MU Yifei,JIN Zimin,YAN Yuxiu,et al.Current Status and Research Prospect on Burn Scar Rehabilitation Pressure Garment[J].Journal of Clothing Research,2020,5(05):393-397.





Current Status and Research Prospect on Burn Scar Rehabilitation Pressure Garment
慕怡菲1;  金子敏2;  阎玉秀1;  陶建伟3
1.浙江理工大学 服装学院,浙江 杭州 310018; 2. 浙江理工大学 先进纺织材料与制备技术教育部重点实验室,浙江 杭州 310018; 3.浙江棒杰医疗科技有限公司,浙江 义乌 322000
MU Yifei1;  JIN Zimin2;  YAN Yuxiu1;  TAO Jianwei3
1. School of Fashhion Design and Engineering,Zhejiang Sci-Tech University,Hangzhou 310018,China; 2. Key Laboratory of Advanced Textile Materials and Manufacturing Technology, Ministry of Education, Zhejiang Sci-Tech University, Hangzhou 310018, China; 3. Zhejiang Bangjie Medical Technology Co., Ltd., Yiwu 322000, China
TS 941.731.93
Burn scar rehabilitation is an important part of modern burn treatment. Based on the analysis of clinical manifestations of burn patients and retrieval of papers related to pressure treatment, the mechanism and effect of pressure treatment on burn hypertrophic scar were comprehensively evaluated. The conclusion is that appropriate pressure treatment can signifi-cantly improve scar healing and reduce scar hyperplasia to reduce disability rate. Therefore, pressure garment therapy is the first choice for conservative treatment of hypertrophic scar. In order to ensure the therapeutic effect of pressure garment, it can be improved by detecting the fatigue degree of elastic fiber with time, and be adjusted with nylon buckle to maintain the effective pressure, so as to ensure the pressure treatment and reduce the frequency of replacement. The resarch can provide a more ideal and efficient treatment for hypertrophic scar of burn patients.


[1] 廖曼霞, 曹海燕, 易先锋, 等. 冲击波联合综合康复治疗对下肢烧伤后增生性瘢痕的疗效观察[J]. 中国康复, 2016,31(2):141-143.
LIAO Manxia,CAO Haiyan,YI Xianfeng,et al. Effectiveness of shockwave therapy combined with comprehensive rehabilitation therapy to treat post-burn hypertrophic scar[J]. Chinese Journal of Rehabilitation, 2016,31(2):141-143.(in Chinese)
[2] 李娟,白永强,堵亚茹,等.压力疗法开始时机对抑制瘢痕增生的影响[J].河北医科大学学报,2010,31(1): 27-29.
LI Juan, BAI Yongqiang, DU Yaru, et al. The effects of the beginning of pressure therapy on scar proliferation[J].Journal of Hebei Medical University, 2010,31(1): 27-29.(in Chinese)
[3] 郭振荣.加压疗法治疗增生性疤痕的组织学观察及机理探讨[J].中华医学杂志,1984,64(7): 440.
GUO Zhenrong. Histological observation and mechanism of pressure therapy for hypertrophic scar[J].Chinese Medical Journal, 1984,64(7): 440.(in Chinese)
[4] ROQUES C. Pressuer therapy to treat burn scars[J]. Wound Repair and Regeneration, 2002(10):122-125.
[5] 沈玉雏. 压力外衣对烧伤后增生性瘢痕畸形的预防和矫治[J].国外医学(物理医学与康复学分册),1981(4):180-182.
SHEN Yuchu. Prevention and correction of hyperplastic scar deformity after burn by pressure coating[J]. Foreign Medical Sciences(Physical Medicine and Rehabilitation),1981(4):180-182.(in Chinese)
[6] HAN F, LIU M Z, GONG H H, et al. Synthesis, characterization and functional properties of low substituted acetylated corn starch[J]. International Journal of Biolo-gical Macromolecules,2012,50(4):1026-1034.
[7] 赵奥林, 杨德刚, 张丽, 等. 皮损内注射曲安奈德序贯CO2点阵激光治疗增生性瘢痕疗效观察[J]. 中国皮肤性病学杂志, 2016, 30(9):905-907.
ZHAO Aolin,YANG Degang,ZHANG Li,et al. Clinical efficacy of intralesional injection of triamcinolone acetonide plus sequential fractional CO2 laser for hypertrophic scars[J].The Chinese Journal of Dermatovene-reology,2016,30(9):905-907.(in Chinese)
[8] 宋凡, 戴玲. 国内瘢痕治疗的进展[J]. 中国康复医学杂志, 2003,18(6):382-383.
