局部加压冷疗对控制膝关节镜术后关节肿胀的临床护理 朱春燕.pdfVIP

护理论著 CHINESECOMMUNITY DOCTORS 局部加压冷疗对控制膝关节镜术后关节肿胀的临床护理 1 2 朱春燕 周婷 223800宿迁市第一人民医院外科1 221011徐州矿物集团第二医院2 doi:10.3969/j.issn.1007-614x.2015.20.88 摘 要 目的：探讨局部加压冷疗对控制膝关节镜术后关节肿胀的临床护理效果。方法：收治行膝关节镜手术患者 50例，随机分为对照组和试验组各25例。对照组予常规治疗及护理，同时予以传统冰袋冷疗；试验组给予AIRCAST 加压冷疗装置局部加压冷疗。结果：试验组关节疼痛及肿胀程度均优于对照组，差异有统计学意义(P＜0.05)。结论： 与传统冷疗相比，膝关节镜治疗术后采用局部加压冷疗能有效减轻患者疼痛、消除关节肿胀。 关键词 局部加压冷疗；膝关节镜；术后关节肿胀 Clinicalnursingoflocalpressurecoolingoncontrollingofjointswellingafterkneearthroscopy ZhuChunyan,ZhouTing1 2 DepartmentofSurgery,theFirstPeoplesHospitalofSuqianCity2238001 TheSecondHospitalofXuzhouMineralsGroup2210112 Abstract Objective:Toinvestigatetheclinicalnursingeffectoflocalpressurecoolingoncontrollingofjointswellingafterknee arthroscopy.Methods:50 patientswithkneearthroscopicoperationwereselected.Theywererandomlydividedintothecontrol groupandtheexperimentalgroupwith25casesineach.Thecontrolgroupwerereceivedroutinetreatmentandnursing,andalso giventhetraditionalicecoldtherapyatthesametime;However,theexperimentalgroupweregivenlocalpressurecoolingtherapy withAIRCASTcryotherapyandcompressiondevice.Results:Thedifferencesinjointpainandswellingdegreewerestatistically significantbetweenthetwogroups(P＜0.05).Conclusion:Comparedwiththetraditionaltherapy,givenlocalcryotherapyafterknee arthroscopytreatmentcanreducethepainofpatientsmoreeffectively,anditalsocaneliminatejointswelling. Keywords Localpressurecooling;Kneearthroscopy;Postoperativejointswelling 冷疗是指利用低于人体自身体温的 表1 两种不同冷疗方法48h后膝关节疼痛和肿胀程度比较(x±s) 介质，通过接触降低机体温度，从而发 组别 例数 VAS疼痛指数 膝关节周径差值(mm) 挥治疗疾病的作用。冷疗可使微血管收 对照组 25 5.246±1.129 2.942±0.342 缩，降低血管通透性进而减少出血，同 加压冷疗组 25 3.165±1.131* 1.463±0.3