摘要
[目的]观察局部加压冷疗对全膝关节置换术后(TKA)病人出血量、疼痛、肿胀及睡眠质量的影响。[方法]将48例病人随机分为两组。观察组25例,在术后常规护理的基础上采用局部加压冷疗,对照组23例予术后常规护理,评价其术后24h内出血量,72h内疼痛、肿胀和睡眠质量。[结果]两组术后2h、12h、24h切口引流量比较,差异均有统计学意义(P<0.05);术后第2天和第3天睡眠质量比较,差异均有统计学意义(P<0.05);两组术后12h、24h、48h和72h疼痛、肿胀情况比较,差异均有统计学意义(P<0.05)。[结论]局部加压冷疗能有效减少全膝关节置换术后的出血量,改善疼痛、肿胀和睡眠质量,更有利于病人术后的康复锻炼。
Obj ective：To observe the influence of local pressure cold therapy on postoperative amount of bleeding,pain,swelling and sleeping quality of patients undergoing total knee replacement.Methods：A total of 48 cases of patients were randomly divided into observation group（25 cases）and control group（23 cases）,patients in observation group received local pressure cold therapy on the basis of postoperative conventional nursing.23 cases in control group were given postoperative routine nursing,then to evaluate postopera-tive amount of bleeding within 24 h,pain within 72 h,swelling and sleeping quality.Results：There was statistically significant difference in incision drainage quantity in 2 h,12 h and 24 h after operation between both groups （P〈0.05）;there was statistically significant difference in sleeping quality on second day and 3rd day after operation（P〈0.05）;there was statistically sig-nificant difference in pain and swelling situation between both groups at postoperative 12 h,24 h,48 h and 72 h（P〈0.05）.Conclusion：The local pressure cold therapy can effectively reduce the amount of blood in patients after total knee reslacement.It can also improve sleep quality,reduce pain and swelling.Most significantly,it is helpful for the postoperative rehabilita-tion exercise for the patients.
出处
《护理研究（中旬版）》
2014年第4期1311-1313,共3页
Chinese Nursing Researsh
关键词
冷疗
全膝关节置换术
疼痛
肿胀
出血
睡眠障碍
cold therapy
total knee replacement
pain
swelling
bleeding
sleep disorders
