10%盐水冰袋冷敷减轻膝关节置换术后关节肿痛的研究  

Effect of old compress of 10% normal saline ice pack on relieving the swelling pain of knee-joint replacement

作　　者：尹志改[1] 

机构地区：[1]河北省邢台市人民医院,河北邢台054001

出　　处：《护士进修杂志》2007年第17期1550-1552,共3页Journal of Nurses Training

摘　　要：目的探讨更有效地减轻膝关节置换术后关节肿痛的冷敷方法。方法选择符合病例标准的骨性关节炎实施膝关节置换术患者,随机分为观察组、对照组各48例。观察组采用10%盐水冰袋外敷,对照组采用普通清水冰袋外敷。观察两组关节疼痛和肿胀程度、肿胀值、消肿率,以及两种冰袋各时间点的形态与温度。结果(1)与对照组比较,观察组冷敷后1 h2、4 h4、8 h疼痛程度差异有统计学意义(P均<0.05),48 h、72 h肿胀程度差异有显著统计学意义;(2)冷敷后第2天起,两组肿胀值差异有统计学意义(P均<0.05);(3)冷敷后第2天起,观察组消肿率快于对照组;⑷10%盐水冰袋于第3个小时仍呈霜水状,温度为-4℃,而普通清水冰袋已呈水状,温度为2℃。结论10%盐水冰袋的降温、止痛、消肿效果优于普通清水冰袋,可广泛应用于骨性关节炎实施膝关节置换术患者。Objective To study the more effective method to relieve the swelling pain of knee-joint replacement. Method 96 patients with swelling pain of knee-joint replacement were randomly divided into experimental group （n= 48） and control group （n=48）. Applying cold compress with 10% normal saline ice pack and ice pack of water in experimental group and control group respectively. Result Compared with control group, the degree of pain in experimental group had significant difference on 1,24,48 hours after cold compress （P〈0.05）, and also the degree of swelling on 48, 72 hours （P〈0.05）. From the second day after cold compress, the rate of repercussion in the experimental group was more quickly than control group. The third hours of the cold compress, the temperature of 10% normal saline ice pack was --4 ℃ ,and it became frost water, and the temperature of ice pack was 2 ℃, it had completely melted. Conclusion The effect of cold compress of 10% normal saline ice pack on cooling and repercussion is better than ice pack, It could be used in the clinic extensively.

关 键 词：10%盐水冰袋 冷敷 膝关节肿痛 

分 类 号：R472[医药卫生—护理学]