循环加压冷疗法对踝部骨折患者早期软组织肿胀的效果研究

Study on the effect of circulating pressure and cold therapy on soft tissue swelling in patients with ankle fracture

目的观察循环加压冷疗法治疗踝部骨折早期软组织肿胀的效果。方法将62例踝部骨折患者随机分为试验组和对照组各31例。试验组采用循环加压冷疗装置进行消肿治疗;对照组给予骨科常规护理,用冰袋进行消肿治疗。于治疗前和治疗后24,48,72 h采用视觉模拟评分法(Visual Analogue Scale,VAS)进行疼痛评估;测量固定点位置(内外踝周径)的肿胀值评估患肢肿胀程度。比较2组患处张力性水泡发生情况和术前等待时间。结果随时间延长,2组患肢肿胀值、VAS评分均呈降低趋势,试验组患肢肿胀值、VAS评分降低幅度大于对照组,其组间、时点间、组间·时点间交互作用差异均有统计学意义(P<0.05)。试验组张力性水泡发生率明显低于对照组,术前等待时间短于对照组,差异均有统计学意义(P<0.05)。结论踝部骨折患者早期应用循环加压冷疗法,有利于减轻患处疼痛及软组织肿胀,降低张力性水泡发生率。

Objective To observe the effect of cold and circulatory pressure therapy on soft tissue swelling of ankle fracture.Methods Sixty-two patients with ankle fracture were randomly divided into the experimental group and the control group,each with 31 patients.After admission to the experimental group,the patients in the experimental group were treated with detumescence by circulating pressure cold therapy device.Patients in the control group were given routine orthopedic care and treated with ice packs.Visual Analogue Scale(VAS)score was used for pain assessment before,24,48,and 72 hours after treatment.The swelling of the affected limb was evaluated by measuring the swelling value of fixed point position(the circumference of medial and lateral malleolus).The incidence of tension blisters and preoperative waiting time were compared between the two groups.Results With the extension of time,the swelling value and VAS score of affected limb in both groups showed a decreasing trend,and the reduction range of the swelling value and VAS score of affected limb in the experimental group was greater than that in the control group,and the interaction difference between groups,time points and between groups was statistically significant(P<0.05).The incidence of tension blisters in the experimental group was significantly lower than that in the control group,and the preoperative waiting time was shorter than that in the control group,with statistically significant difference(P<0.05).Conclusion Early application of circulatory compression and cold therapy in patients with ankle fractures is beneficial to reduce the pain and soft tissue swelling and reduce the incidence of tension blisters.