【摘要】：目的探討膝關(guān)節(jié)置換(TKA)術(shù)后正常情況下切口局部早期的皮溫變化規(guī)律及冰敷治療的初步臨床療效。方法選擇接受單側(cè)初次膝關(guān)節(jié)表面置換術(shù)的患者共281例。隨機(jī)分為對(duì)照組140例,觀察組141例,對(duì)照組予以常規(guī)護(hù)理和皮溫測(cè)定,觀察組在此基礎(chǔ)上術(shù)后予以持續(xù)冰敷治療12周。對(duì)所有患者進(jìn)行術(shù)后前5 d,第14天,第6周和第12周雙膝關(guān)節(jié)皮溫的監(jiān)測(cè),觀察兩組患者皮溫、疼痛評(píng)分及膝關(guān)節(jié)功能恢復(fù)情況。結(jié)果獲得隨訪281例,其中女性172例,男性109例,平均年齡(74.2±6.39)歲,隨訪時(shí)間第1天~第12周。對(duì)照組平均皮溫差:術(shù)后第3天為(3.2±0.4)℃,第5天為(3.0±0.3)℃,第14天為(2.7±0.5)℃,第6周為(2.6±0.2)℃,第12周為(2.5±0.2)℃。觀察組平均皮溫差:術(shù)后第3天為(1.2±0.4)℃,第5天為(1.1±0.3)℃,第14天為(1.2±0.5)℃,第6周為(1.0±0.2)℃,第12周為(0.9±0.2)℃。觀察組術(shù)后各個(gè)監(jiān)測(cè)時(shí)間點(diǎn)皮溫顯著低于對(duì)照組(P0.05)。兩組患者術(shù)后第6周、第12周的VAS評(píng)分均較術(shù)前明顯降低(P0.05),且觀察組患者同期VAS評(píng)分低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 TKA術(shù)后切口周圍皮溫是臨床評(píng)估膝關(guān)節(jié)恢復(fù)情況的參考指標(biāo)。膝關(guān)節(jié)置換術(shù)患者予以早期冰敷治療,可有效減輕疼痛,減低切開(kāi)局部皮溫,促進(jìn)膝關(guān)節(jié)功能盡快恢復(fù)。
[Abstract]:Objective to investigate the changes of skin temperature in the early stage of incision after knee arthroplasty (TKA) and the preliminary clinical effect of ice compress. Methods 281 patients undergoing unilateral primary knee arthroplasty were selected. 140 cases in the control group and 141 cases in the observation group were randomly divided into control group (n = 141) and control group (n = 141). On this basis, the observation group was treated with continuous ice compress for 12 weeks. The skin temperature of double knee joint was monitored 5 days before operation, 14 days, 6 weeks and 12 weeks after operation. The skin temperature, pain score and knee joint function recovery were observed in the two groups. Results 281 cases were followed up, including 172 females and 109 males, with an average age of (74.2 鹵6.39) years. The follow-up time was from the first day to the 12th week. The average skin temperature difference in the control group was (3.2 鹵0.4) 鈩，

本文編號(hào)：2515289