摘要
目的探讨更有效的减轻膝关节镜术后关节肿痛的冷敷方法。方法将296例膝关节镜术后患者随机分为对照组(144例)和观察组(152例)。对照组采用毛巾包裹清水冰袋进行冷敷,观察组采用自制新型冷敷袋进行冷敷,术后当天冰敷2h,术后第1～5天每天冰敷2次,每次2小时。结果两组术后第3天舒适度,术后6h、24h、48h疼痛程度,术后24h、48h肿胀程度及负压引流量比较,差异有统计学意义(均P<0.01)。结论新型冷敷装置具有使用安全、舒适,且镇痛、消肿和减少渗出等特点,可广泛应用于膝关节镜术后患者。
Objective To explore a more effective cryotherapy for relieving patients′ pain after knee arthroscopy.Methods A total of 296 patients undergoing knee arthroscopy were randomly divided into a control group（n=144） and an observation group（n=152）.Patients in the control group were given ice bags wrapped with towel for cryotherapy,while their counterparts in the observation group employed self-made ice bags for cryotherapy.All patients received 2 hours cryotherapy on the postoperative day,and on the second to fifth postoperative day the cryotherapy was performed for 2 hours each time,twice a day.Results Significant differences were found in degree of comfort on the third postoperative day,in degree of pain at the postoperative 6th,24th,48th hour,and in swelling and drainage volume at the postoperative 24th and 48th hour between the two groups（P〈0.01 for all）.Conclusion The self-made ice bag for cryotherapy is safe and comfortable,and beneficial to pain relief,antioncotic and effusion reduction.It can be used in patients undergoing knee arthroscopy.
基金
华中科技大学同济医学院附属协和医院科研项目(2009-42)
关键词
关节镜手术
膝关节肿痛
冷敷袋
革新推广
arthroscopy
knee-joint swelling and pain
bags for cryotherapy
innovation
