不同冰敷方式对急性闭合性软组织损伤处理效果的影响

Effect of different ice deposition methods on treatment of acute closed soft tissue injury

摘要:

目的  探讨急性闭合性软组织损伤急性期冰敷处理的最佳时间和最佳方式。方法  选用健康家兔48只，随机分为持续冰敷组和间断冰敷组，对照组采用自身对照的方法，观察各组兔子损伤后4 h、8 h、12 h、24 h、48 h及72 h 6个时间点的损伤肢体肿胀值，以及24 h、48 h及72 h组损伤部位的皮肤颜色、出血点、皮下瘀斑变化以及组织病理变化情况。结果  损伤肢体肿胀值：持续冰敷组、间断冰敷组与对照组比较各组间差异有统计学意义（P =0.000）；皮肤颜色打分仅48 h时各组间以及持续冰敷组在不同时间点间的差异有统计学意义；出血点打分各组比较差异无统计学意义；皮下瘀斑打分仅持续冰敷组、对照组在不同时间点有差异；组织病理变化：冰敷（包括持续冰敷和间断冰敷，下同）组与对照组比较在48 h和72 h时有差异，其他时间点的两两比较没有明显差异。结论  对急性闭合性软组织损伤早期48 h以内给予冰敷处理较为理想，持续冰敷比间断冰敷效果更好。

Abstract:

Objective To explore the best time and way of ice compress to deal with the acute phase of closed soft tissue injury. Methods Forty eight healthy rabbits were randomly assigned to continuous ice compress group, discontinuous ice compress group and control group. With the self controlled method, injured limb swelling values, skin color of injured sites, bleeding, subcutaneous ecchymosis changes and pathological changes were observed of each group at 4 h, 8 h, 12 h, 24 h, and 48 h after damaged. Results Injured limb swelling values showed that differences among the continuous ice compress group, the discontinuous ice compress group and the control group were statistically significant (P = 0.000). Differences of skin color of injured sites between groups at 48 h as well as between different time points of the continuous ice compress group were statistically significant. There was no obvious difference of bleeding among the groups.: There were differences of subcutaneous ecchymosis changes between continuous ice compress group and control group at different time points. Compared with control group, the ice compress group had significant difference of pathological changes in 48 h and 72 h, but had no significant difference in the other time points. Conclusions Given ice treatment for early acute closed soft tissue injury within 48h is ideal. Continuous ice treatment effect is better than intermittent ice.