SONG Fan, DAI Ling. Progress on scar treatment in China[J]. Chinese Journal of Rehabilitation Medicine, 2003,18(6):382-383.(in Chinese)
[9] HOEKSEMA H, DE VOS M, VERBELEN J, et al. Scar management by means of occlusion and hydration: a comparative study of silicones versus a hydrating gelcream[J]. Burns:Journal of the International Society for Burn Injuries,2013,39(7):1437-1448.
[10] ANAND S C, GOVARTHANAM K, GAZIOGLU D. A study of the modelling and characterisation of compression garments for hypertrophic scarring after burns. Part 1: modelling of compression garments[J]. The Journal of the Textile Institute,2013(7):661- 667.
[11] 丁架月, 朱薛锋, 庄初晨, 等. CO2点阵激光联合硅酮凝胶喷雾剂治疗增生性瘢痕效果观察[J].浙江医学,2017,39(2):124-126.
DING Jiayue, ZHU Xuefeng, ZHUANG Chuchen, et al. Effect of CO2 dot laser combined with silicone gel spray in the treatment of hypertrophic scar[J]. Zhejiang Medical Journal,2017,39(2):124-126.(in Chinese)
[12] 陈学巧, 任新兵. 压力疗法联合激光照射对烧伤后瘢痕增生的治疗效果[J]. 西南国防医药, 2016,26(9):1061-1063.
CHEN Xueqiao, REN Xinbing. Effect of pressure therapy combined with laser irradiation on scar hyperplasia after burn [J]. Medical Journal of National Defending Forces in Southwest China, 2016,26(9):1061-1063.(in Chinese)
[13] 谢彬. 深度烧伤患者弹力绷带压力治疗对增生性瘢痕恢复情况的影响[J]. 中国美容医学, 2018,27(10):62- 65.
XIE Bin. Effect of pressure treatment with elastic bandage on recovery of hypertrophic scar in patients with deep burn[J]. Chinese Journal of Aesthetic Medicine, 2018,27(10):62- 65.(in Chinese)
[14] MATHIAS E, MURTHY M S. Pediatric thermal burns and treatment: a review of progress and future prospects[J].Medicines,2017,4(4):91.
[15] 吴宗耀.康复医学[M].重庆:重庆第三军医大学出版社, 1990:78.
[16] LAI H Y C, LI-TSANG C W P, ZHENG Y P. Effect of different pressure magnitudes on hypertrophic scar in a Chinese population[J]. Burns:Journal of the Interna-tional Society for Burn Injuries, 2010,36(8):1234-1241.
[17] JAYNE Y K, JAMES J W, DOROTHY M S, et al. Burn scar biomechanics after pressure garment therapy[J].Plastic and Reconstructive Surgery,2015(3):572-581.
[18] LI-TSANG C W P, FENG B B, HUANG L, et al. A histological study on the effect of pressure therapy on the activities of myofibroblasts and keratinocytes in hypertrophic scar tissues after burn[J].Burns:Journal of the International Society for Burn Injuries, 2015,41(5):1008-1016.
[19] WISEMAN J, SIMONS M, KIMBLE R M, et al. Effectiveness of topical silicone gel and pressure garment therapy for burn scar prevention and management in children: study protocol for a randomised controlled trial[J]. Trials,2017,18(1):72.
[20] PURI N, TALWAR A. The efficacy of silicone gel for the treatment of hypertrophic scars and keloids[J]. Journal of Cutaneous and Aesthetic Surgery,2009,2(2):104-106.
[21] VAN KERCKHOVE E, STAPPAERTS K, BOECKX W D, et al. Silicones in the rehabilitation of burns: a review and overview[J].Burns:Journal of the International Society for Burn Injuries, 2001,27(3):205-214.
[22] WISEMAN J, SIMONS M, KIMBLE R, et al. Reliability and clinical utility of the Pliance X for measuring pressure at the interface of pressure garments and burn scars in children[J]. Burns:Journal of the International Society for Burn Injuries, 2018,44(7):9.
[23] NEDELEC B, DE OLIVEIRA A, CALVA V, et al. Longitudinal evaluation of pressure applied by custom fabricated garments worn by adult burn survivors[J].Journal of Burn Care and Research:Official Publication of the American Burn Association,2019,41(2):154.
