期刊
JOURNAL OF CLINICAL MEDICINE
卷 11, 期 22, 页码 -出版社
MDPI
DOI: 10.3390/jcm11226743
关键词
pressure measurement; burn; hypertrophic scar; pressure garment therapy; pressure-monitoring device; compression therapy
资金
- National Research Foundation of Korea (NRF) - Korean government (MSIT) [2021R1A2C1093082]
- Soonchunhyang University Research Fund
- National Research Foundation of Korea [2021R1A2C1093082] Funding Source: Korea Institute of Science & Technology Information (KISTI), National Science & Technology Information Service (NTIS)
Compression therapy using pressure garments can accelerate scar maturation and improve clinical symptoms. Monitoring the pressure range with a portable device can further enhance the efficacy of this therapy.
Compression therapy for burn scars can accelerate scar maturation and improve clinical symptoms (pruritus and pain). This study objectively verified the effect of pressure garment therapy in maintaining a therapeutic pressure range for hypertrophic scars. Sixty-five participants (aged 20 similar to 70 years) with partial- or full-thickness burns, Vancouver scar scale score of >= 4, and a hypertrophic scar of >= 4 cm x 4 cm were enrolled. Compression pressure was measured weekly using a portable pressure-monitoring device to regulate this pressure at 15 similar to 25 mmHg for 2 months. In the control group, the compression garment use duration and all other burn rehabilitation measures were identical except for compression monitoring. No significant difference was noted in the initial evaluations between the two groups (p > 0.05). The improvements in the amount of change in scar thickness (p = 0.03), erythema (p = 0.03), and sebum (p = 0.02) were significantly more in the pressure monitoring group than in the control group. No significant differences were noted in melanin levels, trans-epidermal water loss, or changes measured using the Cutometer (R) between the two groups. The efficacy of compression garment therapy for burn-related hypertrophic scars can be improved using a pressure-monitoring device to maintain the therapeutic range.
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