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烧伤康复体系的建设

于家傲 张修航

于家傲, 张修航. 烧伤康复体系的建设[J]. 中华烧伤与创面修复杂志, 2023, 39(12): 1101-1108. DOI: 10.3760/cma.j.cn501225-20230804-00038.
引用本文: 于家傲, 张修航. 烧伤康复体系的建设[J]. 中华烧伤与创面修复杂志, 2023, 39(12): 1101-1108. DOI: 10.3760/cma.j.cn501225-20230804-00038.
Yu JA,Zhang XH.Construction of the burn rehabilitation system[J].Chin J Burns Wounds,2023,39(12):1101-1108.DOI: 10.3760/cma.j.cn501225-20230804-00038.
Citation: Yu JA,Zhang XH.Construction of the burn rehabilitation system[J].Chin J Burns Wounds,2023,39(12):1101-1108.DOI: 10.3760/cma.j.cn501225-20230804-00038.

烧伤康复体系的建设

doi: 10.3760/cma.j.cn501225-20230804-00038
基金项目: 

吉林省科学技术基金 20200404166YY

吉林省发展和改革委员会基金 2020C049

白求恩医学工程与仪器中心基金项目 BQEGCZX2019004

详细信息
    通讯作者:

    于家傲,Email:yuja@jlu.edu.cn

Construction of the burn rehabilitation system

Funds: 

Fund of Science and Technology of Jilin Province of China 20200404166YY

Jilin Provincial Development and Reform Commission Fund 2020C049

The Bethune Medical Engineering and Instrumentation Center Fund Project BQEGCZX2019004

More Information
  • 摘要: 烧伤康复是烧伤学科的重要组成部分,随着烧伤治疗的目标从挽救生命、消灭创面转变成高质量恢复机体功能,烧伤康复逐步融入烧伤治疗的各个层面中。在临床实践中,随着早期预防性康复观念的确立、创面修复中功能性重建观念的重塑以及整体康复观念的明晰,烧伤康复的理念发生了根本性变化。烧伤康复体系不是指向性医疗技术的简单堆砌,而是多项医疗技术的加成表达,涵盖多学科内容,包括交叉学科新技术的引进与应用,也涉及亚专科方面。烧伤康复始终贯穿、游走于整个烧伤治疗过程中,包括早期的体位摆放,以及后期的针对性物理、化学治疗,乃至神经认知治疗方面,且在整个康复过程中伴随着对康复质量的评价。

     

  • 参考文献(61)

