局部冷疗对脊柱融合术后疼痛的影响

Effects of localized cold therapy on pain in postoperative spinal fusion patients

目的探讨冷疗对脊柱术后疼痛的影响,并为冷疗在脊柱外科的实际应用提供理论支持。方法研究人员采用两组随机对照设计,评价局部冷疗对腰椎融合术后疼痛和镇痛的影响。主要评价标准是术后疼痛评分。次要评价标准为镇痛的使用和感知到的冷疗法的好处。结果冷疗组74例明显的疼痛缓解,在疼痛数字评价量表中12项评分中均有明显缓解(P=0.589)。冷疗组止疼药用应用明显少于74例对照组(P=0.042)。结论冷疗法作为一种辅助疼痛管理策略能优化疼痛控制,减少脊柱融合手术后阿片类等止疼药物的使用剂量。

Objective To determine the effect of cold therapy on postoperative spinal pain and to provide theoretical support for the practical application of cold therapy in spinal surgery. Methods Two randomized controlled designs were used to evaluate the effects of local cold therapy on pain and analgesia after lumbar fusion. The main evaluation criterion was postoperative pain score. Secondary evaluation criteria were analgesic use and perceived benefits of cold therapy. Results Seventy-four patients in the cold treatment group had significant pain relief, and all 12 scores in the pain digital evaluation scale showed significant relief(P=0.589). The use of painkillers in the cold treatment group was significantly lower than that in the control group(P=0.042). Conclusion The use of cold therapy as an adjuvant pain management strategy can optimize pain control and reduce the use of opioids and other pain relievers after spinal fusion surgery.