现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2013年
7期
16-19
,共4页
关节镜%疼痛%肿胀%加压冷疗%术后护理
關節鏡%疼痛%腫脹%加壓冷療%術後護理
관절경%동통%종창%가압랭료%술후호리
arthroscopy%pain%swelling%cryo/cuff system%post operative nursing
目的探讨不同治疗时间循环加压冷疗对缓解膝关节镜患者术后疼痛和肿胀的效果观察。方法将行膝关节镜手术92例患者分为试验组31例、对照组31例和空白组30例，试验组术后24 h 内每间隔8 h 行30 min 的循环加压冷疗1次；对照组术后48 h 内每间隔8 h 行30 min 的循环加压冷疗1次；空白组不使用任何形式的加压冷疗，术后只进行常规护理。术后24 h 和48 h，采用视觉模拟评分法（visual analogue scale score，VAS）对患者进行疼痛评估，肿胀情况用患侧、健侧肢体大腿周径的差值来评估。结果试验组和对照组术后疼痛程度和肿胀情况均低于空白组（P＜0.05或 P＜0.001），试验组和对照组术后疼痛与肿胀情况比较，差异无统计学意义（均 P＞0.05）。结论膝关节镜术后24 h 内进行间断加压冷疗可减轻患肢疼痛，缓解肿胀情况，并可缩短卧床时间，有利于患者尽早下地活动，促进康复。
目的探討不同治療時間循環加壓冷療對緩解膝關節鏡患者術後疼痛和腫脹的效果觀察。方法將行膝關節鏡手術92例患者分為試驗組31例、對照組31例和空白組30例，試驗組術後24 h 內每間隔8 h 行30 min 的循環加壓冷療1次；對照組術後48 h 內每間隔8 h 行30 min 的循環加壓冷療1次；空白組不使用任何形式的加壓冷療，術後隻進行常規護理。術後24 h 和48 h，採用視覺模擬評分法（visual analogue scale score，VAS）對患者進行疼痛評估，腫脹情況用患側、健側肢體大腿週徑的差值來評估。結果試驗組和對照組術後疼痛程度和腫脹情況均低于空白組（P＜0.05或 P＜0.001），試驗組和對照組術後疼痛與腫脹情況比較，差異無統計學意義（均 P＞0.05）。結論膝關節鏡術後24 h 內進行間斷加壓冷療可減輕患肢疼痛，緩解腫脹情況，併可縮短臥床時間，有利于患者儘早下地活動，促進康複。
목적탐토불동치료시간순배가압랭료대완해슬관절경환자술후동통화종창적효과관찰。방법장행슬관절경수술92례환자분위시험조31례、대조조31례화공백조30례，시험조술후24 h 내매간격8 h 행30 min 적순배가압랭료1차；대조조술후48 h 내매간격8 h 행30 min 적순배가압랭료1차；공백조불사용임하형식적가압랭료，술후지진행상규호리。술후24 h 화48 h，채용시각모의평분법（visual analogue scale score，VAS）대환자진행동통평고，종창정황용환측、건측지체대퇴주경적차치래평고。결과시험조화대조조술후동통정도화종창정황균저우공백조（P＜0.05혹 P＜0.001），시험조화대조조술후동통여종창정황비교，차이무통계학의의（균 P＞0.05）。결론슬관절경술후24 h 내진행간단가압랭료가감경환지동통，완해종창정황，병가축단와상시간，유리우환자진조하지활동，촉진강복。
Objective To explore the effect of cryo/cuff system at different durations on postoperative swelling and pain in patients with knee arthroscopy.Methods Ninety-two patients having undergone knee arthroscopy were divided into 3 groups: the study group(n=31),the control group(n=31)and the blank control group(n=30).The study group were managed with circulating cold compress therapy for 30 mins once every 8 hours 24 hours after operation,the control group with circulating cold compress therapy for 30 mins once every 8 hours 48 hours after operation and the blank control group with routine nursing.The degree of pains was assessed using visual analogue scale and the level of swelling using the difference in the shank circle between the diseased and healthy limbs.Results The study group and control group were both better than the blank group in swelling and pain control(P<0.05). The study group showed no difference in postoperative pains and swelling than the control group(P>0.05).Conclusion Postoperative knee arthroscopy,using cryo/cuff system can alleviate pains and swelling of joints,which is conducive for the early ambulation and promoted rehabilitation.
