卢志琴,俞根娣,臧连萍.膝关节镜术后患者膝周持续低温加压物理治疗的效果观察[J].上海护理,2017,17(3):
膝关节镜术后患者膝周持续低温加压物理治疗的效果观察
投稿时间:2016-09-04  修订日期:2017-02-05
DOI:
中文关键词:  膝关节镜  低温物理治疗  压力  疼痛  肿胀  膝关节功能
英文关键词:Knee arthroscopy  Hypothermia physical therapy  Pressure  Pain  Swelling  Knee functions
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作者单位E-mail
卢志琴 上海市闸北区中心医院骨科 luzhiqin2233@sina.com 
俞根娣 上海市闸北区中心医院骨科  
臧连萍 上海市闸北区中心医院护理部  
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中文摘要:
      目的 探讨膝关节镜术后患者膝周持续低温加压物理治疗的效果。方法 于2014年3月~2015年3月将100例欲行膝关节镜术后患者随机分成观察组、对照组各50例。观察组于膝关节镜术后将生物冰袋置于膝前、内、外侧冷敷,外加弹力绷带自下而上缠绕加压包扎,持续24h,但每4h暂停30min;对照组给予同等规格的生物冰袋置于膝前、内、外侧冷敷,间断24h,每天3次,每次1h。分别在术后6h、24h、48h,采用视觉模拟评分法(Visual Analogue Scale,VAS)评估疼痛,膝关节固定点周径差值评估肿胀以及膝关节活动度。结果 两组研究对象术前基线资料可比(P>0.05);两组研究对象术后6h患膝肿胀值、疼痛评分、关节活动度比较差异无统计学意义(P>0.05);两组研究对象术后24h和48h患膝肿胀值、疼痛评分、关节活动度比较差异有统计学意义(P<0.05)。结论 与间断低温物理治疗比较,膝关节镜术后患者膝周持续低温加压物理治疗,更能有效缓解患肢疼痛、肿胀、关节活动受限等功能障碍,有利于患者早期功能锻炼,促进关节功能恢复,且没有明显的不良反应。
英文摘要:
      Objective To explore the effect of knee arthroscopy postoperative applied sustained pressor hypothermia physical therapy. Methods 100 patients who want to undergo knee arthroscopy divided into observation group (n=50) and control group (n=50) by randomly number table method from March 2014 to March 2015. After undergoing the knee arthroscopy, observation group use ice pack to apply cold compress to around the knee with elastic bandage pressuring bandaged from bottom to top, lasting for 24 hour, pausing 30 minutes for every 4 hours. Same to the control group but applying the cold compress 3 times every day, each time for 1 hour. After 6h, 24h, 48h, using Visual Analogue Scale to do pain assessment, swelling assessment to the perimeter margin ofknee joint protection and knee ROM (range of motion). Results Two groups of subjects baseline data comparable (p>0.05);The Two groups of subjects’ differenceafter 6hours, swelling of the knee, pain score, joint range of motion werenot statistically significant (P>0.05); The Two groups of subjects’ differenceafter 24 hours and 48 hours, swelling of the knee, pain score, joint range of motion werestatistically significant (P <0.05). Conclusion Compare to the
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