    [1] 吴军, 王玉振. 中国烧伤康复医学历程[J]. 中华烧伤杂志, 2019, 35(2):81-85. DOI: 10.3760/cma.j.issn.1009-2587.2019.02.001.
    [2] ChenJ, Li-TsangCW, YanH, et al. A survey on the current status of burn rehabilitation services in China[J]. Burns, 2013,39(2):269-278. DOI: 10.1016/j.burns.2012.06.016.
    [3] BoehmD, MenkeH. A history of fluid management-from "one size fits all" to an individualized fluid therapy in burn resuscitation[J]. Medicina (Kaunas), 2021, 57(2):187. DOI: 10.3390/medicina57020187.
    [4] MalkocA, JongS, FineK, et al. High-dose intravenous versus low-dose oral vitamin C in burn care: potential protective effects in the severely burned: a retrospective cohort study[J]. Ann Med Surg (Lond), 2023,85(5):1523-1526. DOI: 10.1097/MS9.0000000000000615.
    [5] Al-TarrahK, HewisonM, MoiemenN, et al. Vitamin D status and its influence on outcomes following major burn injury and critical illness[J/OL]. Burns Trauma, 2018,6:11[2023-08-04]. https://pubmed.ncbi.nlm.nih.gov/29721511/. DOI: 10.1186/s41038-018-0113-4.
    [6] YoungAW, DeweyWS, KingBT. Rehabilitation of burn injuries: an update[J]. Phys Med Rehabil Clin N Am, 2019,30(1):111-132. DOI: 10.1016/j.pmr.2018.08.004.
    [7] PalackicA, SumanOE, PorterC, et al. Rehabilitative exercise training for burn injury[J]. Sports Med, 2021,51(12):2469-2482. DOI: 10.1007/s40279-021-01528-4.
    [8] GerberLH, BushH, HolavanahalliR, et al. A scoping review of burn rehabilitation publications incorporating functional outcomes[J]. Burns, 2019,45(5):1005-1013. DOI: 10.1016/j.burns.2018.09.029.
    [9] 谢春晖, 高欣欣, 孟祥龙, 等. 应用序贯激光治疗烧伤患儿早期增生性瘢痕的效果分析[J].中华烧伤杂志,2021,37(4):327-332. DOI: 10.3760/cma.j.cn501120-20201214-00526.
    [10] 卞瑞豪, 黄诗欣, 朱家源, 等. 基于德尔菲法构建烧伤患者面颈部创面与瘢痕地形图评估系统[J]. 中华烧伤与创面修复杂志, 2023, 39(12): 1115-1121. DOI: 10.3760/cma.j.cn501225-20230905-00075.
    [11] 尤永明, 彭曦. 重视分子成像技术 推动烧伤精准诊断[J].中华烧伤杂志,2017,33(8):469-472. DOI: 10.3760/cma.j.issn.1009-2587.2017.08.002.
    [12] DangJ, LinM, TanC, et al. Use of infrared thermography for assessment of burn depth and healing potential: a systematic review[J]. J Burn Care Res, 2021:irab108.DOI: 10.1093/jbcr/irab108.
    [13] KimYH, PaikSH, KimY, et al. Clinical application of functional near-infrared spectroscopy for burn assessment[J]. Front Bioeng Biotechnol, 2023,11:1127563. DOI: 10.3389/fbioe.2023.1127563.
    [14] OsmanOB, HarrisZB, ZhouJW, et al. In vivo assessment and monitoring of burn wounds using a handheld terahertz hyperspectral scanner[J]. Adv Photonics Res, 2022, 3(5):2100095. DOI: 10.1002/adpr.202100095.
    [15] SchulzT, MarotzJ, SeiderS, et al. Burn depth assessment using hyperspectral imaging in a prospective single center study[J]. Burns, 2022,48(5):1112-1119. DOI: 10.1016/j.burns.2021.09.010.
    [16] MirdellR, FarneboS, SjöbergF, et al. Using blood flow pulsatility to improve the accuracy of laser speckle contrast imaging in the assessment of burns[J]. Burns, 2020,46(6):1398-1406. DOI: 10.1016/j.burns.2020.03.008.
    [17] SheridanRL. Burns in children[J]. J Burn Care Res, 2017,38(3):e618-e624. DOI: 10.1097/BCR.0000000000000536.
    [18] LiS, MohamediAH, SenkowskyJ, et al. Imaging in chronic wound diagnostics[J]. Adv Wound Care (New Rochelle), 2020,9(5):245-263. DOI: 10.1089/wound.2019.0967.
    [19] VerhaegenP, van der WalM, MiddelkoopE, et al. Objective scar assessment tools: a clinimetric appraisal[J]. Plast Reconstr Surg, 2011,127(4):1561-1570. DOI: 10.1097/PRS.0b013e31820a641a.
    [20] 谢春晖,高欣欣,贾冀斌,等. Antera 3D®相机在瘢痕疙瘩治疗效果评估中的临床应用[J].中华烧伤杂志,2018,34(2):117-119.DOI: 10.3760/cma.j.issn.1009-2587.2018.02.012.
    [21] JütteL, RothB. Mueller matrix microscopy for in vivo scar tissue diagnostics and treatment evaluation[J]. Sensors (Basel), 2022, 22(23):9349. DOI: 10.3390/s22239349.
    [22] 赵海洋, 韩军涛, 胡大海, 等. 基于渐进模式的运动处方治疗深度烧伤后下肢功能障碍老年患者效果的随机对照试验[J]. 中华烧伤与创面修复杂志, 2023, 39(12): 1122-1130. DOI: 10.3760/cma.j.cn501225-20230721-00012.
    [23] LinSY, ChangJK, ChenPC, et al. Hand function measures for burn patients: a literature review[J]. Burns, 2013,39(1):16-23. DOI: 10.1016/j.burns.2012.08.020.
