两种冰敷在膝关节镜检术后减轻疼痛的效果比较
【摘要】 目的 观察两种冰敷方法在膝关节镜检术后减轻疼痛的疗效。方法 将120例关节镜检术后患者随机分为观察组60例，对照组60例，患者术后按医嘱冰敷8小时，观察组采用本科室改良的冰袋冰敷，对照组采用传统橡胶冰袋冰敷，比较两组病人术后48小时内疼痛的情况。结果 观察组术后48小时疼痛较对照组轻，观察组疗效优于对照组。结论 应用改良冰袋冰敷效果更能有效减轻膝关节镜检术后疼痛，而且病人感觉舒适。
【关键词】 膝关节镜检术 出血 疼痛 改良冰敷
【Abstract】 Objective To evaluate the therapeutic efficacy of ice covering in reducing pain by modified ice pack after knee arthroscopy. Methods 120cases after knee arthroscopy were randomly divided into observe group and compare group.60cases using modified ice pack to cover the knee for 6 hours after arthroscopy and a half hour before going to bed was the observe group. And 60cases using traditional rubber ice-water bags was the control group.Conditions about the pain within 48 hours of the operation were observed. Result The observe group was more effectiver than the control group in reducing pain within 48 hours of the operation. There were significance differences between two groups. Conclusion Ice covering by modified ice pack have advantage over using traditional. Rubber ice-water bag in reducing pain within 48 hours of the operation,and the patients feel more snug.
【Key words】 Microscopic examination of knee surgery Bleeding Pain Improved ice
随着微创技术的发展，膝关节镜手术已成为目前治疗各种膝关节疾病的先进方法，此法具有创伤小，术后反应轻，功能恢复快及并发症少等优点。2006年1月—2009年10月我科对半月板切除或成形术，游离体摘除术，滑膜炎和关节炎清理术，诊断性关节镜检查等病人行关节镜术，术后采用改良式冰袋局部冰敷的病人进行比较观察分析。病例排除标准：（1）贫血。（2）心血管、肝、肾和神经系统等严重器官性疾病。（3）智障、精神病等。现报告如下。
1 资料与方法
1.1一般资料 膝关节镜检术患者120例，观察组60例，女36例，男24例，年龄18-86岁，平均年龄52岁。对照组60例，女32例，男28例，年龄18-88岁，平均年龄53岁。患者性别、年龄分别经统计学处理，差别均无统计学意义（P>0.05）,具有可比性，两组患者出凝血时间、血小板计数均在正常范围。
