首页|光子治疗仪结合康复训练在大面积烧伤创面愈合中的应用

光子治疗仪结合康复训练在大面积烧伤创面愈合中的应用

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目的 观察光子治疗仪结合康复训练对改善大面积烧伤患者创面愈合情况的影响。方法 选取98 例大面积烧伤患者,按照随机数字表法分为常规组和光子组,每组 49 例。两组患者均接受邮票植皮术治疗,常规组术后予以康复训练,光子组采用光子治疗仪结合康复训练,比较两组患者的治疗情况,创面瘙痒、肿痛情况,实验室指标及并发症发生情况。结果 在不同治疗方案下,光子组的出血评分、换药次数、肉芽生长时间、创面愈合时间、住院时间均少于常规组,差异具有统计学意义(P<0。05);光子组的四项瘙痒问卷(FIIQ)评分、视觉模拟疼痛量表(VAS)评分、中文版精简烧伤健康量表(BSHS-B)评分均低于常规组(P<0。05);光子组的促红细胞生成素(EPO)水平高于常规组,细胞间黏附分子-1(ICAM-1)、血小板生成素(TPO)、C反应蛋白(CRP)的水平均低于常规组(P<0。05);光子组的并发症发生率低于常规组(P<0。05)。结论 光子治疗仪结合康复训练能降低大面积烧伤患者的出血风险,可减少换药次数,对加快患者康复进程,减轻创面瘙痒、肿痛及炎症反应,并降低并发症发生风险均有积极意义。
Application of photon therapy combined with rehabilitation training to improve the healing of large-area burn wounds
Objective To observe the effects of photon therapy combined with rehabilitation training on improving wound healing in patients were with large-area burn wounds.Methods 98 patients with large-area burn wounds were selected and randomly divided into the conventional group and photon group,with 49 patients in each group.Both groups of patients were received stamp skin grafting treatment.The conventional group were received postoperative rehabilitation training,while the photon group were received photon therapy combined with rehabilitation training.The treatment status,wound itching,swelling and pain,laboratory indicators,and incidence of complications were compared between the two groups of patients.Results Under different treatment plans,the bleeding score,dressing change frequency,granulation growth time,wound healing time,and hospitalization time of the photon group were lower than those of the conventional group,showing a statistically significant difference(P<0.05).The FIIQ scores,VAS scores,and BSHS-B scores of the photon group were all lower than those of the conventional group(P<0.05).The levels of erythropoietin(EPO)in the photon group were higher than those in the conventional group,while intercellular adhesion molecule-1(ICAM-1),thrombopoietin(TPO),and C-reactive protein(CRP)were all lower than those in the conventional group(P<0.05).The incidence of complications was significantly lower in the photon group at 4.08%(2 out of 49)compared to 22.45%(11 out of 49)in the conventional group(P<0.05).Conclusion The combination of photon therapy equipment and rehabilitation training can reduce the risk of bleeding in patients with large-area burn wounds and reduce the frequency of dressing changes.It has a positive significance in accelerating the patient's rehabilitation process,reducing itching,swelling,and inflammatory reactions on the wound,and reducing the risk of complications.

large-area burn woundsphoton therapy equipmentrehabilitation trainingwound healingcomplications

石婉秋、祝艳蕊

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商丘市第一人民医院烧伤整形外科,商丘 476000

大面积烧伤 光子治疗仪 康复训练 创面愈合 并发症

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(6)