目的探讨普通冰袋冷敷和加压冷敷疗法在儿童骨折术后镇痛的效果。方法将435例符合纳入标准的上肢骨折术后患儿随机分为两组，观察组217例患儿采用加压冷敷治疗，对照组218例患儿采用普通冰袋冷敷治疗，冷疗时间均为术后1～3 d ，每天3次，每次30 min。冷敷治疗结束后30 min及2 h ，采用疼痛评分量表各行疼痛评分一次，比较两组间有无差异。结果两组患儿冷敷治疗30 min及2 h评分有明显差异，观察组疼痛评分明显低于对照组，χ2分别为62．7和81．82，P＜0．001。结论加压冷敷疗法可有效减轻儿童骨折术后疼痛，镇痛效果优于普通冰袋冷敷。%Objective To study the effect post‐operative analgesia by common cold packs and pressurized cold therapy for child patients with fracture .Method 435 child patients meet the inclusion criteria of upper limb fracture was randomly divided into control group and observation group .217 child patients in observation group was given pressurized cold treatment .218 child patients in the control group were treated with ordinary ice cold treatment . The cold therapy time was three days after surgery ,three times a day and 30 minutes for each treatment .Wong‐Banker FACES Pain Rating Scale and Visual Analogue Scale were used to assess the pain level in all children in 30 minutes and 2 hours after cold therapy .The differnce between the two group was compared .Result The scores of 30 minutes and two hours after children cold treatment for two group were significantly different .The pain score in ob‐servation group was less than that of control group .2 for 30minute was 62 .7 ,2 for 2 hours was 81 .82 ,P<0 .001 . Conclusion Cold compression therapy had a better pain control effect than that of ice bag therapy for child patients .
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