康复护理对面部烧伤后瘢痕增生患者影响.docVIP

康复护理对面部烧伤后瘢痕增生患者影响 　　[摘要] 目的：探讨康复护理在面部瘢痕增生患者中的疗效。方法：将2008年3月～2009年12月收治的154例面部烧伤后瘢痕增生患者，随机抽取96例分为两组：对照组44例，采用瘢痕膏涂抹于患处，而治疗组52例，在一般护理基础上使用中草药蒸汽喷雾和面膜护理，比较两组患者疗效。结果：治疗组52例患者，47例有效，5例无效，治疗有效率达90.38%；对照组44例患者，26例有效，18例无效，治疗有效率仅为59.09%，两组疗效差异有统计学意义（P0.05）。结论：瘢痕膏治疗面部烧伤后瘢痕增生有一定疗效，但同时配套使用中草药蒸汽喷雾和面膜及按摩康复护理，大大提高了治疗瘢痕增生疗效，值得临床推广应用。 　　[关键词] 面部；烧伤；瘢痕增生；康复护理；经验总结 　　[中图分类号] R473.6[文献标识码]C [文章编号]1674-4721（2011）03（b）-106-02 　　 　　Facial burn scar care and rehabilitation of patients 　　Deng Ying 　　First People′s Hospital of Loudi City in Hunan Province,Loudi 417009,China 　　[Abstract] Objective: To study rehabilitation nursing care of patients in the facial scar positive impact. Methods: May 2007 to December 2008 treated 154 cases of facial burn scar patients, 96 cases were randomly divided into two groups: control group, 44 patients with scar cream applied on the affected area, while the treatment group52 cases on this basis, usedherbal steam spray and mask care, patients outcomes were compared. Results: The 52 patients, 47 cases were effective, 5 cases were ineffective, treatment efficiency was 90.38%; control group of 44 patients, 26 cases were effective,18 cases were ineffective, treatment efficiency was 59.09%, there was significant difference between these two groups (P0.05). Conclusion: Scar cream facial burn scar treatment has some effect, but at the same time the use of herbal steam and massage spray and rehabilitation care mask,is greatly improved efficiency in patients with hypertrophic scar, is worthy of clinical application. 　　[Key words] Facial; Burn; Scar; Rehabilitation nursing; Nuring experience 　　 　　头面部部位暴露，是烧伤的多发部位，轻度烧伤可在面部留有色素沉着，而深度烧伤则容易引起瘢痕增生而影响美观，重者可致颜面部部分功能丧失, 患者心理上可表现为不能接受现实、极度悲观等负性心理[1]。为了探讨瘢痕增生有效治疗方法，本院对52例面部烧伤后瘢痕增生患者在使用瘢痕膏治疗的基础上加用中草药面膜及皮肤美容护理，取得了满意疗效，现报道如下： 　　1资料与方法 　　1.1 一般资料 　　治疗组52例患者中，男28例，女24例，年龄为10个月～53岁，平均29岁，病史为2个月～3年，平均8个月。按统计学要求，对照组44例患者年龄、性别、临床症状及病史等一般资料与治疗组差异无统计学意义（P0.05），具有可比性。 　　1.2 症状评估 　　治疗组52例患者均有不同程度的痛痒征，局部皮肤色泽较正常皮肤红。①色泽：16例局部赤