寒冷的世界:手术后使用无冰冷压缩系统的疼痛结果和患者体验
Francine Zeng1, Seema M Patel2, Brian Ford1
1University of Connecticut Health Center, Farmington, USA.
概括
与冰包相比,冷疗法设备 (CTD) 在手术患者中显著改善了疼痛缓解和坚持治疗. 虽然阿片类药物的使用情况类似,但CTD显示出对治疗术后疼痛的承诺.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 结冷疗法 (Cryotherapy) 是一种治疗方法.
背景情况:
- 感冒治疗设备 (CTD) 提供止痛,并减少骨科手术后的胀.
- 关于CTD与术后疼痛和阿片类药物使用的冰包的比较数据有限.
- 这项研究评估了患者满意度和阿片类药物使用CTDs后 carpometacarpal (CMC) 关节塑造和远端半径开放缩减内部固定 (ORIF).
研究的目的:
- 为了比较CTD与传统冰包在治疗术后疼痛方面的有效性.
- 评估患者对冷治疗方案的遵守程度.
- 为了评估在接受特定手部手术的患者中阿片类药物的消耗.
主要方法:
- 对124名手术患者 (包括92人) 的前性分析,这些患者接受了CMC关节整形或远端半径ORIF.
- 在CTD和冰包组之间比较患者报告的疼痛缓解,冷治疗坚持和阿片类药物使用的结果.
- 在2023年6月至2025年2月期间收集的数据.
主要成果:
- 在CMC关节塑形手术患者中,CTD使用者报告疼痛缓解显著增加 (9.56/10 vs 3.42/10) 和坚持 (>3次/天).
- 在远半径ORIF患者中,在术后3天和7天观察到更高的CTD使用率 (96%对11%和88%对11%).
- 在CTD和冰包组之间,在任何一种程序中都没有发现氧化消耗的显著差异.
结论:
- 在CMC关节整形和远距离半径ORIF后,CTD的使用可以增强疼痛缓解和冷治疗的坚持.
- 在手和手腕手术中,CTD可以作为术后疼痛管理的宝贵辅助.
- 进一步的研究可以探索最佳的CTD协议,以潜在地影响阿片类药物使用.
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