Yip Daniel Kwok Hing, Chan Chi Fat, Chiu Peter K Y, Wong Jimmy W K, Kong James K F
Department of Orthopaedic Surgery, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong.
Int Orthop. 2002;26(6):361-4. doi: 10.1007/s00264-002-0387-8. Epub 2002 Jul 13.
We performed a prospective randomised trial to evaluate the efficacy of pre-operative skin traction for proximal femoral fractures in 311 patients. We found a significant difference in pain score on the evening of admission and the first morning after admission between the groups with traction compared the group without. However, there was no corresponding increase in analgesic requirement during this period. The peak pain score pattern also was different in our population. No other objective benefit can be shown from using skin traction, and its routine use should be abandoned.
我们进行了一项前瞻性随机试验，以评估术前皮肤牵引对311例股骨近端骨折患者的疗效。我们发现，与未牵引组相比，牵引组在入院当晚和入院后第一个早晨的疼痛评分存在显著差异。然而，在此期间镇痛药物的需求量并没有相应增加。我们研究人群中的疼痛评分峰值模式也有所不同。使用皮肤牵引未显示出其他客观益处，应摒弃其常规使用。