    [24] XieC, HuJ, ChengY, et al. Researches on cognitive sequelae of burn injury: current status and advances[J]. Front Neurosci, 2022,16:1026152. DOI: 10.3389/fnins.2022.1026152.
    [25] PurohitM, GoldsteinR, NadlerD, et al. Cognition in patients with burn injury in the inpatient rehabilitation population[J]. Arch Phys Med Rehabil, 2014,95(7):1342-1349. DOI: 10.1016/j.apmr.2014.01.029.
    [26] BanoZ, NazI. Post-traumatic stress disorder, cognitive function and adjustment problems in women burn survivors: a multi-center study[J]. J Pak Med Assoc, 2020,70(12(A)):2102-2107. DOI: 10.47391/JPMA.1260.
    [27] WatsonE, NenadlováK, ClancyOH, et al. Perioperative research into memory (PRiMe): cognitive impairment following a severe burn injury and critical care admission, part 1[J]. Burns, 2018,44(5):1167-1178. DOI: 10.1016/j.burns.2018.04.011.
    [28] 光电技术治疗皮肤创伤性瘢痕专家共识(2018版)编写组. 光电技术治疗皮肤创伤性瘢痕专家共识(2018版)[J].中华烧伤杂志,2018,34(9):593-597. DOI: 10.3760/cma.j.issn.1009-2587.2018.09.007.
    [29] 中国临床瘢痕防治专家共识制定小组. 中国临床瘢痕防治专家共识[J/CD].中华损伤与修复杂志(电子版),2017,12(6):401-406. DOI: 10.3877/cma.j.issn.1673-9450.2017.06.001.
    [30] AltemirA, BoixedaP. Laser treatment of burn scars[J]. Actas Dermosifiliogr, 2022,113(10):938-944. DOI: 10.1016/j.ad.2022.06.018.
    [31] ChoiKJ, WilliamsEA, PhamCH, et al. Fractional CO2 laser treatment for burn scar improvement: a systematic review and meta-analysis[J]. Burns, 2021,47(2):259-269. DOI: 10.1016/j.burns.2020.10.026.
    [32] LuQ, YinZ, ShenX, et al. Clinical effects of high-intensity laser therapy on patients with chronic refractory wounds: a randomised controlled trial[J]. BMJ Open, 2021,11(7):e045866. DOI: 10.1136/bmjopen-2020-045866.
    [33] HuB, ZhaoX, LuY, et al. A transient photoactivation of epidermal stem cells by femtosecond laser promotes skin wound healing[J]. J Biophotonics, 2022,15(12):e202200217. DOI: 10.1002/jbio.202200217.
    [34] SantosM, LatriveA, De CastroP, et al. Multimodal evaluation of ultra-short laser pulses treatment for skin burn injuries[J]. Biomed Opt Express, 2017,8(3):1575-1588. DOI: 10.1364/BOE.8.001575.
    [35] ZhangX, MaY. Global trends in research on extracorporeal shock wave therapy (ESWT) from 2000 to 2021[J]. BMC Musculoskelet Disord, 2023,24(1):312. DOI: 10.1186/s12891-023-06407-9.
    [36] ChenJ, NieJ. Effects of extracorporeal shock wave combined with vivaphototherapy on blood perfusion, inflammatory response, and prognosis in burn patients[J]. Comput Math Methods Med, 2022,2022:1386875. DOI: 10.1155/2022/1386875.
    [37] CuiHS, JooSY, ChoYS, et al. Effect of extracorporeal shock wave therapy on keratinocytes derived from human hypertrophic scars[J]. Sci Rep, 2021,11(1):17296. DOI: 10.1038/s41598-021-96537-8.
    [38] 赵景春, 薛岩, 于家傲, 等. 体外冲击波疗法促进创面愈合机制研究进展[J].中华烧伤杂志,2015,31(4):315-317. DOI: 10.3760/cma.j.issn.1009-2587.2015.04.024.
    [39] 樊兴, 于家傲, 武振东, 等. 体外冲击波疗法治疗烧伤病理性瘢痕的研究进展[J].中华医学美学美容杂志,2023,29(2):159-161. DOI: 10.3760/cma.j.issn.1671-0290.2023.02.025.
    [40] 吴巍巍, 刘淑梅, 贺婷婷, 等. 虚拟现实技术在烧伤疼痛干预中的研究进展[J]. 中华烧伤杂志,2020,36(7):620-622. DOI: 10.3760/cma.j.cn501120-20190402-00159.
    [41] LanX, TanZ, ZhouT, et al. Use of virtual reality in burn rehabilitation: a systematic review and meta-analysis[J]. Arch Phys Med Rehabil, 2023,104(3):502-513. DOI: 10.1016/j.apmr.2022.08.005.
    [42] ZhangXH, CuiCL, RenJJ, et al. A randomized trial of a distraction-type intervention to assist in managing dressing changes for children experienced burns[J]. J Adv Nurs, 2020,76(3):878-887. DOI: 10.1111/jan.14278.
    [43] HitchingR, HoffmanHG, Garcia-PalaciosA, et al. The emerging role of virtual reality as an adjunct to procedural sedation and anesthesia: a narrative review[J]. J Clin Med, 2023, 12(3):843. DOI: 10.3390/jcm12030843.
    [44] ZhangXH, CuiCL, LeeKK, et al. A specially designed medical screen for children suffering from burns: a randomized trial of a distraction-type therapy[J]. Burns, 2021,47(5):1137-1145. DOI: 10.1016/j.burns.2020.05.018.
