手术后使用冰的有效性
Matthew C Henn1, Charles Marik1, Karlee Lau1
1Department of Orthopaedic Surgery, Oregon Health & Science University, Portland, OR.
The Journal of hand surgery
|August 21, 2025
概括
在手和手腕手术后涂冰可显著降低骨架下的皮肤温度. 这项研究表明,
科学领域:
- 整形外科手术
- 手术后的护理
- 温度调节
背景情况:
- 术后使用冰是常见的,但缺乏可靠的证据.
- 石膏的外热反应可能会抵消冷却效应.
研究的目的:
- 在手和手腕手术后评估冰包降低皮肤温度的有效性.
- 研究术后早期冰施加对皮肤热量暴露的影响.
主要方法:
- 这是一项前性随机临床研究.
- 包括手/手腕手腕或指骨架手术的患者.
- 在切口附近连续监测皮肤温度60分钟,无论是否使用冰.
主要成果:
- 应用冰导致平均温度下降1.19°C,而对照组显示0.987°C的升高.
- 与对照组不同, 冰组在40分钟内达到基线温度.
- 冰组的热量显著减少 (2,030卡路里),对照组的热量增加 (1,520卡路里).
结论:
- 冰可以显著降低手腕下皮肤温度.
- 在手和手腕手术后,早期的术后冰应用有效控制皮肤温度.
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