摘要
手背烧伤后瘢痕挛缩易导致手指屈曲功能受限,严重影响日常生活活动。手背部瘢痕挛缩一般采取综合康复治疗手段,其中佩戴支具是一种行之有效的治疗方法,但部分支具会制动正常的手指关节或必须等所有患指愈合后才能佩戴且佩戴操作比较复杂。针对这些问题,笔者自行设计制作了一种分指屈指带,对手背烧伤瘢痕挛缩致屈指受限的患者进行牵伸治疗,取得了较好的治疗效果。该分指屈指带根据测量的手部相应尺寸,裁剪拼接日常常用布料制作而成;采用分指式套筒设计,不会制动正常的手指关节,可提前干预愈合的患指,能更好地固定相应手指,且可以提高治疗舒适度,尤其适用于不配合支具佩戴的患儿。该分指屈指带制作简单、价格低廉、使用方便,适合临床推广。
Scar contracture after burn on the back of hand can easily lead to the limitation of flexion function of fingers,which seriously affects daily life activities.Generally,comprehensive rehabilitation treatment is adopted for scar contracture on the back of hand,among which wearing braces is an effective treatment method.However,some braces will limit the normal finger joints or must wait until all the affected fingers heal before they can be worn,and the wearing operation is quite complicated.In order to solve these problems,the author designed and made a finger flexion band,which was used to stretch the patients with limited flexion of finger caused by scar contracture after burn on the back of hand,and achieved good therapeutic effect.According to the measured hand size,the finger flexion band is cut and spliced from the fabric commonly used in daily life.The finger flexion band is designed with finger sleeve,which will not limit the normal finger joints,can interfere with the healed finger in advance,fix the corresponding fingers better,and improve the treatment comfort,especially for children who do not cooperate with the braces wearing.This finger flexion band is simple to make,cheap,convenient to use,and suitable for clinical promotion.
作者
陈佩
杨水涓
袁晓晓
袁林
雷芳
王娟
吴坤平
谢卫国
Chen Pei;Yang Shuijuan;Yuan Xiaoxiao;Yuan Lin;Lei Fang;Wang Juan;Wu Kunping;Xie Weiguo(Institute of Burns,Tongren Hospital of Wuhan University&Wuhan Third Hospital,Wuhan 430060,China;Department of Rehabilitation,Hospital Affiliated to Wuhan University of Science and Technology,Wuhan 430065,China)
出处
《中华烧伤杂志》
CAS
CSCD
北大核心
2019年第11期821-823,共3页
Chinese Journal of Burns
关键词
手
瘢痕
挛缩
分指屈指带
Hand
Cicatrix
Contracture
Finger flexion band
