冷加压自动循环系统控制膝关节镜术后膝关节的肿胀  

Cryo/Cuff system controls swelling following postoperative knee arthroscopy patients

作　　者：李玲利[1] 宁宁[1] 侯晓玲[1] 朱红[1] 陈佳丽[1] 陈忠兰[1] 

机构地区：[1]四川大学华西医院骨科,四川省成都市610041

出　　处：《中国组织工程研究与临床康复》2010年第39期7386-7389,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景:虽然传统清水冰袋冷疗对减轻膝关节镜术后肿胀有一定的疗效,但存在硬度高、与皮肤贴合性差、固定不便,与体表接触面积小等局限性。目的:观察冷加压自动循环系统对膝关节镜术后患者肿胀控制的效果。方法:将140例膝关节镜术后患者随机分为冷加压自动循环系统试验组与传统清水冰袋对照组,每组70例,分别测量两组患者健侧术前、患侧术前及术后6,12,24,36,48h髌骨上极2cm、髌骨中点、腓肠肌最粗点周径,计算肿胀值。结果与结论:两组患者术前、术后6h髌骨上极2cm及术后6,48h腓肠肌最粗点周径肿胀值比较差异无显著性意义(P>0.05),而术后6h髌骨中点,术后12,24,36,48h髌骨上极2cm及髌骨中点,术后12,24,36h腓肠肌最粗点周径肿胀值试验组均低于对照组(P<0.05)。结果表明冷加压自动循环系统较传统清水冰袋更能减轻膝关节镜术后患者膝关节肿胀的程度。BACKGROUND：Although traditional ice bag can relieve knee joint swelling post arthroscopy,hardness,poor attachment to skin,difficult fixation,and small contact area limit its application. OBJECTIVE：To explore the effect of Cryo/Cuff system＇s swelling controlling on postoperative knee arthroscopy patients. METHODS：140 patients undergoing postoperative knee arthroscopy were divided into Cryo/Cuff system and traditional ice bag groups with 70 patients in each group. The perimeter of knee on two centimeter of superior patellar pole,patella center,maximum musculus gastrocnemius on uninjured side were measured pre-,and 6,12,24,36 and 48 hours post-operation respectively,and the value of swelling was calculated. RESULTS AND CONCLUSION：The two groups swelling value on preoperative,two centimeter of superior patellar pole of sixth hour post-operation and maximum musculus gastrocnemius of 6,48 hours post-operation had not statistically significant （P 0.05）. But the two groups＇ swelling value on patella center of 6 hour post-operation,on two centimeter of superior patellar pole and patella center of 12,24,36,48 hours post-operation,on maximum musculus gastrocnemius of 12,24,35 hours post-operation were significantly lower than control group （P 0.05）. Cryo/Cuff system can relieve swelling degree on postoperative knee arthroscopy patients compared to tradition ice bag.

关 键 词：冷加压自动循环系统 清水冰袋 膝关节镜 肿胀值 冷疗 

分 类 号：R318[医药卫生—生物医学工程]