Finan M A, Roberts W S, Hoffman M S, Fiorica J V, Cavanagh D, Dudney B J
Division of Gynecologic Oncology, H. Lee Moffitt Cancer Center and Research Institute, University of South Florida, Tampa.
Am J Obstet Gynecol. 1993 Feb;168(2):542-4. doi: 10.1016/0002-9378(93)90489-6.
The purpose of the study was to determine the effect of cold therapy on the subjective assessment of pain, analgesic requirements, and wound complications in female patients undergoing major abdominal surgery.
Twenty-seven patients were entered in the study in a prospective, randomized fashion. The Hot/Ice Thermal Blanket was applied to 13 patients, and 12 patients were in the control group. All patients underwent exploratory laparotomy and received postoperative pain relief with intravenously self-administered morphine sulfate through a patient-controlled analgesic pump.
Compared with the control group (0.363 +/- 0.118 mg/kg/day), the cold pack group used more morphine sulfate on the first postoperative day (0.529 +/- 0.236 mg/kg/day, p < 0.05). The mean amount of morphine sulfate used by both groups was similar on postoperative day 2.
We conclude that the cold pack does not improve postoperative pain control in gynecologic patients undergoing exploratory laparotomy.
本研究旨在确定冷疗法对接受腹部大手术的女性患者疼痛主观评估、镇痛需求及伤口并发症的影响。
27例患者以前瞻性、随机方式纳入研究。13例患者使用热/冰毯，12例患者作为对照组。所有患者均接受剖腹探查术，并通过患者自控镇痛泵静脉自控给予硫酸吗啡以缓解术后疼痛。
与对照组（0.363±0.118毫克/千克/天）相比，冷疗组术后第一天使用了更多的硫酸吗啡（0.529±0.236毫克/千克/天，p<0.05）。两组术后第二天使用的硫酸吗啡平均量相似。
我们得出结论，冷疗不能改善接受剖腹探查术的妇科患者的术后疼痛控制。
