Manafi Rasi Alireza, Amoozadeh Farzad, Khani Salim, Kamrani Rad Amin, Sazegar Ali
Orthopedics Surgery Department, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
Arch Trauma Res. 2015 Jun 20;4(2):e12039. doi: 10.5812/atr.12039v2. eCollection 2015 Jun.
Preoperative skin traction is applied for many patients with hip fracture. However, the efficacy of this modality in pain relief is controversial.
The aim of the current study was to investigate the effects of skin traction on pain in patients with intertrochanteric fractures.
A total of 40 patients contributed in this randomized clinical trial. Patients were randomly allocated into two equal groups: the skin traction (3 kg) and control groups. The severity of pain was recorded at admission and 30 minutes, one, six, 12, and 24 hours after skin traction application utilizing a Visual Analogue Scale (VAS). In addition, the number of requests for analgesics was recorded. Finally, the mean severity of pain in each measurement and the mean number of analgesic requests were compared between the two groups.
The severity of pain was significantly decreased in skin traction group only at the end of the first day after traction application (2.7 ± 0.8 vs. 3.3 ± 0.9; P = 0.042), while there was no significant difference between the two groups in other pain measurements. The number of requests for analgesics was the same between the two groups.
Although skin traction had no effect on analgesic consumption, it significantly decreased the pain at the end of the first day. The application of skin traction in patients with intertrochanteric fractures is recommended.
许多髋部骨折患者术前会进行皮肤牵引。然而，这种方式在缓解疼痛方面的疗效存在争议。
本研究旨在探讨皮肤牵引对股骨转子间骨折患者疼痛的影响。
共有40例患者参与了这项随机临床试验。患者被随机分为两组，每组人数相等：皮肤牵引组（3千克）和对照组。使用视觉模拟评分法（VAS）在入院时以及皮肤牵引应用后30分钟、1小时、6小时、12小时和24小时记录疼痛严重程度。此外，记录镇痛药物的使用次数。最后，比较两组在每次测量时的平均疼痛严重程度以及平均镇痛药物使用次数。
仅在牵引应用后第一天结束时，皮肤牵引组的疼痛严重程度显著降低（2.7±0.8对3.3±0.9；P = 0.042），而在其他疼痛测量中两组之间无显著差异。两组的镇痛药物使用次数相同。
虽然皮肤牵引对镇痛药物的使用没有影响，但在第一天结束时显著减轻了疼痛。建议对股骨转子间骨折患者应用皮肤牵引。
