膝關节镜术后应用循环加压冷疗和传统冷疗的对比研究.docVIP

膝关节镜术后应用循环加压冷疗系统和传统冷疗的对比研究 田润溪1,2，郝玉芳1 (1、北京中医药大学，2、卫生部北京医院骨科，北京，100730) 【摘要】 目的：比较膝关节镜术后应用循环加压冷疗系统和传统冷疗的临床效果。方法：2012年3月至2012年11月于我院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系统治疗组（试验组）和冰敷冷疗治疗组（对照组），每组各32例。两组均于术后每8小时进行冷疗，常规进行功能锻炼。疼痛采用视觉模拟评分（Visual Analogue Scale／Score，简称 VAS）进行评估，肿胀情况用患侧、健侧肢体腿围的差值来评估。分别在术后24小时和48小时对两组进行疼痛和肿胀程度的评估，在术后48小时评估膝关节HSS评分和舒适度。 结果：两组研究对象术前基线资料比较无统计学差异(P＞0.05)。两组研究对象术后24h和48h疼痛和肿胀情况有统计学差异（P＜0.05）。两组研究对象术后48h膝关节HSS评分无统计学差异（P＞0.05），舒适度有统计学差异（P＜0.05）。 结论：与传统冷疗相比较，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。 关键词：冷冻疗法，循环加压冷疗系统，膝关节镜，冰敷，疼痛，肿胀 Comparison of Cryo/Cuff system with more traditional form of cryotherapy in the postoperative care of knee arthroscopy patients TIAN Run-xi1,2,HAO Yu-fang1.（1.Beijing University of Chinese Medicine;2.Orthopedic Department of Beijing Hospital2,Beijing 100730,China） Abstract Objective: The aim of this study was to compare the clinical efficacy of Cryo/Cuff system with traditional cryotherapy following knee arthroscopy. Methods: From 2012 March to 2012 November, 64 patients undergoing knee arthroscopy were randomized into Cryo/Cuff system and traditional ice bag groups with 32 patients in each group. All patients accepted cryotherapy every 8 hours until 48h postoperatively and knee exercises under the direction of nurses. VAS score was used to measure the pain scale on 24h and 48h postoperatively. The perimeter difference between the injuried and uninjuried side was used to evaluate the swelling degree on 24h and 48h postoperatively. HSS score and comfortability was assessed on 48h after arthroscopy. Results: The between-group comparisons at baseline revealed no significant difference preoperatively(P0.05). The pain and swelling degree were statistically significant on 24h and 48h(P0.05) . The scores of HSS in two groups were not statistically significant on 48h after operation(P0.05)，while the scores of comfortability statistically significant (P0.05). Conclusions: Cryo/Cuff system can relieve pain and swell