护理研究
護理研究
호리연구
NURSING RESEARCH
2014年
11期
1311-1313
,共3页
冷疗%全膝关节置换术%疼痛%肿胀%出血%睡眠障碍
冷療%全膝關節置換術%疼痛%腫脹%齣血%睡眠障礙
랭료%전슬관절치환술%동통%종창%출혈%수면장애
cold therapy%total knee replacement%pain%swelling%bleeding%sleep disorders
[目的]观察局部加压冷疗对全膝关节置换术后(TKA)病人出血量、疼痛、肿胀及睡眠质量的影响。[方法]将48例病人随机分为两组。观察组25例,在术后常规护理的基础上采用局部加压冷疗,对照组23例予术后常规护理,评价其术后24 h 内出血量,72 h 内疼痛、肿胀和睡眠质量。[结果]两组术后2 h、12 h、24 h 切口引流量比较,差异均有统计学意义(P<0.05)；术后第2天和第3天睡眠质量比较,差异均有统计学意义(P<0.05)；两组术后12 h、24 h、48 h 和72 h疼痛、肿胀情况比较,差异均有统计学意义(P<0.05)。[结论]局部加压冷疗能有效减少全膝关节置换术后的出血量,改善疼痛、肿胀和睡眠质量,更有利于病人术后的康复锻炼。
[目的]觀察跼部加壓冷療對全膝關節置換術後(TKA)病人齣血量、疼痛、腫脹及睡眠質量的影響。[方法]將48例病人隨機分為兩組。觀察組25例,在術後常規護理的基礎上採用跼部加壓冷療,對照組23例予術後常規護理,評價其術後24 h 內齣血量,72 h 內疼痛、腫脹和睡眠質量。[結果]兩組術後2 h、12 h、24 h 切口引流量比較,差異均有統計學意義(P<0.05)；術後第2天和第3天睡眠質量比較,差異均有統計學意義(P<0.05)；兩組術後12 h、24 h、48 h 和72 h疼痛、腫脹情況比較,差異均有統計學意義(P<0.05)。[結論]跼部加壓冷療能有效減少全膝關節置換術後的齣血量,改善疼痛、腫脹和睡眠質量,更有利于病人術後的康複鍛煉。
[목적]관찰국부가압랭료대전슬관절치환술후(TKA)병인출혈량、동통、종창급수면질량적영향。[방법]장48례병인수궤분위량조。관찰조25례,재술후상규호리적기출상채용국부가압랭료,대조조23례여술후상규호리,평개기술후24 h 내출혈량,72 h 내동통、종창화수면질량。[결과]량조술후2 h、12 h、24 h 절구인류량비교,차이균유통계학의의(P<0.05)；술후제2천화제3천수면질량비교,차이균유통계학의의(P<0.05)；량조술후12 h、24 h、48 h 화72 h동통、종창정황비교,차이균유통계학의의(P<0.05)。[결론]국부가압랭료능유효감소전슬관절치환술후적출혈량,개선동통、종창화수면질량,경유리우병인술후적강복단련。
Obj ective:To observe the influence of local pressure cold therapy on postoperative amount of bleeding,pain,swelling and sleeping quality of patients undergoing total knee replacement.Methods:A total of 48 cases of patients were randomly divided into observation group(25 cases)and control group(23 cases),patients in observation group received local pressure cold therapy on the basis of postoperative conventional nursing.23 cases in control group were given postoperative routine nursing,then to evaluate postopera-tive amount of bleeding within 24 h,pain within 72 h,swelling and sleeping quality.Results:There was statistically significant difference in incision drainage quantity in 2 h,12 h and 24 h after operation between both groups (P<0.05);there was statistically significant difference in sleeping quality on second day and 3rd day after operation(P<0.05);there was statistically sig-nificant difference in pain and swelling situation between both groups at postoperative 12 h,24 h,48 h and 72 h(P<0.05).Conclusion:The local pressure cold therapy can effectively reduce the amount of blood in patients after total knee reslacement.It can also improve sleep quality,reduce pain and swelling.Most significantly,it is helpful for the postoperative rehabilita-tion exercise for the patients.
