循环加压冷疗在膝关节置换术后快速康复中的应用研究  

Application of cyclic pressure cold therapy in fast rehabilitation of total knee arthroplasty

作　　者：阮小燕[1] 乔继红[1] RUAN Xiaoyan;QIAO Jiliong(Department of Joint Surgery,Subei People＇s Hospital in Jiangsu, Yangzhou, Jiangsu, 225001)

机构地区：[1]江苏省苏北人民医院关节外科,江苏扬州225001

出　　处：《实用临床医药杂志》2018年第10期47-50,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨加压循环冷疗技术在全膝关节置换术患者术后快速康复中的应用效果。方法选取40例行人工膝关节置换术的患者作为对照组,采用传统的围术期管理和自制传统冰袋冰敷治疗;另选取38例行人工膝关节置换术的患者作为实验组,采用术后加速康复管理和循环加压冷疗冰敷治疗。比较2组患者膝关节疼痛评分、功能情况、平均住院时间及术后并发症情况。结果 2组患者术后疼痛视觉模拟评分(VAS)均较术前持续降低,美国特种外科医院膝关节评分(HSS)均持续增高,并且术后各时间点与术前比较差异均有统计学意义(P<0.05);术后24 h、1周时,实验组VAS评分、HSS评分与对照组相比更有优势(P<0.05);实验组平均住院时间显著短于对照组(P<0.05)。结论将循环加压冷疗运用于人工膝关节置换术的快速康复管理中,可以更好地减轻术后疼痛,尽早恢复膝关节功能,促进患者康复。Objective To evaluate the effect of cyclic pressure cold therapy on fast rehabilitation of patients undergoing total knee arthroplasty. Methods A total of 40 patients undergoing primary total knee arthroplasty were included in control group,receiving the conventional peri-operative nursing and rehabilitation protocol and cold therapy with ice pack. And another 38 patients who received fast-track surgery protocol and cyclic pressure cold therapy were as experimental group. The function evaluation score,pain,average hospitalization days and complications of two groups were compared. Results The postoperative VAS scores of two groups were significantly lower,and postoperative HSS scores were significantly higher compared with that of preoperation（P〈0. 05）. The VAS scores and HSS scores were significantly lower in experimental group were better than the control group at 24 h and 1 week（P〈0. 05）. The average hospitalization day of experimental group was significantly less than that of control group（P〈0. 05）. Conclusion Cyclic pressure cold therapy can improve the VAS score and HSS score,accelerate the rehabilitation process in fast rehabilitation of total knee arthroplasty.

关 键 词：膝关节置换 循环加压冷疗 肿胀 疼痛 快速康复 

分 类 号：R473.6[医药卫生—护理学]