12 000 to 16 000 Yuan), and similar for CG group (3000 to 4800 Yuan) and CO group (3300 to 5300 Yuan).Conclusion Compression garment combined with orthosis for central face is more effective on facial burn scar, similar to 3D compression mask, but cheaper than 3D mask, which can be a choice for facial scar patients in developing areas.

Key words: burn, facial scar, rehabilitation, compression garment, orthosis, 3D compression mask

朱婵,何林,王洪涛,蔡维霞,赵海洋,齐宗师,张博文,梁敏,杨延辉,韩军涛. 压力面罩联合支具对烧伤后面部瘢痕的效果比较[J]. 《中国康复理论与实践》, 2021, 27(11): 1266-1271.

ZHU Chan,HE Lin,WANG Hong-tao,CAI Wei-xia,ZHAO Hai-yang,QI Zong-shi,ZHANG Bo-wen,LIANG Min,YANG Yan-hui,HAN Jun-tao. Effect of Compression Garment Combined with Orthosis on Facial Burn Scar[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(11): 1266-1271.

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组别	n	性别(男/女, n)	年龄(岁)	致伤原因 (火焰烧伤/烫伤/化学烧伤, n)	瘢痕大小 (%TBSA)
压力面罩组	15	8/7	31.5±11.2	9/4/2	1.1±0.3
联合组	17	10/7	30.3±10.6	11/4/2	1.0±0.2
3D组	6	3/3	32.2±12.2	3/2/1	1.0±0.3

组别	n	治疗前	治疗后
组别	n	治疗前	未校正	校正
压力面罩组	15	11.52±1.31	5.93±1.03	5.87±0.22
联合组	17	11.31±1.33	4.12±0.99	4.15±0.21
3D组	6	11.23±1.22	4.00±0.89	4.08±0.35

组别	n	无明显不适	轻微不适	明显舒适	舒适度
压力面罩组	15	9	5	1	60.0%
联合组	17	9	6	2	52.9%
3D组	6	4	2	0	66.7%
P₁值					0.840
P₂值					0.300
P₃值					0.300

压力面罩联合支具对烧伤后面部瘢痕的效果比较

Effect of Compression Garment Combined with Orthosis on Facial Burn Scar

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