持续冷敷对踝部骨折镇痛消肿效果

发布时间：2018-07-04 23:23

  本文选题：持续冷敷 + 踝部骨折　； 参考：《中国矫形外科杂志》2017年12期

【摘要】：[目的]探讨持续冷敷应用于踝部骨折的临床有效性。[方法]选择本院骨科2012年1月~2015年1月收治的踝部骨折住院患者66例,随机分为持续冷敷组与常规处理组。持续冷敷组在常规处理的基础上,局部持续冷敷3 d,3 d后给予弹力绷带固定直至皮纹症出现;常规处理组入院后抬高患肢,静脉滴注甘露醇,局部间断冷敷3 d,每次20 min每天3次。入院后第1、3、7 d,对患者进行疼痛评分(VAS)、白细胞计数、血沉、C-反应蛋白检测,记录皮纹症出现时间。入院后第1~7 d,测量患者踝部周径。[结果]入院后第7 d持续冷敷组VAS评分明显低于常规处理组[(5.60±0.54)vs(6.01±0.32),t=2.493,P0.05];持续冷敷组白细胞计数、血沉、C-反应蛋白分别为(0.62±0.10)×10~(10)/L、(16.60±4.00)mm/h、(8.17±0.81)mg/L,明显低于常规处理组的(0.65±0.16)×10~(10)/L、(21.30±8.40)mm/h、(9.00±1.23)mg/L,(t=4.310,t=4.010,t=3.110,P0.05);持续冷敷组的踝部肿胀幅度为(1.25±0.22)cm明显小于常规处理组的(1.80±0.17)cm,(t=4.050,P0.05);持续冷敷组皮纹症出现时间为(6.2±1.5)d明显早于常规处理组的(8.5±2.3)d,(t=4.230,P0.05)。[结论]持续冷敷能有效缓解踝部骨折肿胀、减轻疼痛及炎症反应,缩短皮纹症出现时间。
[Abstract]:[objective] to investigate the clinical efficacy of continuous cold compress in the treatment of ankle fracture. [methods] 66 cases of ankle fracture admitted from January 2012 to January 2015 were randomly divided into continuous cold compress group and routine treatment group. On the basis of routine treatment, continuous cold compress group was treated with elastic bandage 3 days later until dermatoglyphics appeared, and patients in routine treatment group were treated with mannitol intravenously, after admission, the limbs were raised and mannitol was injected intravenously. Local intermittent cold compress for 3 days, 3 times per day for 20 min. Pain score (VAS), leukocyte count, erythrocyte sedimentation rate (ESR) and C-reactive protein (ESR) were measured on the 7th day after admission, and the onset time of dermatoglyphics was recorded. The ankle circumference was measured 7 days after admission. [results] the VAS score of the continuous cold compress group was significantly lower than that of the routine treatment group on the 7th day after admission [(5.60 卤0.54) vs (6.01 卤0.32) P 0.05], while the white blood cell count in the continuous cold compress group was significantly lower than that in the conventional treatment group. 琛，

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