关节镜术后患者局部冰敷的临床效果

Clinical Therapeutic Effects of Ice Therapy for Patients after Arthroscopy

目的探讨关节镜术后患者局部冰敷与非冰敷的临床效果,以寻求更为有效的实施方法。方法行关节镜手术患者120例,按术后不冰敷(观察组)与冰敷1、6、24 h随机分为4组,观察疼痛度、足趾氧饱和度、负压引流量、足背动脉搏动。结果在减轻疼痛方面,观察组和对照组术后1 h对比差异有统计学意义(P<0.05),而术后6、24、48 h差异无统计学意义(P>0.05);负压引流量比较,术后1 h和48 h对比差异有统计学意义(P<0.05),而6、24 h对比差异无统计学意义(P>0.05);足趾氧饱和度和足背动脉搏动比较,两组差异均无统计学意义(P>0.05)。结论关节镜术后局部冰敷1 h是恰当的,既能起到减轻疼痛、减少渗出和引流的作用,又不会因为冰敷影响患肢的末梢血液循环。

Objective To compare the clinical therapeutic effects of postoperative treatment with and without ice therapy so as to investigate the optimal protocol of postoperative management af- ter arthoscopy. Methods One hundred and twenty patients with arthroscopy were randomized into 4 groups treated with sham treatment, 1,6,and 24 h of ice therapy respectively. The pain de- gree,toe SaO2 ,drainage,and dorsalis pedis artery pulse were assessed and compared among the 4 groups. Results Considering pain relief,significant diffference was found between the group with sham treatment and the group with 1 hour of ice therapy（P〈0.05） ,but the differences among the group with 6,24 and 48 h of ice therapy were not Significant（P〉0, 05）. The drainage was significantly faciliated following 1 hour of ice therapy（P 〈0.05） ,compared with that after 48 h of observation. The difference between 6 and 24 h of ice therapy was not significant（P〉0.05）. The results of toe SaO2 and dorsalis pedis artery pulse were not significantly different among the 4 groups. Conclusion Ice therapy for 1 h is proper for postoperative care after arthroscopy with beneficial effects on pain relief, effusion reduction, and drainage. The side effect like disturbance of limb blood flow can be avoided with ice therapy for 1 h.