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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >A randomized prospective study to assess the efficacy of two cold-therapy treatments following carpal tunnel release.
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A randomized prospective study to assess the efficacy of two cold-therapy treatments following carpal tunnel release.

机译：一种随机的前瞻性研究，评估腕管释放后两种冷治疗治疗的疗效。

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摘要

A prospective randomized study was performed comparing the efficacy of controlled cold therapy (CCT) with the efficacy of ice therapy in the postoperative treatment of 72 patients with carpal tunnel syndrome. Immediately after surgery, patients applied either a temperature-controlled cooling blanket (CCT) or a standard ice pack over their surgical dressings. Pain was assessed by visual analog scale and swelling by wrist circumference preoperatively, immediately after surgery, and on postoperative day 3. Patients kept log books of daily treatment times. Narcotic use (of Vicodin ES) was determined by pill count at day 3 and by daily log book recordings. Patients who used CCT showed significantly greater reduction in pain, edema (wrist circumference), and narcotic use at postoperative day 3 than did those using ice therapy. This study indicates that after carpal tunnel surgery, the use of CCT, compared with traditional ice therapy, provides patients with greater comfort and lessens the need for narcotics.
机译：进行了一项预期随机化研究，比较了控制的冷治疗（CCT）与冰治疗72例腕管综合征术后治疗疗效的疗效进行比较。手术后立即，患者施用温度控制的冷却毯（CCT）或其手术敷料的标准冰包。通过术前，术后立即通过视觉模拟规模和肿胀来评估疼痛，​​手术后立即，术后第3天。患者保持日常治疗时间的原木书籍。麻醉用途（vicodin ES）由第3天和每日日志录音丸计数确定。使用CCT的患者显着降低了疼痛，水肿（腕围）和术后第3天的麻醉使用，而不是使用冰疗法。本研究表明，在腕管手术后，与传统冰疗相比，使用CCT，为患者提供更大的舒适性，减少对麻醉品的需求。

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