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冷水浸泡对大鼠后肢钝挫伤后水肿形成的影响。

Effects of cold water immersion on edema formation after blunt injury to the hind limbs of rats.

机构信息

Michael G. Dolan is Associate Professor and Athletic Trainer at Department of Sports Medicine and Exercise Sciences, Canisius College, Buffalo, NY.

出版信息

J Athl Train. 1997 Jul;32(3):233-7.

PMID:16558455
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1320243/
Abstract

OBJECTIVE

Despite the long history of using cryotherapy to control edema, we found no randomized, controlled studies providing evidence to substantiate this common clinical practice. The purpose of this study was to determine whether cold water immersion affects edema formation following blunt injuries in rats.

DESIGN AND SETTING

The feet of 16 rats were traumatized after hind limb volumes were determined. Four 30-minute treatments of cold water immersion (12.8 degrees C to 15.6 degrees C, 55 degrees F to 60 degrees F), interspersed with four 30-minute rest periods, began immediately after trauma to one randomly selected hind limb of each rat. The limb remained in a dependent position during all treatments, rest periods, and volumetric measurements.

SUBJECTS

Sixteen anesthetized Zucker Lean rats were used in the study.

MEASUREMENTS

Limb volumes were measured after each treatment and rest period for a total of 4 hours.

RESULTS

The volume of treated limbs was significantly smaller (p < .05) than the volume of untreated limbs after the first treatment and remained smaller throughout the experiment.

CONCLUSIONS

Immersing rat limbs in 12.8 degrees C to 15.6 degrees C (55 degrees F to60 degrees F) water immediately after blunt injury was effective in curbing edema formation.

摘要

目的

尽管冷冻疗法控制水肿的历史悠久,但我们没有发现任何随机对照研究为这一常见的临床实践提供证据。本研究旨在确定冷水浸泡是否会影响大鼠钝性损伤后水肿的形成。

设计和设置

16 只大鼠的后肢在确定后肢体积后受到创伤。每只大鼠的随机一条后肢在创伤后立即接受 4 次 30 分钟的冷水浸泡(12.8°C 至 15.6°C,55°F 至 60°F)治疗,其间穿插 4 次 30 分钟的休息期。在所有治疗、休息和体积测量期间,肢体保持在下垂位置。

受试者

16 只麻醉的 Zucker Lean 大鼠用于本研究。

测量

每次治疗和休息后 4 小时测量肢体体积。

结果

治疗后的肢体体积明显小于(p <.05)未经治疗的肢体体积,并且在整个实验过程中一直保持较小。

结论

在钝性损伤后立即将大鼠肢体浸入 12.8°C 至 15.6°C(55°F 至 60°F)的水中,可有效抑制水肿形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/1320243/5751ecbf642c/jathtrain00015-0044-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/1320243/5751ecbf642c/jathtrain00015-0044-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/1320243/5751ecbf642c/jathtrain00015-0044-a.jpg

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本文引用的文献

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New Perspectives in Edema Control via Electrical Stimulation.电刺激控制水肿的新视角。
J Athl Train. 1993 Spring;28(1):63-74.
2
The effects of ice on blood flow and bone metabolism in knees.冰对膝盖血流及骨代谢的影响。
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Cryotherapy influence on posttraumatic limb edema.冷冻疗法对创伤后肢体水肿的影响。
冰冷的事实:冷冻疗法在运动损伤治疗和康复中的作用。
Eur J Appl Physiol. 2021 Aug;121(8):2125-2142. doi: 10.1007/s00421-021-04683-8. Epub 2021 Apr 20.
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Effect of Ice Bag Application to Femoral Region on Pain in Patients Undergoing Percutaneous Coronary Intervention.冰袋敷于股部对经皮冠状动脉介入治疗患者疼痛的影响。
Pain Res Manag. 2017;2017:6594782. doi: 10.1155/2017/6594782. Epub 2017 May 28.
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The comparison of cold-water immersion and cold air therapy on maximal cycling performance and recovery markers following strength exercises.力量训练后冷水浸泡与冷空气疗法对最大骑行表现及恢复指标的比较。
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Therapeutic effect of intranasal evaporative cooling in patients with migraine: a pilot study.经鼻蒸发冷却对偏头痛患者的治疗效果:一项初步研究。
J Headache Pain. 2015 Jan 26;16:5. doi: 10.1186/1129-2377-16-5.
7
Infrared camera evaluation of the cooling effect of triamcinolone acetonide aerosol.曲安奈德气雾剂冷却效果的红外摄像机评估
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8
Randomized controlled trial: targeted neck cooling in the treatment of the migraine patient.随机对照试验:针对性颈部冷却治疗偏头痛患者
Hawaii J Med Public Health. 2013 Jul;72(7):237-41.
9
The magnitude of tissue cooling during cryotherapy with varied types of compression.不同类型压迫下冷冻疗法时组织冷却的幅度。
J Athl Train. 2010 May-Jun;45(3):230-7. doi: 10.4085/1062-6050-45.3.230.
10
Comparisons of cubed ice, crushed ice, and wetted ice on intramuscular and surface temperature changes.立方冰、碎冰和湿冰对肌肉内及体表温度变化的比较。
J Athl Train. 2009 Mar-Apr;44(2):136-41. doi: 10.4085/1062-6050-44.2.136.
Clin Orthop Relat Res. 1980 Jul-Aug(150):283-7.
4
Ice treatment of injured ligaments: an experimental model.受伤韧带的冰敷治疗:一种实验模型。
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5
Cryotherapy in ankle sprains.踝关节扭伤的冷冻疗法。
Am J Sports Med. 1982 Sep-Oct;10(5):316-9. doi: 10.1177/036354658201000512.
6
Comparison of blood flow in the ankle of uninjured subjects during therapeutic applications of heat, cold, and exercise.在热疗、冷疗和运动治疗应用过程中,未受伤受试者脚踝部血流情况的比较。
Med Sci Sports Exerc. 1980 Spring;12(1):76-80. doi: 10.1249/00005768-198021000-00015.
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The use of cryotherapy in sports injuries.冷冻疗法在运动损伤中的应用。
Sports Med. 1986 Nov-Dec;3(6):398-414. doi: 10.2165/00007256-198603060-00002.
8
Comparison of three treatment procedures for minimizing ankle sprain swelling.三种使踝关节扭伤肿胀最小化治疗方法的比较。
Phys Ther. 1988 Jul;68(7):1072-6. doi: 10.1093/ptj/68.7.1072.
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Clinical benefits of early cold therapy in accident and emergency following ankle sprain.踝关节扭伤后在急诊中早期冷疗的临床益处。
Arch Emerg Med. 1989 Mar;6(1):1-6. doi: 10.1136/emj.6.1.1.
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Influence of high voltage pulsed direct current on edema formation following impact injury.高压脉冲直流电对冲击伤后水肿形成的影响。
Phys Ther. 1990 Apr;70(4):219-24. doi: 10.1093/ptj/70.4.219.