切换至 "中华医学电子期刊资源库"

中华损伤与修复杂志(电子版) ›› 2021, Vol. 16 ›› Issue (04) : 277 -282. doi: 10.3877/cma.j.issn.1673-9450.2021.04.001

所属专题: 指南共识

指南与共识

烧伤后关节功能障碍的预防与康复治疗专家共识(2021版)
中国老年医学学会烧创伤分会   
  1. 1. 430000 武汉大学同仁医院暨武汉市第三医院烧伤科
  • 收稿日期:2021-06-20 出版日期:2021-08-05

National expert consensus on prevention and rehabilitation treatment of joint dysfunction after burns (2021 version)

The Burns and Trauma Branch of Chinese Geriatrics Society   

  1. 1. Wuhan 430060, Department of Burns, Tongren Hospital of Wuhan University & Wuhan Third Hospital
  • Received:2021-06-20 Published:2021-08-05
引用本文:

中国老年医学学会烧创伤分会. 烧伤后关节功能障碍的预防与康复治疗专家共识(2021版)[J/OL]. 中华损伤与修复杂志(电子版), 2021, 16(04): 277-282.

The Burns and Trauma Branch of Chinese Geriatrics Society. National expert consensus on prevention and rehabilitation treatment of joint dysfunction after burns (2021 version)[J/OL]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2021, 16(04): 277-282.

烧伤后因体位制动,关节、周边组织及皮肤损伤,瘢痕增生等原因,往往造成关节不同程度功能障碍,影响患者的生活质量。及时有效的康复治疗对于预防烧伤后关节功能障碍具有极为重要的意义。中国老年医学学会烧创伤分会组织国内烧创伤领域相关专家,就烧伤后关节功能障碍的预防和康复治疗进行多次讨论,达成了共识意见,以期规范临床干预措施,提高烧伤后关节功能障碍的预防和康复治疗水平。

After burns, due to body immobilization, damage of joint and surrounding tissue and skin, scar hyperplasia and other reasons, burn patients often have varying degrees of joint dysfunction, which affects their quality of life. Timely and effective rehabilitation treatment is extremely important for preventing joint dysfunction after burns. The Burns and Trauma Branch of Chinese Geriatrics Society organized domestic experts in the field of burn and trauma to discuss the prevention and rehabilitation treatment of joint dysfunction after burns for many times, and reached this consensus, in order to standardize the clinical intervention measures and improve the prevention and rehabilitation treatment level of joint dysfunction after burns.

