中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (39): 7386-7389.doi: 10.3969/j.issn.1673-8225.2010.39.041

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

冷加压自动循环系统控制膝关节镜术后膝关节的肿胀

李玲利，宁  宁，侯晓玲，朱  红，陈佳丽，陈忠兰   

  1. 四川大学华西医院骨科，四川省成都市  610041
  • 出版日期:2010-09-24 发布日期:2010-09-24
  • 通讯作者: 宁宁，教授，四川大学华西医院骨科，四川省成都市 610041
  • 作者简介:李玲利★，女，1982年生，四川省达州市人，汉族，四川大学在读硕士，讲师，主要从事外科方面的研究。 lilingli2000@126.com

Cryo/Cuff system controls swelling following postoperative knee arthroscopy patients

Li Ling-li, Ning Ning, Hou Xiao-ling, Zhu Hong, Chen Jia-li, Chen Zhong-lan   

  1. Department of Orthopaedics, West China Hospital of Sichuan University, Chengdu  610041, Sichuan Province, China
  • Online:2010-09-24 Published:2010-09-24
  • Contact: Ning Ning, Professor, Department of Orthopaedics, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China
  • About author:Li Ling-li★, Studying for master’s degree, Lecturer, Department of Orthopaedics, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China lilingli2000@126.com

PDF

706

被引次数

66

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6，12，24，36，48 h髌骨上极2 cm、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6 h髌骨上极2 cm及术后6，48 h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6 h髌骨中点，术后12，24，36，48 h髌骨上极2 cm及髌骨中点，术后12，24，36 h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。

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

Abstract:

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.

中图分类号: