膝关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。方法随机分为术后每8小时冷疗，功能锻炼。分别在小时48小时，。 结果膝关节。 结论膝关节镜，患者早期功能锻炼，。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 swelling degree in early stages after knee arthroscopy compared to traditional ice bag therapy. Patients are more likely to accept the system, so they could begin early functional exercises to gain better function. Keywords: Cryotherapy; Cryo/Cuff system；Knee arthroscopy; Pain; Swelling 膝关节术后冷疗治疗在临床广泛应用，国外Müller-Rath R等[1]的一项调查表明，96%的骨科医生认为膝关节镜术后冷疗是一种标准的治疗。膝关节镜手术对于膝关节疾病的诊断和治疗起到重要的作用，但如何减轻膝关节镜诊治术后的疼痛和肿胀，促进功能的恢复在临床上具有非常重要的意义。冷疗法（cold therapy），是应用寒冷刺激皮肤和黏膜，降低温度，从而达到治疗