PART3压力治疗与其他辅具.PDF

壓力治療與其他輔具 陽光社會福利基金會花蓮分事務所 職能治療師 王崇名 肥厚性疤痕的治療方式 • Drugs • Steroid • Lasers • Surgery • Pressure Therapy （壓力治療 ） -減少血流，疤痕平坦，增加柔軟 度，減少水腫與膠原蛋白合成，加 快疤痕成熟的過程等 2 Hypothetical Effects of Pressure Therapy on Burn Scar • From Manual on Management of the Burn Patient 3 Suggested Guideline for the Use of Pressure Therapy • Wound heal in less 10 days -No prophylactic pressure therapy is required • Wound heals in 10 to 14 days -Prophylactic pressure therapy is advised for non- caucasian patients of all age 4 Suggested Guideline for the Use of Pressure Therapy • Wound heals in 14 to 21 days -Prophylactic pressure therapy is strongly suggested of any age and race • Wound heals in greater than 21 days -Mandatory for all patients 5 Methods of Applying Pressure • Pressure Garment • Bandage • Self Adherent Elastic Wrap (Coban) • Elastic Tubular Support Bandage • Conforming Splint • Transparent Facial Mask 6 Pressure Garment彈性衣 壓力衣/ 穿著全身壓力衣之模型 女上衣 7 Pressure Garment適用對象 •對象： 醫療相關：燒燙傷，血管瘤，神經纖維 瘤， 口腔癌，淋巴水腫，外 傷等 非醫療：(抽脂）塑身，變性手術等 8 壓力衣的優勢 •減少疤痕的血流 •減緩搔癢感和疼痛感 •提供疤痕保護減少傷口產生 •減少水腫 •使疤痕柔軟 9 使用壓力衣後疤痕變化 使用壓力衣前