    [45] GasteratosK, PapakonstantinouM, ManA, et al. Adjunctive nonpharmacologic interventions for the management of burn pain: a systematic review[J]. Plast Reconstr Surg, 2022,149(5):985e-994e. DOI: 10.1097/PRS.0000000000009059.
    [46] CzechO, WrzecionoA, BatalíkL, et al. Virtual reality intervention as a support method during wound care and rehabilitation after burns: a systematic review and meta-analysis[J]. Complement Ther Med, 2022,68:102837. DOI: 10.1016/j.ctim.2022.102837.
    [47] BashaMA, AboelnourNH, AlySM, et al. Impact of Kinect-based virtual reality training on physical fitness and quality of life in severely burned children: a monocentric randomized controlled trial[J]. Ann Phys Rehabil Med, 2022,65(1):101471. DOI: 10.1016/j.rehab.2020.101471.
    [48] JooSY, ChoYS, LeeSY, et al. Effects of virtual reality-based rehabilitation on burned hands: a prospective, randomized, single-blind study[J]. J Clin Med, 2020, 9(3):731. DOI: 10.3390/jcm9030731.
    [49] KamelF, BashaMA. Effects of virtual reality and task-oriented training on hand function and activity performance in pediatric hand burns: a randomized controlled trial[J]. Arch Phys Med Rehabil, 2021,102(6):1059-1066. DOI: 10.1016/j.apmr.2021.01.087.
    [50] 贺婷婷, 张修航, 孔祥力, 等. 出院前虚拟现实视频心理干预对面部深度烧伤患者出院后情绪影响的前瞻性随机对照研究[J]. 中华烧伤杂志, 2021, 37(1):70-75. DOI: 10.3760/cma.j.cn501120-20191226-00473.
    [51] ZhangXH, GaoXX, WuWW, et al. Impact of orally administered tramadol combined with self-selected music on adult outpatients with burns undergoing dressing change: a randomized controlled trial[J]. Burns, 2020,46(4):850-859. DOI: 10.1016/j.burns.2019.10.010.
    [52] EidMM, AbdelbassetWK, AbdelatyFM, et al. Effect of physical therapy rehabilitation program combined with music on children with lower limb burns: a twelve-week randomized controlled study[J]. Burns,2021,47(5):1146-1152. DOI: 10.1016/j.burns.2020.11.006.
    [53] Monsalve-DuarteS, Betancourt-ZapataW, Suarez-CañonN, et al. Music therapy and music medicine interventions with adult burn patients: a systematic review and meta-analysis[J]. Burns, 2022,48(3):510-521. DOI: 10.1016/j.burns.2021.11.002.
    [54] 张修航, 周鑫, 洪雷, 等. 音乐疗法及其在烧伤救治领域的应用研究进展[J]. 中华烧伤与创面修复杂志, 2022, 38(3):287-291. DOI: 10.3760/cma.j.cn501120-20201217-00533.
    [55] EttenbergerM, MayaR, Salgado-VascoA, et al. The effect of music therapy on perceived pain, mental health, vital signs, and medication usage of burn patients hospitalized in the intensive care unit: a randomized controlled feasibility study protocol[J]. Front Psychiatry, 2021,12:714209. DOI: 10.3389/fpsyt.2021.714209.
    [56] BurleyCV, BurnsK, LamB, et al. Nonpharmacological approaches reduce symptoms of depression in dementia: a systematic review and meta-analysis[J]. Ageing Res Rev, 2022,79:101669. DOI: 10.1016/j.arr.2022.101669.
    [57] KabukA, ŞendirM, FilinteG. The effect of reflexology massage and passive music therapy intervention before burn dressing on pain, anxiety level and sleep quality[J]. Burns, 2022,48(7):1743-1752. DOI: 10.1016/j.burns.2021.10.012.
    [58] BeswickAD, WyldeV, BertramW, et al. The effectiveness of non-pharmacological sleep interventions for improving inpatient sleep in hospital: a systematic review and meta-analysis[J]. Sleep Med, 2023,107:243-267. DOI: 10.1016/j.sleep.2023.05.004.
    [59] KudchadkarSR, BergerJ, PatelR, et al. Non-pharmacological interventions for sleep promotion in hospitalized children[J]. Cochrane Database Syst Rev, 2022,6(6):CD012908. DOI: 10.1002/14651858.CD012908.pub2.
    [60] WuTJ, ChenKH, ChiuWK, et al. Optimal timing and effect of music therapy in patients with burn injuries: systematic review and meta-analysis of randomized controlled trials[J]. Burns, 2022,48(5):1069-1078. DOI: 10.1016/j.burns.2021.07.016.
    [61] 李烨, 刘芳丽, 袁举, 等. 音乐疗法对烧伤患者创面换药疼痛和焦虑干预效果的荟萃分析[J]. 中华烧伤与创面修复杂志, 2022, 38(11): 1079-1084. DOI: 10.3760/cma.j.cn501120-20210716-00252.
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