持续冰敷在行肘关节松解术患者中应用及效果评价.docVIP

持续冰敷在行肘关节松解术患者中应用及效果评价 　　[摘要] 目的 探讨持续冰敷在行肘关节松解术患者中应用的效果。 方法 选取2013年6月～2014年12月在我院手外科收治的行肘关节松解术患者50例作为研究对象，随机分为观察组和对照组。对照组给予常规术后护理，观察组在常规术后护理的基础上增加持续冰敷，记录并比较两组患者关节肿胀、出血量、疼痛及肘关节功能恢复情况。 结果 观察组患者术后48 h、72 h患肢肿胀值均低于对照组（P0.05）；观察组患者术后24 h、48 h、72 h出血量均少于对照组（P0.05）；术后24 h、48 h、72 h患者疼痛数字评分（NRS）值均低于对照组（P0.05），且观察组的肘关节功能（Mayo肘关节评分）优于对照组，差异有统计学意义（P0.05）。 结论 对行肘关节松解术后的患者进行持续冰敷治疗，可有效减轻肘关节肿胀、出血量及疼痛程度，有利于促进肘关节功能的恢复。 　　[关键词] 肘关节松解术；持续冰敷；肿胀；出血量；疼痛；肘关节功能 　　[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2015）25-0137-03 　　Application and curative effect evaluation of continuous ice compress on patients received elbow arthrolysis 　　XU Ya WU Beirong XU Xiao 　　Department of Hand Surgery， Second Affiliated Hospital of Wenzhou Medical University， Wenzhou 325027， China 　　[Abstract] Objective To discuss the curative effect of continuous ice compress on patients who had received elbow arthrolysis. Methods A total of 50 patients who had been in hospital in hand surgery department of our hospital had received elbow arthrolysis from June 2013 to December 2014. They were divided into observation group and control group. Patients in the control group received regular postoperative nursing and while continuous ice compress was operated on the basis of regular postoperative nursing in the observation group. Swelling on the elbow， blood loss， degree of pain and recovery condition of elbow function of patients in both groups were recorded and compared. Results Swelling degree of affected limb of patients in observation group was lower than that of patients in control group 48 h and 72 h after operation（P0.05）； blood loss of patients in observation group was lower than that of patients in control group at 24 h， 48 h and 72 h after operation（P0.05）； the NRS values of patients in observation group was lower than that of patients in control group at 24 h， 48 h and 72 h after operation（P0.05）， and the elbow function （Mayo elbow function grade） of the observation group was better than that of the control