Speer K P, Warren R F, Horowitz L
Sports Medicine Department, Hospital for Special Surgery, New York, USA.
J Shoulder Elbow Surg. 1996 Jan-Feb;5(1):62-8. doi: 10.1016/s1058-2746(96)80032-2.
We report the results of an outcome study that used visual analog scales to evaluate the efficacy of cryotherapy in the postoperative shoulder. This prospective study included 50 consecutive patients admitted to the hospital for at least one night after anterior shoulder stabilization, rotator cuff repair, or total shoulder replacement. The patients were randomized: 25 were fitted with a cryotherapy device in the operating room, and 25 were not. Otherwise, postoperative treatment was identical for the two groups, including types of analgesic agents given. Visual analog responses were converted to numeric values by simple measurement techniques. The scales assessed pain, comfort, sleep, analgesic use, and overall satisfaction. On the night of the operation the pain was less severe and occurred less often in the cryotherapy group. Those in the cryotherapy group slept better on the night of the operation and perceived the need to use pain medicine less often in comparison with those in the noncryotherapy group. By postoperative day 10 patients in the cryotherapy group reported their shoulders hurt less often and with less severity. Swelling was less, and shoulder movement hurt less during rehabilitation, enhancing the rehabilitative effort. Cryotherapy offers a number of benefits for care of patients in the immediate postoperative period.
我们报告了一项结局研究的结果，该研究使用视觉模拟量表评估冷冻疗法对肩部手术后的疗效。这项前瞻性研究纳入了50例因前肩稳定术、肩袖修复术或全肩关节置换术后至少住院一晚的连续患者。患者被随机分组：25例在手术室安装了冷冻疗法设备，25例未安装。除此之外，两组术后治疗相同，包括给予的镇痛药类型。通过简单的测量技术将视觉模拟反应转换为数值。该量表评估疼痛、舒适度、睡眠、镇痛药使用情况和总体满意度。手术当晚，冷冻疗法组的疼痛较轻且发作频率较低。与非冷冻疗法组相比，冷冻疗法组患者在手术当晚睡眠更好，且感觉使用止痛药的需求更低。到术后第10天，冷冻疗法组患者报告其肩部疼痛发作频率更低、程度更轻。肿胀更少，康复期间肩部活动时疼痛也更轻，从而增强了康复效果。冷冻疗法为术后即刻的患者护理带来诸多益处。
