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踝关节贴扎对急性踝关节扭伤患者疼痛管理的影响。

The impact of ankle kinesio taping on pain management in patients with acute ankle sprain.

机构信息

Emergency Medicine Service, Muğla Training and Research Hospital, Muğla-Türkiye.

Department of Anatomy, Muğla Sıtkı Koçman University, Faculty of Medicine, Muğla-Türkiye.

出版信息

Ulus Travma Acil Cerrahi Derg. 2024 Apr;30(4):248-253. doi: 10.14744/tjtes.2024.55494.

Abstract

BACKGROUND

The objective of this study was to assess the efficacy of Kinesio Tape (KT) application as a complementary treatment for patients with acute ankle sprain (AAS) in an Emergency Department (ED) setting.

METHODS

A prospective, quasi-randomized controlled trial was conducted in a tertiary care ED. Adult patients diagnosed with isolated, stable Grade 1 and Grade 2 AAS were included. Patients were divided into two groups: the KT group, where KT was applied in addition to conventional treatment, and the control group, receiving only conventional treatment. Pain intensity, analgesic usage, and patient satisfaction were assessed.

RESULTS

While pain levels were similar between both groups at baseline and the 30th minute, the control group reported significantly lower pain levels at the 60th minute (p=0.575, p=0.437, and p=0.042, respectively). The KT group exhibited reduced analgesic drug consumption and higher patient satisfaction levels (p<0.001 and p=0.003, respectively). Logistic regression analysis revealed that the difference in pain intensity at the 60th minute lost significance, while analgesic usage and patient satisfaction remained significant (p=0.631, p=0.003, and p=0.026, respectively).

CONCLUSION

KT application, as a complementary treatment, may reduce the need for analgesics and enhance patient satisfaction in patients with AAS in the ED. Further research is needed to refine its application and confirm its effectiveness in standard AAS treatment protocols.

摘要

背景

本研究旨在评估肌内效贴(Kinesio Tape,KT)在急诊科(ED)环境中作为急性踝关节扭伤(acute ankle sprain,AAS)患者的辅助治疗的疗效。

方法

在一家三级护理 ED 中进行了前瞻性、准随机对照试验。纳入被诊断为孤立性、稳定的 1 级和 2 级 AAS 的成年患者。患者被分为两组:KT 组,在常规治疗的基础上使用 KT;对照组,仅接受常规治疗。评估疼痛强度、镇痛药使用和患者满意度。

结果

两组在基线和 30 分钟时的疼痛水平相似,但对照组在 60 分钟时报告的疼痛水平显著降低(p=0.575,p=0.437,p=0.042)。KT 组的镇痛药消耗减少,患者满意度较高(p<0.001,p=0.003)。逻辑回归分析显示,60 分钟时疼痛强度的差异失去了意义,而镇痛药使用和患者满意度仍然显著(p=0.631,p=0.003,p=0.026)。

结论

KT 作为辅助治疗可能减少 ED 中 AAS 患者对镇痛药的需求,并提高患者满意度。需要进一步研究以完善其应用,并确认其在标准 AAS 治疗方案中的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc76/11065976/adc2dd666dbb/TJTES-30-248-g001.jpg

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