Griffin J W, Newsome L S, Stralka S W, Wright P E
Department of Rehabilitation Sciences, University of Tennessee, Memphis 38163.
Phys Ther. 1990 May;70(5):279-86. doi: 10.1093/ptj/70.5.279.
The purpose of this study was to compare the efficacy of intermittent pneumatic compression (IPC) and high voltage pulsed current (HVPC) in reducing chronic posttraumatic hand edema. Thirty patients with posttraumatic hand edema were randomly assigned to IPC, HVPC, or placebo-HVPC groups (10 patients in each group). Patients received a single application of the respective treatment for 30 minutes. Measurements were made before and after a 10-minute rest period and after the 30-minute treatment. A volumetric method was used to quantify edema reduction. Reduction in hand edema was significant between the IPC and placebo-HVPC groups (p = .01). Differences in edema reduction between the HVPC and placebo-HVPC groups did not reach statistical significance (p = .04), but were considered clinically significant. There was no significant difference between the IPC and HVPC groups. A single 30-minute administration of IPC produced a significant reduction in hand edema. Additional clinical studies are needed to delineate maximally effective treatment protocols for reduction of chronic posttraumatic hand edema. [Griffin JW, Newsome LS, Stralka SW, et al: Reduction of chronic posttraumatic hand edema: A comparison of high voltage pulsed current, intermittent pneumatic compression, and placebo treatments.
本研究的目的是比较间歇性气动压迫（IPC）和高压脉冲电流（HVPC）在减轻创伤后手部慢性水肿方面的疗效。30例创伤后手部水肿患者被随机分为IPC组、HVPC组或安慰剂-HVPC组（每组10例患者）。患者接受单次相应治疗30分钟。在休息10分钟前后以及30分钟治疗后进行测量。采用体积测量法量化水肿减轻情况。IPC组和安慰剂-HVPC组之间手部水肿减轻情况有显著差异（p = 0.01）。HVPC组和安慰剂-HVPC组之间水肿减轻的差异未达到统计学显著性（p = 0.04），但被认为具有临床显著性。IPC组和HVPC组之间无显著差异。单次30分钟的IPC治疗使手部水肿显著减轻。需要进一步的临床研究来确定减轻创伤后手部慢性水肿的最有效治疗方案。[格里芬JW、纽瑟姆LS、斯特拉尔卡SW等：减轻创伤后手部慢性水肿：高压脉冲电流、间歇性气动压迫和安慰剂治疗的比较。
