10%盐水冰袋间断冷敷对膝关节镜术后减轻关节肿痛的研究

Study on intermittent cold compress with 10% saline ice pack for relieving joint swelling and pain in patients after knee arthroscopy

[目的]观察10%盐水冰袋间断冷敷对膝关节镜术后减轻关节肿痛的疗效。[方法]对158例单侧膝关节损伤病人行关节镜手术,随机分为对照组和观察组各79例,观察组病人在术后72h内给予10%盐水冰袋间断冰敷,对照组术后不使用冰袋冷敷,观察两组病人关节肿胀、疼痛程度。[结果]观察组术后48h,72h患膝肿胀值均低于对照组(P<0.05),且术后24h,48h,72h病人疼痛评分均低于对照组(P<0.05)。[结论]膝关节镜术后病人行10%盐水冰袋间断冷敷治疗并结合功能锻炼,可有效减轻膝关节肿胀、疼痛程度,有利于促进膝关节功能恢复。

Objective： To observe the curative effect of intermittent cold compress with 10% saline ice pack for relieving joint swelling and pain in patients after knee arthroscopy. Methods： A total of 158 cases of patients with unilateral knee injury undergoing arthroscopic surgery were randomly divided into control group and observation groupcases in each,patients in observation group were given intermittent cold compress with 10%sa-line ice pack in postoperative 24 hours,the patients in control group didn＇t use cold packs,joint swelling and pain in all patients were observed. Re sults：knee swelling values in observation group were lower than that of the control group at 48 h,72 h after operation （P〈0.05） ,and pain scores at 24 h,48 h and 72 h after operation were lower than that in control group （P〈 0.05）. Conclusion：The patients after arthroscopic knee surgery were given intermittent cold compress with 10% saline ice packs therapy combined with functional training, that can effectively reduce knee swelling and pain,and promote the recovery of knee function.