摘要目的：观察皮肤按摩疗法对手部烧伤患者的作用。方法将2010年1月—2013年1月山东省济宁市医学院附属医院收治的26例烧伤患者，采用随机数表法将患者分为观察组和对照组，每组各13例，治疗周期为3个月，观察组皮肤以及皮下组织处理的同时伴随轻微按摩、针压法，按摩疗法3次／周，30 min／次，对照组进行常规护理；观察干预前后患者的皮肤状态，抑郁程度以及烧伤健康指标。结果干预前两组患者烧伤瘢痕和主观皮肤状态差异无统计学意义（P＞0．05）。观察组的烧伤瘢痕厚度从（0．24±0．15）cm的初始值到治疗后的（0．27±0．16）cm，有轻微的增加；观察组和对照组间厚度的总分数差异无统计学意义（t＝0．501，P＝0．621）；观察组的血流灌注与对照组比较，差异无统计学意义（ t＝0．026，P＝0．979），且两组间的主观皮肤状态差异无统计学意义（t＝1．749，P＝0．093）。两组患者的抑郁程度和烧伤健康得分差异无统计学意义（P＞0．05）。结论皮肤按摩疗法对于降低烧伤患者瘢痕厚度有帮助。

abstractsObjective To observe the application of skin massage therapy on patients with hand burn . Methods The study investigated 26 patients with hand burn who were treated in Jining medical college affiliated hospital from January 2010 to January 2013 .The participants were divided into the intervention group (n=13) and the control group (n=13) using random number table.Based on the routine nursing care of the skin and subcutaneous tissue , the intervention group received additional minor massage and acupuncture concurrently .The massage therapy was 3 times/week with 30 min/time and three months as one treatment period.The skin condition, depression level and burn health indicators were compared between the two groups . Results Before the intervention , there were no significant differences for the burn scars and subjective skin conditions between two groups ( P >0.05 ).The burn scars thickness for the intervention group slightly increased from (0.24 ±0.15) cm to (0.27 ±0.16) cm but had little difference compared to the total score of the control group (t=0.501,P=0.621).Moreover, the blood perfusion and the subjective skin conditions had little differences between two groups (t=0.026,1.749;P>0.05).The scores of patients′depression level and burn health indicators also had limited differences (P>0.05).Conclusions The skin massage therapy can slightly reduce the burn scar thickness .