摘要
进行全膝置换手术的患者与日俱增,术后肿胀和疼痛仍未很好的解决。冷冻疗法具有悠久的历史,可以降低细胞代谢、血流速度、炎症反应、水肿、疼痛、痉挛、皮肤肌肉关节内的温度、渗透性、神经传导速度。因此,全膝置换手术后进行冷冻疗法具有广阔的前景。冷冻疗法包括冰袋、化学冰袋、可充气式臂带装置(包含冰水和具有压迫性)、制冷器和套袖连接的循环装置。运用冷冻疗法的时间从创伤后立即到伤后1￣3d,持续时间和频率各异。其中持续性冷冻疗法(制冷器和套袖连接的循环装置)可以较好地减轻肿胀,减少出血量及止痛药的用量,同时能改善关节活动度。持续性冷冻疗法的皮肤温度应控制在10￣15℃,根据敷料的厚薄适当调整机器温度。
Patients for total knee arthroptasty （TKA） are increasing with each passing day, but swelling and pain after operation have not been well solved, Cold therapy had a long history, which could reduce cell metabolism,blood flow, inflammatory response, swelling, pain, spasm, skin and intramuscular and intraarticular temperature, infiltration, velocity of nerve conduction. Therefore, cold therapy after TKA had a prosperous future. Cold therapy included ice packs, chemical ice packs, an inflatable cuff device （including ice-cold water and compression）, and a device that employed a pump mechanism to circulate cooled water. Time of applying cold therapy was immediately to 1-3 days after injury, and duration and frequency was diversified. Continuous cold therapy could reduce swelling, hemorrhage, appliance of anti-pain, and improve joint movement. The skin temperature of continuous cold therapy should be restricted at 10-15 ℃ and regulate the machine temperature according to the dressings.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2007年第4期748-749,共2页
Journal of Clinical Rehabilitative Tissue Engineering Research
