摘要
目的比较膝关节镜术后应用循环加压冷疗系统和冰敷冷疗的临床效果。方法2012年3—11月行膝关节镜手术符合要求的64例患者,随机分为循环加压冷疗组和冰敷冷疗组,每组各32例。两组均于术后每8 h进行冷疗,常规进行功能锻炼。疼痛采用视觉模拟评分进行评估,肿胀情况用患侧、健侧肢体大腿周径的差值来评估。分别在术后24 h和48 h对两组进行疼痛和肿胀程度的评估,在术后48 h评估膝关节功能和舒适度。结果两组研究对象术前基线资料可比(P>0.05)。两组研究对象术后24 h和48 h疼痛和肿胀情况差异有统计学意义(P<0.05)。两组研究对象术后48 h膝关节功能评分差异无统计学意义(P>0.05),舒适度差异有统计学意义(P<0.05)。结论与冰敷冷疗相比较,循环加压冷疗系统对于膝关节镜术后早期关节疼痛和肿胀的缓解更具优势,更易为患者所接受,有利于患者早期功能锻炼,促进关节功能恢复。
Objective To compare the clinical efficacy of Cryo/Cuff system with that of ice compress for patients after knee arthroscopy. Methods From 2012 March to 2012 November, 64 patients with knee arthroscopy were randomized into Cryo/Cuff system group and traditional ice compress group with 32 patients in each group. All patients accepted cryotherapy every 8 hours and knee exercises under the direction of nurses. Visual Analogue Scale（VAS） score was used to measure the pain scale on 24 h and 48 h postoperatively. The perimeter difference between the injuried and uninjuried side was used to evaluate the swelling degree on 24 h and 48 h postoperatively. Hospital for Special Surgery （HSS） score and comfortability was assessed on 48 h after arthroscopy. Results The between-group comparisons at baseline revealed no significant difference preoperatively （P〉0.05）. The pain and swelling degree were statistically significant on 24 h and 4 8 h （P〈0.05）. The scores of HSS in two groups were not statistically significant on 48 h after operation（P〉0.05）,while the scores of comfortability statistically significant （P〈0.05）. Conclusion Cryo/Cuff system can relieve pain and swelling degree in early stages after knee arthroscopy compared with traditional ice compress therapy. Patients are more likely to accept the system, so they could begin early functional exercises to achieve earlier recovery.
出处
《护理学报》
2013年第11期10-13,共4页
Journal of Nursing（China）
基金
北京医院院级课题资助课题(BJ-2-12-95)
作者简介
田润溪（1985-），女，北京人，本科学历，硕士研究生在读，护师。
[通讯作者]郝玉芳（1968-），女，北京人，博士，教授，护理学院院长。