[1]
Schneider JC, Holavanahalli R, Helm P, et al. Contractures in burn injury: defining the problem[J]. J Burn Care Res, 2006, 27(4): 508-514.
[2]
Dobbs ER, Curreri PW. Burns: analysis of results of physical therapy in 681 patients[J]. J Trauma, 1972, 12(3): 242-248.
[3]
Schneider JC, Holavanahalli R, Helm P, et al. Contractures in burn injury part II: investigating joints of the hand[J]. J Burn Care Res, 2008, 29(4): 606-613.
[4]
Issack PS, Egol KA. Posttraumatic contracture of the elbow: current management issues[J]. Bull Hosp Jt Dis, 2006, 63(3/4): 129-136.
[5]
Hunt JL, Arnoldo BD, Kowalske K, et al. Heterotopic ossification revisited: a 21-year surgical experience[J]. J Burn Care Res, 2006, 27(4): 535-540.
[6]
Oosterwijk AM, Mouton LJ, Schouten H, et al. Prevalence of scar contractures after burn: A systematic review[J]. Burns, 2017, 43(1): 41-49.
[7]
Porter C, Hardee JP, Herndon DN, et al. The role of exercise in the rehabilitation of patients with severe burns[J]. Exerc Sport Sci Rev, 2015, 43(1): 34-40.
[8]
Tamam Y, Tamam C, Tamam B, et al. Peripheral neuropathy after burn injury[J]. Eur Rev Med Pharmacol Sci, 2013, 17 Suppl 1: 107-111.
[9]
王玉龙. 康复功能评定学[M]. 北京:人民卫生出版社,2008.
[10]
Lin SY, Chang JK, Chen PC, et al. Hand function measures for burn patients: a literature review[J]. Burns, 2013, 39(1): 16-23.
[11]
Carroll D. A quantitative test of upper extremity function[J]. J Chronic Dis, 1965, 18: 479-491.
[12]
Rider B, Linden C. Comparison of standardized and non-standardized administration of the Jebsen Hand Function test[J]. J Hand Ther, 1988, 1(3): 121-123.
[13]
中华医学会烧伤外科学分会,中国医师协会烧伤科医师分会. 烧伤康复治疗指南(2013版)[J]. 中华烧伤杂志2013, 29(6): 497-504.
[14]
方璐,刘小芳,李卉梅,等. 集体宣教法在大面积烧伤康复期患者健康教育中的应用[J]. 中国康复2016, 31(4): 303-304.
[15]
Serghiou MA, Niszczak J, Parry I, et al. Clinical practice recommendations for positioning of the burn patient[J]. Burns, 2016, 42(2): 267-275.
[16]
Jacobson K, Fletchall S, Dodd H, et al. Current Concepts Burn Rehabilitation, Part I: Care During Hospitalization[J]. Clin Plast Surg, 2017, 44(4): 703-712.
[17]
Webb DC, Byrne M, Kolmus A, et al. Outcomes of a shoulder treatment flowchart in patients with axillary burns[J]. J Burn Care Res, 2011, 32(2): 224-230.
[18]
Richard R, Staley M, Miller SF. The effect of extremity range of motion on vital signs of critically ill patients and patients with burns: a pilot study[J]. J Burn Care Rehabil, 1994, 15(3): 281-284.
[19]
Richard R, Baryza MJ, Carr JA, et al. Burn rehabilitation and research: proceedings of a consensus summit[J]. J Burn Care Res, 2009, 30(4): 543-573.
[20]
茹天峰,李菲虹,陈佩,等. 关节活动训练系统治疗深度烧伤后关节功能障碍的临床效果[J]. 中华烧伤杂志2017, 33(5): 267-271.
[21]
Godleski M, Oeffling A, Bruflat AK, et al. Treating burn-associated joint contracture: results of an inpatient rehabilitation stretching protocol[J]. J Burn Care Res, 2013, 34(4): 420-426.
[22]
Young A. Rehabilitation of burn injuries[J]. Phys Med Rehabil Clin N Am, 2002, 13(1): 85-108.
[23]
Gittings PM, Grisbrook TL, Edgar DW, et al. Resistance training for rehabilitation after burn injury: A systematic literature review & meta-analysis[J]. Burns, 2018, 44(4): 731-751.
[24]