[24] 胡永才, 李晋红, 欧才生. 弹力加压治疗烧伤瘢痕疗效评价[J]. 现代康复, 2000,4(1):32-33.
HU Yongcai, LI Jinhong, Ou Caisheng. Efficacy evaluation of elastic compression therapy for burn scar[J]. Modern Rehabilitation, 2000,4(1):32-33.(in Chinese)
[25] 窦祖林,陶勤丰,胡昔权. 压力衣、压力垫的制作及应用[J].中国康复医学杂志, 1999,14(3):124-127.
DOU Zulin, TAO Qinfeng, HU Xiquan. Manufacture and application of pressure garment and pressure pad[J]. Chinese Journal of Rehabilitation Medicine, 1999,14(3):124-127.(in Chinese)
[26] MACINTYRE L, BAIRD M. Pressure garments for use in the treatment of hypertrophic scars: a review of the problems associated with their use[J]. Burns:Journal of the International Society for Burn Injuries, 2006,32(1):10-15.
[27] LEUNG W Y, YUEN D W, NG S P, et al. Pressure prediction model for compression garment design[J]. Journal of Burn Care and Research, 2010,31(5):716-727.
[28] MACINTYRE L. Designing pressure garments capable of exerting specific pressures on limbs[J]. Burns:Journal of the International Society for Burn Injuries, 2007,33(5):579-586.
[29] 文雅, 周怡. 抗菌纤维在纺织服装领域中的应用[J].西部皮革,2019,41(6):160.
WEN Ya, ZHOU Yi. Application of antibacterial fiber in textile and garment field [J].West Leather,2019,41(6):160.(in Chinese)
[30] NILüFER Y. A novel technique to determine pressure in pressure garments for hypertrophic burn scars and comfort properties[J]. Burns:Journal of the International Society for Burn Injuries,2007,33(1):59- 64.
[31] 纪雪亮, 王意, 蓝蔚, 等. 压力治疗对烧伤后增生性瘢痕的远期影响[J]. 中国康复医学杂志, 2016,31(5):521-525.
JI Xueliang, WANG Yi, LAN Wei, et al.A study on long-term effects of pressure therapy on hypertrophic scar after burns[J]. Chinese Journal of Rehabilitation Medicine, 2016,31(5):521-525.(in Chinese)
[32] 朱清海.不同压力持续时间对抑制瘢痕增生的疗效比较[J].中国当代医药, 2012,19(2):41- 42.
ZHU Qinghai. Duration of inhibition of different pressures compare the efficacy of scar[J]. China Modern Medicine, 2012,19(2):41- 42.(in Chinese)
[33] 李小欢, 赵立环, 衡冲, 等. 压力服制作及其服装压评价的研究[J]. 针织工业,2016(4):63- 67.
LI Xiaohuan, ZHAO Lihuan, HENG Chong, et al. Study of the making and pressure testing methods of pressure garment[J]. Knitting Industry,2016(4):63- 67.(in Chinese)
[34] USLU A, SüRüCü A, KORKMAZ M A, et al. Acquired localized hypertrichosis following pressure garment and/or silicone therapy in burn patients[J].Annals of Plastic Surgery,2019,82(2):158-161.[35] 官浩, 贾赤宇. 康复医疗措施在烧伤治疗过程中的应用及研究进展[J].中国临床康复,2004,8(5):956-957.
GUAN Hao, JIA Chiyu. Application and research progress of rehabilitation medical measures in burn treatment [J]. Chinese Journal of Clinical Rehabilitation,2004,8(5):956-957.(in Chinese)[36] 蔡明达, 胡大海, 刘佳琦, 等. 增生性瘢痕防治的研究进展[J]. 中国医药导报, 2015,12(35):31-34.
CAI Mingda, HU Dahai, LIU Jiaqi, et al. Research progress of hyperplastic scar prevention and treatment[J]. China Medical Herald, 2015,12(35):31-34.(in Chinese)
[37] 李世荣, 杨东运. 压力疗法治疗烧伤后瘢痕[J].中国临床康复,2002,6(8):1086-1087.
LI Shirong, YANG Dongyun. Pressure therapy for treatment of hypertrophic burn scar [J].Chinese Journal of Clinical Rehabilitation,2002,6(8):1086-1087.(in Chinese)
[38] RIPPER S, RENNEBERG B, LANDMANN C, et al. Adherence to pressure garment therapy in adult burn patients[J]. Burns:Journal of the International Society for Burn Injuries, 2009, 35(5):657- 664.

更新日期/Last Update: 2020-10-30