摘要
目的 探讨加压疗法联合康复护理在烧伤增生性瘢痕术后的干预效果。方法 选取56例烧伤增生性瘢痕术后患者，随机分为对照组与干预组，每组28例，对照组采用常规护理，干预组在对照组基础上实施加压疗法联合康复护理。比较两组瘢痕恢复情况、疼痛程度、瘙痒程度及生活质量。结果 干预组温哥华瘢痕量表评分、疼痛视觉模拟评分法（VAS）评分及瘙痒评分均低于对照组（P＜0.05），生活质量评分高于对照组（P＜0.05）。结论 加压疗法联合康复护理可有效改善烧伤增生性瘢痕术后瘢痕状态，减轻疼痛与瘙痒，提升生活质量。
关键词： 加压疗法；康复护理；烧伤增生性瘢痕；术后干预
Abstract
Objective To explore the intervention effect of pressure therapy combined with rehabilitation nursing after burn hypertrophic scar surgery. Methods 56 postoperative patients with burn hypertrophic scars were randomly divided into a control group and an intervention group, with 28 cases in each group. The control group received routine nursing care, while the intervention group received compression therapy combined with rehabilitation nursing on the basis of the control group. Compare the scar recovery, pain level, itching level, and quality of life between two groups. Results The Vancouver Scar Scale score, Pain Visual Analogue Scale (VAS) score, and Itching score in the intervention group were lower than those in the control group (P<0.05), and the quality of life score was higher than that in the control group (P<0.05). Conclusion The combination of pressure therapy and rehabilitation nursing can effectively improve the scar status after burn hypertrophic scar surgery, alleviate pain and itching, and improve quality of life.
Key words： Pressure therapy; Rehabilitation nursing; Burn hypertrophic scars; Postoperative intervention
参考文献 References
[1] 卜平元,阳萍,李曦,等．3D打印压力疗法应用于增生性瘢痕患者的康复效果[J]．护理学杂志,2022,37(16):19-21.
[2] 宋茂林,阳纯兵,何学迅.负压封闭引流术在胸部烧伤后增生性瘢痕整形术中的应用[J].中国当代医药,2024, 31(35):42-46.
[3] 宋春红,黎景波,蓝蔚,等．压力治疗对大面积烧伤继发增生性瘢痕患者血流动力学的影响及其机制[J]．中华烧伤与创面修复杂志,2022,38(12):1126-1132.
[4] 裴海娜,付强,唐硕,等.医用皮肤护理软膏对微等离子射频治疗增生性瘢痕术后创面愈合的影响[J].实用皮肤病学杂志,2025,18(1):31-35.
[5] 徐瑶．延续性护理干预在颈部大面积烧伤患者中的临床效果评价[J]．中文科技期刊数据库（文摘版）医药卫生,2025,(12):077-080.
[6] 钟莉,王建春.红外线照射联合前馈控制干预在手烧伤后瘢痕增生患者中的应用[J].中国医药导报,2024,21(2): 170-174.
[7] 钱坤,夏斯曼,郭鹏飞,等．早期康复治疗对手部瘢痕挛缩患者术后手功能的影响[J]．河南医学研究,2024,33(12): 2144-2149.
[8] 雷艳,王霞,王耀华,等.中药黑膏联合压力疗法治疗增生性瘢痕的疗效观察[J].世界中西医结合杂志,2024,19(5): 963-966.