茹天峰,李菲虹,袁林,等. 阿基米德悬吊系统在深度烧伤后膝关节屈曲功能障碍康复中的临床效果[J]. 中华烧伤杂志2019, 35(6): 428-433.
[25]
中国康复医学会康复治疗专业委员会水疗学组. 水疗康复技术专家共识[J]. 中国康复医学杂志2019, 34(7): 756-760.
[26]
Maitland GD. Peripheral Manipulation[M]. 3rd. Philadelphia: W B Saunders Company, 1997.
[27]
燕铁斌. 物理治疗学[M]. 3版. 北京:人民卫生出版社,2018.
[28]
Kolmus AM, Holland AE, Byrne MJ, et al. The effects of splinting on shoulder function in adult burns[J]. Burns, 2012, 38(5): 638-644.
[29]
Herndon DN. Total Burn Care 4th Edition[M]. Amsterdam: Elsevier, 2013: 523-524.
[30]
Chinese Burn Association, Chinese Association of Burn Surgeons, Cen Y, et al. Guidelines for burn rehabilitation in China[J]. Burns Trauma, 2015, 3: 20.
[31]
Kowalske KJ. Hand Burns[J]. Phys Med Rehabil Clin N Am, 2011, 22(2): 249-259.
[32]
侯春胜. 烧伤瘢痕治疗中支具的应用[J]. 中华烧伤杂志2013, 29(1): 90-92.
[33]
李曾慧平,冯蓓蓓,李奎成. 烧伤后增生性瘢痕压力治疗及相关研究[J]. 中华烧伤杂志2010, 26(6): 411-415.
[34]
贾赤宇. 我国烧伤康复治疗的现状和发展思考[J/CD]. 中华临床医师杂志(电子版), 2011, 5(8): 2174-2177.
[35]
Okhovatian F, Zoubine N. A comparison between two burn rehabilitation protocols[J]. Burns, 2007, 33(4): 429-434.
[36]
Dewey WS, Richard RL, Parry IS. Positioning, splinting, and contracture management[J]. Phys Med Rehabil Clin N Am, 2011, 22(2): 229-247.
[37]
de Lateur BJ, Shore WS. Exercise following burn injury[J]. Phys Med Rehabil Clin N Am, 2011, 22(2): 347-350.
[38]
孙天宝,郭钦,黄伟艺,等. 烧伤功能障碍综合康复治疗的国内现状[J]. 中华烧伤杂志2013, 29(6): 519-522.
[1] 史学兵, 谢迎东, 谢霓, 徐超丽, 杨斌, 孙帼. 声辐射力弹性成像对不可切除肝细胞癌门静脉癌栓患者放射治疗效果的评价[J/OL]. 中华医学超声杂志(电子版), 2024, 21(08): 778-784.
[2] 王博冉, 乔春梅, 李春歌, 王欣, 王晓磊. 超声造影评估类风湿关节炎亚临床滑膜炎疾病进展的价值[J/OL]. 中华医学超声杂志(电子版), 2024, 21(08): 802-808.
[3] 王宏宇, 巴特, 黄瑞娟, 陈强, 闫增强. 亲属头皮加自体头皮混合移植接力在大面积深度烧伤创面修复中的应用[J/OL]. 中华损伤与修复杂志(电子版), 2024, 19(06): 554-554.
[4] 李华志, 曹广, 刘殿刚, 张雅静. 不同入路下行肝切除术治疗原发性肝细胞癌的临床对比[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 52-55.
[5] 陈浩, 王萌. 胃印戒细胞癌的临床病理特征及治疗选择的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 108-111.
[6] 梁孟杰, 朱欢欢, 王行舟, 江航, 艾世超, 孙锋, 宋鹏, 王萌, 刘颂, 夏雪峰, 杜峻峰, 傅双, 陆晓峰, 沈晓菲, 管文贤. 联合免疫治疗的胃癌转化治疗患者预后及术后并发症分析[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 619-623.
[7] 刘柏隆, 周祥福. 压力性尿失禁阶梯治疗的项目介绍[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 125-125.
[8] 刘柏隆. 女性压力性尿失禁阶梯治疗之手术治疗方案选择[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 126-126.
[9] 傅斌生, 冯啸, 杨卿, 曾凯宁, 姚嘉, 唐晖, 刘剑戎, 魏绪霞, 易慧敏, 易述红, 陈规划, 杨扬. 脂肪变性供肝在成人劈离式肝移植中的应用[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 789-794.
[10] 王松雷, 张贻良, 孟浩, 宋威, 白林晨, 袁心, 张辉. 股骨前髁预截骨髓外定位技术在全膝关节置换术中的应用[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 811-819.
[11] 贾玲玲, 滕飞, 常键, 黄福, 刘剑萍. 心肺康复在各种疾病中应用的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 859-862.
[12] 马豆豆, 丁艳, 古今, 王丽芳, 石连杰. 以发热为首发表现的强直性脊柱炎合并潜伏性结核感染一例[J/OL]. 中华临床医师杂志(电子版), 2024, 18(08): 791-794.
[13] 崔军威, 蔡华丽, 胡艺冰, 胡慧. 亚甲蓝联合金属定位夹及定位钩针标记在乳腺癌辅助化疗后评估腋窝转移淋巴结的临床应用价值探究[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 625-632.
[14] 王誉英, 刘世伟, 王睿, 曾娅玲, 涂禧慧, 张蒲蓉. 老年乳腺癌新辅助治疗病理完全缓解的预测因素分析[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 641-646.
[15] 刘芳明, 石秀秀, 唐冲, 张克石, 徐影, 王桂杉, 关振鹏, 李晓. 骨科康复患者对数字疗法应用的知晓度和需求度:一项基于928 份问卷调查结果分析[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 654-661.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?