加压冷疗护理对膝关节置换术后疼痛及康复的效果

Effect of pressurized cold nursing on pain and rehabilitation after knee replacement

目的探讨膝关节置换术后加压冷疗对其疼痛及术后康复的影响分析。方法回顾性分析2015年6月~2016年12月我院行膝关节置换术患者100例,根据护理措施不同分为加压冷疗组和常规组,每组50例。常规组术后给予常规的冰敷护理措施,加压冷疗组给予加压冷疗护理措施。统计分析所有患者术后疼痛VAS评分、引流量及膝关节功能分级情况。结果加压冷疗组疼痛术后12、24、48 h的VAS评分均低于常规组,差异有统计学意义(P<0.05);加压冷疗组术后12、24、48 h的引流量均低于常规组,差异有统计学意义(P<0.05);加压冷疗组膝关节功能分级优良率高于常规组,差异有统计学意义(P<0.05)。结论加压冷疗护理能有效缓解膝关节置换术后患者疼痛,减少引流量,改善膝关节功能,值得临床进一步推广应用。

Objective To investigate the influence analysis of cold pressurization on pain and rehabilitation after knee joint replacement.Methods A retrospective analysis of 100 patients undergoing knee replacement surgery in our hospital from June 2015 to December 2016 was carried out.According to different nursing measures,they were divided into two groups：pressurized cold therapy group and routine group,50 cases in each group.In the routine group,ice compress nursing was used after surgey,while in the pressurized cold therapy group,pressurized cold nursing was adopted.The postoperative pain VAS scores,drainage volume and knee functional grading were performed with statistical analysis.Results The pain VAS scores in the pressurized cold therapy group were all lower than those in the routine group at12,24,and 48 h after operation with statistical differences（P〈0.05）.The drainage volume at 12,24,and 48 h after operation in the pressurized cold therapy group was lesser than those in the routine group,with statistical differences（P〈0.05）.The excellent and good rate in functional knee joint grading in the pressurized cold therapy group was higher than that in the routine group with statistical differences（P〈0.05）.Conclusion Pressurized cold nursing can effectively relieve pain,reduce drainage,and improve knee joint function after knee joint replacement,which is worthy of further promotion in clinical practice.