重视烧伤康复评定

谭江琳; 罗高兴

doi:10.3760/cma.j.cn501225-20230831-00070

重视烧伤康复评定

doi: 10.3760/cma.j.cn501225-20230831-00070

谭江琳^,,
罗高兴

陆军军医大学（第三军医大学）第一附属医院全军烧伤研究所，创伤与化学中毒全国重点实验室，重庆　　400038

基金项目:

国家自然科学基金面上项目 82072188

创伤、烧伤与复合伤国家重点实验室基金 SKLZZ201802

详细信息

通讯作者:
谭江琳，Email：jianglintan@aliyun.com

计量
- 文章访问数: 467
- HTML全文浏览量: 29
- PDF下载量: 52
- 被引次数: 0
出版历程
- 收稿日期: 2023-08-31

Pay attention to burn rehabilitation assessment

Tan Jianglin^,,
Luo Gaoxing

Institute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China

Funds:

General Program of National Natural Science Foundation of China 82072188

Fund of State Key Laboratory of Trauma, Burns and Combined Injury SKLZZ201802

More Information

Corresponding author: Tan Jianglin, Email: jianglintan@aliyun.com

摘要

摘要: 随着烧伤康复治疗的蓬勃发展，国内众多烧伤单位越来越重视烧伤康复治疗手段在烧伤患者中的应用，但是在烧伤康复治疗过程中不能忽视烧伤康复评定的开展。烧伤康复评定具有评定时间跨度大和评定内容多且复杂的特点，这造成不能制订符合所有烧伤患者的标准化评定表。并且，国内部分单位存在的烧伤康复评定专业人才短缺、客观化的评估仪器数量偏少以及各种制度限制等因素，也导致烧伤康复评定存在开展动力不足、评定质量较低的问题。基于此，该文主要分析了我国烧伤康复评定的特点和主要内容，并针对国内烧伤康复评定的不足提出部分改进意见，以期为烧伤康复从业人员提供参考。
- 烧伤 /
- 康复 /
- 评定
Abstract: With the vigorous development of burn rehabilitation, many burn units in China are paying more and more attention to the application of burn rehabilitation treatment methods in burn patients. However, the development of burn rehabilitation assessment cannot be ignored in the process of burn rehabilitation treatment. Burn rehabilitation assessment is characterized with a long assessment time span and a large and complex assessment contents, resulting in the inability to develop a standardized assessment form that is suitable for all burn patients. In addition, factors including the shortage of professionals in burn rehabilitation assessment in some domestic burn units, relatively small number of objective assessment instruments and various institutional limitations, have also led to insufficient motivation and low quality of burn rehabilitation assessment. Based on those, this article analyzes the characteristics and main contents of burn rehabilitation assessment in China, and puts forward some suggestions in view of the shortcomings of burn rehabilitation assessment, in order to provide a reference for burn rehabilitation practitioners.
- Burns /
- Rehabilitation /
- Assessment
所有作者均声明不存在利益冲突

HTML全文

参考文献(32)

