芒硝冰袋冷敷减轻急性软组织损伤的效果研究

Study on effects of cold compress of mirabilite ice pack in alleviating acute soft tissue injury

目的探讨更有效的减轻急性软组织损伤的冷敷方法。方法选择急性软组织损伤患者100例，分为对照组、观察组各50例。观察组采用自制芒硝冰袋（冰霜状），对照组采用普通清水冰袋外敷。观察两组疼痛和肿胀程度、肿胀值、消肿率。结果与对照组相比，观察组冷敷后1，24，48h疼痛程度差异有统计学意义（P均〈0．05）；48，72h肿胀度差异有统计学意义。冷敷后第2天起，两组肿胀值差异有统计学意义（P均〈0．05），观察组消肿率速快于对照组。结论芒硝冰袋的止血、止痛、消肿效果优于普通清水冰袋，可广泛应用于急性软组织损伤患者。

Objective To probe the more effective cryotherapy method of lightening acute soft tissue injury. Methods 100 patients having acute soft tissue injury were selected and divided into two groups by random ： and experimental group of 50 patients, and a control group of 50 patients. Mirabilite ice pack （ icy water） was applied to the patients in the experimental or observed group, and common ice bag of pure water was used to the patients in the control group. The following items were observed, including pains, degree of swelling, swelling value, and detumescence rate of the two groups. Results Compared with the control group, the observed group shew that the degrees of pains at 1,24 and 48 hours after the cold compress had a difference of statistical significance （ for each of all, P 〈 0. 05 ）. And the degrees of swelling at 48 and 72 hours also had a difference of statistical significance. From the second day after cold compress, the difference between the swelling value of the two groups shew a stastical significance （ for each of all, P 〈 0. 05 ）. And the detumescence rate of the observed group was quicker than that of the control group. Conclusions Mirabilite ice pack has a better effect in terms of stopping of bleeding, stopping of pains, and detumescence, than common ice bag of pure water. It can be broadly applied to patients of acute soft tissue injury.