改良型冰袋用于足踝部闭合性骨折术前消肿临床观察
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摘要
目的:观察外敷肿意膏基础上使用改良型冰袋治疗足踝部闭合性骨折术前消肿的临床疗效。方法:60例,随机分成试验组和对照组各30例,对照组用传统冰袋冰敷,治疗组则在外敷肿意膏基础上用改良型冰袋冰敷。时间均为3天,此后继续使用肿意膏外敷至第7天,比较两组治疗前后局部降温效果和治疗后第3天、第5天、第7天的肿胀值和NRS疼痛评分。结果:治疗组局部降温效果、肿胀值差异和NRS疼痛评分均明显优于对照组(P<0.05)。结论:外敷肿意膏基础上使用改良型冰袋治疗足踝部闭合性骨折降温效果确切,可快速有效消退肿胀,减轻疼痛。
Objective:To observe the clinical effect of using modified ice bag before operation in patients with closed fracture of ankle and foot on the basis of external application of Zhongyi ointment made by our hospital. Method:From January 2017 to January 2018,60 patients with closed fracture of ankle and foot were randomly divided into experimental group(n=30) and control group(n=30).The control group were treated with traditional ice bags.In the treatment group,modified ice bags were used on the basis of external application of Zongyi ointment.The time of ice application was 3 days,and then Zhongyi ointment was continued to use for 7 days. The effect of local cooling before and after treatment, the swelling value and NRS pain score of 3 days,5 days and 7 days after treatment were compared between the two groups. Result:The local cooling effect,swelling value and NRS pain score in the treatment group were significantly better than those in the control group(P<0.05).Conclusion: Modified ice bag on the basis of external application of Zhongyi ointment has definite cooling effect on the patients with closed fracture of ankle and foot,which could dissipate the swelling quickly and effectively and alleviate the pain of the patients. It was worth popularizing and applying in clinic.
Objective:To observe the clinical effect of using modified ice bag before operation in patients with closed fracture of ankle and foot on the basis of external application of Zhongyi ointment made by our hospital. Method:From January 2017 to January 2018,60 patients with closed fracture of ankle and foot were randomly divided into experimental group(n=30) and control group(n=30).The control group were treated with traditional ice bags.In the treatment group,modified ice bags were used on the basis of external application of Zongyi ointment.The time of ice application was 3 days,and then Zhongyi ointment was continued to use for 7 days. The effect of local cooling before and after treatment, the swelling value and NRS pain score of 3 days,5 days and 7 days after treatment were compared between the two groups. Result:The local cooling effect,swelling value and NRS pain score in the treatment group were significantly better than those in the control group(P<0.05).Conclusion: Modified ice bag on the basis of external application of Zhongyi ointment has definite cooling effect on the patients with closed fracture of ankle and foot,which could dissipate the swelling quickly and effectively and alleviate the pain of the patients. It was worth popularizing and applying in clinic.
引文
[1]梁晓军,赵宏谋.急性踝关节损伤治疗方法的选择策略[J].中国骨伤,2017,30(6):489-491.
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[10]JUTTE LS,MERRICK MA,INGERSOLL CD,et al.The relationship between intramusculartemperature,skin temperature,and adipose thickness during cryotherapy and rewarming[J].Arch Phys Med Rehabil,2001,82(6):845-850.
[11]BUGAJ R.The cooling,analgesic,and rewarming effects of ice massage on localized skin[J].Phys Ther,1975,55(1):11-19.
[12]李颖,许倩茹.15%乙醇与清水冰袋局部降温效果比较的实验研究[J].护理学杂志,2012,27(19):48-50.
[13]Swenson C,Sward L,Karlsson J.Cryotherapy in sports medicine[J].Scand J Med Sci Sports,1996,6:192-200.
[14]赵远莲,肖庆帮,蒋智钢,等.不同冰敷方式对急性闭合性软组织损伤处理效果的影响[J].中国现代医学杂志,2016,26(20):1-5.
[15]SCHRODER D,P ASSLER HH.Combination of cold and cpmpression after knee surgery.A prospective rangomized study[J].Knee Surg Sports Traum atol Arthrosc,1994,2:158-165.
[2]SHIBUYA N,DAVIS ML,JUPITER DC.Epidemiology of foot and ankle fracture in the United States:an analysis of the National Trauma Data Bank(2007 to 2011)[J].J Foot Ankle Surg,2014,53(5):606-608.
[3]徐连芳,陈润芳,萧佩多,等.中药熏洗在足踝部闭合性骨折患者中的应用[J].护理实践与研究,2013,10(13):26-27.
[4]李彤,陈鲁峰,李毅嵩.自拟外洗方治疗踝部骨折早期肿胀疗效观察[J].亚太传统医药,2014,10(15):121-122.
[5]杨秋生,蔡青.改良式加压冰敷袋在中重度骨性关节炎患者全膝关节置换术后的应用[J].护士进修杂志,2017,32(3):246-248.
[6]SCHINSKY MF,MCCUNE C,BONOMI J.Multifaceted comparison of two cryotherapy devices used after total knee arthroplasty:cryotherapy device comparison[J].Orthop Nurs,2016,35(5):309-316.
[7]FAN JC,LO CK,KWOK CK,et al.Nurse-led orthopaedic clinic in total joint replacement[J].Hong Kong Med J,2014,20(6):511-518.
[8]KUO CC,LIN CC,LEE WJ,et al.Comparing the antiswelling and analgesic effects of three different ice pack therapy durations:a randomized controlled trial on cases with soft tissue injuries[J].J Nurs Res,2013,21(3):186-194.
[9]马爽,宋洋,黄秋颖,等.全膝关节置换术后应用局部间断冰敷治疗效果分析[J].临床军医杂志,2017,45(2):198-199.
[10]JUTTE LS,MERRICK MA,INGERSOLL CD,et al.The relationship between intramusculartemperature,skin temperature,and adipose thickness during cryotherapy and rewarming[J].Arch Phys Med Rehabil,2001,82(6):845-850.
[11]BUGAJ R.The cooling,analgesic,and rewarming effects of ice massage on localized skin[J].Phys Ther,1975,55(1):11-19.
[12]李颖,许倩茹.15%乙醇与清水冰袋局部降温效果比较的实验研究[J].护理学杂志,2012,27(19):48-50.
[13]Swenson C,Sward L,Karlsson J.Cryotherapy in sports medicine[J].Scand J Med Sci Sports,1996,6:192-200.
[14]赵远莲,肖庆帮,蒋智钢,等.不同冰敷方式对急性闭合性软组织损伤处理效果的影响[J].中国现代医学杂志,2016,26(20):1-5.
[15]SCHRODER D,P ASSLER HH.Combination of cold and cpmpression after knee surgery.A prospective rangomized study[J].Knee Surg Sports Traum atol Arthrosc,1994,2:158-165.