[1]	谢卫国. 烧伤康复的普及与提高任重道远[J].中华烧伤与创面修复杂志,2022,38(12):1105-1109. DOI: 10.3760/cma.j.cn501225-20221111-00484.
[2]	Herrera-LigeroC, ChalerJ, Bermejo-BoschI. Strengthening education in rehabilitation: assessment technology and digitalization[J]. Front Rehabil Sci, 2022,3:883270. DOI: 10.3389/fresc.2022.883270.
[3]	ÖsterC, WillebrandM, EkseliusL. Burn-specific health 2 years to 7 years after burn injury[J]. J Trauma Acute Care Surg, 2013,74(4):1119-1124; discussion 1124. DOI: 10.1097/TA.0b013e318283cca0.
[4]	BryarlyJ, KowalskeK. Long-term outcomes in burn patients[J]. Surg Clin North Am, 2023,103(3):505-513. DOI: 10.1016/j.suc.2023.02.004.
[5]	RossEE, KnappRC, YuJ, et al. Identifying populations at risk for difficulty managing emotions and social interactions after burn injury[J]. J Burn Care Res, 2023,44(6):1400-1404. DOI: 10.1093/jbcr/irad060.
[6]	DziewulskiP. Burn wound healing: James Ellsworth Laing memorial essay for 1991[J]. Burns, 1992,18(6):466-478. DOI: 10.1016/0305-4179(92)90179-x.
[7]	MaybauerMO, RehbergS, TraberDL, et al. Pathophysiology of acute lung injury in severe burn and smoke inhalation injury[J]. Anaesthesist, 2009,58(8):805-812. DOI: 10.1007/s00101-009-1560-x.
[8]	SasorSE, ChungKC. Upper extremity burns in the developing world: a neglected epidemic[J]. Hand Clin, 2019,35(4):457-466. DOI: 10.1016/j.hcl.2019.07.010.
[9]	BashaMA, Abdel-AalNM, KamelF. Effects of Wii Fit rehabilitation on lower extremity functional status in adults with severe burns: a randomized controlled trial[J]. Arch Phys Med Rehabil, 2022,103(2):289-296. DOI: 10.1016/j.apmr.2021.08.020.
[10]	BenjaminNC, AndersenCR, HerndonDN, et al. The effect of lower body burns on physical function[J]. Burns, 2015,41(8):1653-1659. DOI: 10.1016/j.burns.2015.05.020.
[11]	KiddLR, NguyenDQ, LyonsSC, et al. Following up the follow up--long-term complications in paediatric burns[J]. Burns, 2013,39(1):55-60. DOI: 10.1016/j.burns.2012.05.015.
[12]	TyackZ, WasiakJ, SpinksA, et al. A guide to choosing a burn scar rating scale for clinical or research use[J]. Burns, 2013, 39(7):1341-1350. DOI: 10.1016/j.burns.2013.04.021.
[13]	BassonR, BayatA. Skin scarring: latest update on objective assessment and optimal management[J]. Front Med (Lausanne), 2022,9:942756. DOI: 10.3389/fmed.2022.942756.
[14]	LeeKC, DretzkeJ, GroverL, et al. A systematic review of objective burn scar measurements[J/OL]. Burns Trauma, 2016,4:14[2023-08-31].https://pubmed.ncbi.nlm.nih.gov/27574684/. DOI: 10.1186/s41038-016-0036-x.
[15]	DengH, TanT, LuoG, et al. Vascularity and thickness changes in immature hypertrophic scars treated with a pulsed dye laser[J]. Lasers Surg Med, 2020.DOI: 10.1002/lsm.23366.
[16]	TanJ, ZhouJ, HuangL, et al. Hypertrophic scar improvement by early intervention with ablative fractional carbon dioxide laser treatment[J]. Lasers Surg Med, 2021,53(4):450-457. DOI: 10.1002/lsm.23301.
[17]	ChooAMH, OngYS, IssaF. Scar assessment tools: how do they compare?[J]. Front Surg, 2021, 8:643098. DOI: 10.3389/fsurg.2021.643098.
[18]	BaumannME, DeBrulerDM, BlackstoneBN, et al. Direct comparison of reproducibility and reliability in quantitative assessments of burn scar properties[J]. Burns, 2021,47(2):466-478. DOI: 10.1016/j.burns.2020.07.018.
[19]	NedelecB, CorreaJA, RachelskaG, et al. Quantitative measurement of hypertrophic scar: interrater reliability and concurrent validity[J]. J Burn Care Res, 2008,29(3):501-511. DOI: 10.1097/BCR.0b013e3181710881.
[20]	CarneyBC, BaileyJK, PowellHM, et al. Scar management and dyschromia: a summary report from the 2021 American Burn Association State of the Science Meeting[J]. J Burn Care Res, 2023, 44(3):535-545. DOI: 10.1093/jbcr/irad017.
[21]	LeeKC, BamfordA, GardinerF, et al. Investigating the intra- and inter-rater reliability of a panel of subjective and objective burn scar measurement tools[J]. Burns, 2019,45(6):1311-1324. DOI: 10.1016/j.burns.2019.02.002.
[22]	UngCY, WarwickA, OnoufriadisA, et al. Comorbidities of keloid and hypertrophic scars among participants in UK biobank[J]. JAMA Dermatol, 2023,159(2):172-181. DOI: 10.1001/jamadermatol.2022.5607.
[23]	OsborneT, WallB, EdgarDW, et al. Current understanding of the chronic stress response to burn injury from human studies[J/OL]. Burns Trauma, 2023,11:tkad007[2023-08-31]. https://pubmed.ncbi.nlm.nih.gov/36926636/. DOI: 10.1093/burnst/tkad007.
[24]	MafiP, MafiR, HindochaS, et al. A systematic review of dynamometry and its role in hand trauma assessment[J]. Open Orthop J, 2012,6:95-102. DOI: 10.2174/1874325001206010095.
[25]	EstrázulasJA, EstrázulasJA, de JesusK, et al. Evaluation isometric and isokinetic of trunk flexor and extensor muscles with isokinetic dynamometer: a systematic review[J]. Phys Ther Sport, 2020,45:93-102. DOI: 10.1016/j.ptsp.2020.06.008.
[26]	PerkisasS, BastijnsS, BaudryS, et al. Application of ultrasound for muscle assessment in sarcopenia: 2020 SARCUS update[J]. Eur Geriatr Med, 2021,12(1):45-59. DOI: 10.1007/s41999-020-00433-9.
[27]	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.
[28]	SamuelTJ, NelsonMD, NasirianA, et al. Cardiac structure and function in well-healed burn survivors[J]. J Burn Care Res, 2019, 40(2):235-241. DOI: 10.1093/jbcr/irz008.
[29]	LogsettyS, ShamlouA, GawaziukJP, et al. Mental health outcomes of burn: a longitudinal population-based study of adults hospitalized for burns[J]. Burns, 2016,42(4):738-744. DOI: 10.1016/j.burns.2016.03.006.
[30]	LiangCY, ChenCC, WangKY, et al. Increased risk for sleep disorders in burn patients: a 14-year nationwide, population-based cohort study[J]. Burns, 2021,47(6):1408-1415. DOI: 10.1016/j.burns.2020.11.012.
[31]	LodhaP, ShahB, KariaS, et al. Post-traumatic stress disorder (ptsd) following burn injuries: a comprehensive clinical review[J]. Ann Burns Fire Disasters, 2020,33(4):276-287.
[32]	EdelaarMJA, OeschPR, GrossDP, et al. Functional capacity evaluation research: report from the fourth international functional capacity evaluation research meeting[J]. J Occup Rehabil, 2020, 30(3):475-479. DOI: 10.1007/s10926-020-09876-0.