摘要
目的:分析加压冷疗对膝关节置换术后患者肿胀及炎症反应的效果及安全性,为临床工作提供依据。方法:将入选的100例患者,按随机数字表法分为实验组和对照组各50例。实验组术后返病室即刻使用加压冷疗3 h,术后1～7 d每天上午9:00-10:00、下午15:00-16:00各使用加压冷疗1 h。对照组在相同的时间使用无疗效的加压冷疗。分别统计两组患者加压冷疗有效性(髌骨周径和中性粒细胞百分比)及安全性(下肢深静脉血栓及冻伤)的情况。结果:实验组患者术后第1天及第4天患肢髌骨周径及中性粒细胞百分比明显小于对照组,差异具有统计学意义(P<0.05)。两组患者住院期间下肢深静脉血栓发生率比较,差异无统计学意义(P>0.05)。加压冷疗组患者无冻伤病例。结论:加压冷疗作为一种安全、有效的无创治疗,可有效减轻膝关节置换术后早期肿胀及炎症反应,利于患者术后加速康复。
Objective: To evaluate the effects of Cryo/Cuff on swelling and inflammatory reaction and safety for patients after Total Knee Arthroplasty. Methods: Totally 100 patients were randomly divided into the experimental group and the control group. In the experimental group, Cryo/Cuff was immediately used for 3 h after surgery, and for 1 h from POD1 to POD7 each morning and afternoon. In the control group, sham Cryo/Cuff was used at the same time. Swelling,inflammatory reaction and deep vein thrombosis(DVT) were compared between the two groups. Frostbite was calculated in the experimental group. Results: Knee girth and NEUT% of the experiment group were significantly smaller than those of the control group on POD1 and POD4(P<0.05). The comparison of DVT between the two groups showed no significant difference(P>0.05). No frostbite occurred in the experimental group. Conclusion: As an effective and safe treatment, Cryo/Cuff can effectively reduce swelling and inflammatory reaction for Total Knee Arthroplasty patients, which is conducive to the early rehabilitation of patients.
作者
佟冰渡
陈亚萍
马玉芬
高娜
TONG Bingdu;CHEN Yaping;MA Yufen;GAO Na(Department of Orthopedics, Peking Union Medical College Hospital, Beying, 100730,China)
出处
《中国护理管理》
CSCD
北大核心
2019年第4期531-535,共5页
Chinese Nursing Management
基金
北京协和医院护理科研基金项目(XHHLKY201503)
关键词
加压冷疗
关节成形术
置换
膝
肿胀
Cryo/Cuff
arthroplasty,replacement,knee
swelling
