Savić K, Jokić R, Gajdobranski D, Savić D, Veselinov S
Institut za zdravstvenu zastitu majke i deteta, Novi Sad.
Med Pregl. 1992;45(7-8):282-4.
TENS (transcutaneous electric nerve stimulation) was applied in 36 children with knee or ankle hemarthros. Pain was diminished after first or second treatment and completely disappeared at the end of the first or second day. Swelling usually disappeared in the interval between the third and seventh day. At the end of the treatment joint movement was significantly improved. In the control group who received only conventional conservative treatment (puncture, immobilization or inactivity, drugs) swelling and pain were still present after the seventh day and these patients needed additional physiotherapy for next seven days. We consider the TENS a method of choice in the treatment of posttraumatic hemarthros providing that treatment starts immediately after the injury and that it is continually applied during 3-5 days. The patients are advised to use crutches. It is a simple, painless method which is not combined with any additional treatment. Proteolytic ointments can increase and stimulate the therapeutic effects.
对36例膝关节或踝关节积血患儿应用经皮电刺激神经疗法（TENS）。首次或第二次治疗后疼痛减轻，在第一天或第二天结束时完全消失。肿胀通常在第三天至第七天期间消失。治疗结束时关节活动明显改善。在仅接受传统保守治疗（穿刺、固定或制动、药物治疗）的对照组中，第七天后仍有肿胀和疼痛，这些患者在接下来的七天需要额外的物理治疗。我们认为，只要在受伤后立即开始治疗并持续应用3至5天，TENS是治疗创伤后关节积血的首选方法。建议患者使用拐杖。这是一种简单、无痛的方法，无需结合任何其他治疗。蛋白水解软膏可增强并刺激治疗效果。
