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一项比较术后全膝关节置换手术中加压包扎与冷疗的随机对照试验。

A randomized, controlled trial comparing compression bandaging and cold therapy in postoperative total knee replacement surgery.

作者信息

Smith John, Stevens John, Taylor Maree, Tibbey Jill

机构信息

St Vincent's Hospital, Lismore, Australia.

出版信息

Orthop Nurs. 2002 Mar-Apr;21(2):61-6. doi: 10.1097/00006416-200203000-00009.

Abstract

PURPOSE

To examine the difference between compression bandaging and cold therapy after total knee arthroplasty.

SAMPLE

Eighty-four postoperative, unilateral, total knee replacement, surgical clients.

PROCEDURE

Clients were randomized into two groups: those receiving compression bandaging, and those receiving cryo-pad technology. Subjects were assessed for total length of stay, blood loss, blood transfusion, swelling, flexion, pain, and opiate use.

FINDINGS

Unlike other studies, the results of these data showed no significant differences between groups on the measured outcomes. A simple cost benefit analysis shows that the compression bandage is cheaper and more labor efficient than the cold therapy as delivered by cryo-pad technology.

摘要

目的

探讨全膝关节置换术后加压包扎与冷疗之间的差异。

样本

84例接受单侧全膝关节置换手术的术后患者。

程序

将患者随机分为两组:一组接受加压包扎,另一组接受冷冻垫技术治疗。评估受试者的住院总时长、失血量、输血情况、肿胀程度、关节活动度、疼痛及阿片类药物使用情况。

研究结果

与其他研究不同,这些数据的结果显示,两组在测量结果上没有显著差异。一项简单的成本效益分析表明,加压绷带比冷冻垫技术提供的冷疗更便宜且人力效率更高。

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