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冷冻疗法在全膝关节置换术后消肿中的有效性及方法：一项基于随机对照试验的系统综述。

Effectiveness and methods of cryotherapy in reducing swelling after total knee arthroplasty: A systematic review on randomized controlled trials.

机构信息

Department of Nursing, Sunchon National University, Jeonnam, Korea.

Hanyang University, Seongdong-gu, Korea.

出版信息

Nurs Open. 2023 Sep;10(9):5989-5998. doi: 10.1002/nop2.1906. Epub 2023 Jun 19.

DOI:10.1002/nop2.1906
PMID:37334865
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10415999/
Abstract

AIM

This study aims to investigate the effect and methods of cryotherapy in reducing swelling after total knee arthroplasty.

DESIGN

Systematic review.

METHODS

We searched PubMed, Embase, CINAHL, Cochrane Library, KoreaMed, KERIS and National Science Digital Library for randomized controlled trials on 19 August 2021. This systematic review was conducted according to the PRISMA 2009 checklist.

RESULTS

A total of eight randomized controlled trials were systematically reviewed to determine the effect and methods of cryotherapy on reducing postoperative swelling. The effects were not significantly different in six studies. Application time per cryotherapy session was 10-20 min when using an ice pack and up to 48 h when using an automated device. The duration ranged from 2 days to 1 week or until discharge, and the frequency varied from 2 to 72 times per day.

摘要

目的

本研究旨在探讨冷冻疗法在全膝关节置换术后减轻肿胀的效果和方法。

设计

系统评价。

方法

我们于 2021 年 8 月 19 日检索了 PubMed、Embase、CINAHL、Cochrane 图书馆、韩国医学数据库、KERIS 和国家科学数字图书馆中的随机对照试验。本系统评价按照 PRISMA 2009 清单进行。

结果

共系统评价了八项随机对照试验，以确定冷冻疗法在减轻术后肿胀方面的效果和方法。其中六项研究的效果无显著差异。使用冰袋时，每次冷冻治疗的应用时间为 10-20 分钟，使用自动化设备时可达 48 小时。持续时间从 2 天到 1 周或直到出院不等，频率从每天 2 次到 72 次不等。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6291/10415999/2f502c4afccf/NOP2-10-5989-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6291/10415999/eb2afb78c6e9/NOP2-10-5989-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6291/10415999/b11228df99fb/NOP2-10-5989-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6291/10415999/2f502c4afccf/NOP2-10-5989-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6291/10415999/eb2afb78c6e9/NOP2-10-5989-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6291/10415999/b11228df99fb/NOP2-10-5989-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6291/10415999/2f502c4afccf/NOP2-10-5989-g001.jpg

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Continuous Cold Flow Device Following Total Knee Arthroplasty: Myths and Reality.全膝关节置换术后持续冷敷装置：误区与现实。
Medicina (Kaunas). 2022 Oct 27;58(11):1537. doi: 10.3390/medicina58111537.
2
The role of computer-assisted cryotherapy in the postoperative treatment after total knee arthroplasty: positive effects on pain and opioid consumption.计算机辅助冷冻疗法在全膝关节置换术后治疗中的作用：对疼痛和阿片类药物消耗的积极影响。
Knee Surg Sports Traumatol Arthrosc. 2022 Aug;30(8):2698-2706. doi: 10.1007/s00167-021-06568-x. Epub 2021 Apr 26.
3
Orthopaedic Application of Cryotherapy: A Comprehensive Review of the History, Basic Science, Methods, and Clinical Effectiveness.
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Eur J Orthop Surg Traumatol. 2025 Jan 25;35(1):58. doi: 10.1007/s00590-025-04174-y.
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Comparison of three cryotherapy techniques for early post-TKA pain control in terms of efficacy and patient satisfaction: a randomized controlled trial.三种冷冻疗法对全膝关节置换术后早期疼痛控制的疗效及患者满意度比较：一项随机对照试验
Arthroplasty. 2025 Jan 8;7(1):5. doi: 10.1186/s42836-024-00287-7.
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BMC Cardiovasc Disord. 2025 Jan 7;25(1):8. doi: 10.1186/s12872-024-04432-7.
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Orthop Surg. 2024 Dec;16(12):2897-2915. doi: 10.1111/os.14266. Epub 2024 Oct 14.
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BMC Musculoskelet Disord. 2024 Feb 28;25(1):182. doi: 10.1186/s12891-024-07310-7.
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