15%乙醇冰袋冰敷对膝关节镜术后患者消肿和镇痛效果研究

Study of detumescence and analgesic effect for patients with ice pack including 15% ethanol after arthroscopic knee surgery

目的探讨冰敷疗法对膝关节镜术后患者膝关节消肿和镇痛作用的研究。方法选取我科2013年6-12月行关节镜手术病人120例，随机分为两组，每组60人。观察组术后立即给予15％乙醇冰袋，以棉垫包裹放于膝盖处冰敷，每次20min，每天2次，连续2d；对照组采用清水冰袋以同样的频率及时间作冰敷，观察两组患者膝关节疼痛和肿胀的情况。结果观察组患者术后1-3d疼痛（NRS）评分均较对照组低（P〈0．05）；两组患者的膝关：节肿胀度，在术后第一天差异无统计学意义（P〉0．05），但在术后第二天，观察组患者膝关节肿胀度较对照组患者轻，差异有统计学意义（P〈O．05）。结论15％乙醇冰袋降温效果明显优于普通冰袋，消肿和止痛作用也优于普通清水冰袋。

Objective To study the effect of detumescence and analgesic for patients with ice pack including 15 ethanol after arthroscopic knee surgery. Method 120 patients in our hospital from June 2013 to December after ar throscopic knee surgery were selected and randomly divided into two groups, each group 60 patients. The experimental group was given immediately ice pack including 15% ethanol after arthroscopic knee surgery with cotton pad wrapped, which was 20 minutes each time and two times a day for two consecutive days. Patients in control group was given as the same frequency and duration with water ice pack. Pain and swelling was observed for the two group patients. Result Compared with the control group, te experimental group mean NRS score in 1-3 days after operation were significantly decreased （P〈0.05）. There was no significant difference in swelling degree on the first postoperative day for two groups （P〈0.05）. But on the second postoperative day, the ice pack including 15% ethanol in experiment group was better in swelling degree, there was significant difference （P〈0.05）. Conclusion The ice pack including 15% ethanol can achieve lower temperature. The cooling effect is better than that of common, the detumescence and acesodyne effect is superior to ordinary water ice pack.