上海护理2024，Vol.24Issue(12)：17-22,6.DOI:10.3969/j.issn.1009-8399.2024.12.004
肩关节镜术后加压冷疗与传统冷疗效果比较的Meta分析
Meta-analysis of Compression Cryotherapy and Conventional Cryotherapy After Shoulder Arthroscopy
摘要
Abstract
Objective To compare the efficacy of compression cryotherapy and conventional cryotherapy after shoulder arthroscopy through meta-analysis.Methods Randomized controlled studies comparing the efficacy of compression cryotherapy and traditional cryotherapy after shoulder arthroscopy were systematically retrieved from CNKI,Wanfang Data,Database of Chinese Sci-Tech Periodicals,PubMed,Embase,Cochrane Library,Web of Science and ClinicalTrails from their establishment to April 2023.Literature screening,quality evaluation and data extraction were independently performed by 2 investigators.The extracted data were analyzed using Stata 15.1 software.Results A total of 7 articles were included,involving 442 patients.The Meta-analysis showed that the visual analogue scale scores 24 h[SMD=-0.87,95%CI(-1.29,-0.45),P<0.001]and 48 h[SMD=-1.03,95%CI(-1.53,-0.52),P<0.001]postoperatively in the compression cryotherapy group were lower than those in the conventional cryotherapy group;the swelling values at 15 cm from the epicondyle[SMD=-0.61,95%CI(-0.92,-0.29),P<0.001],20 cm from the epicondyle[SMD=-1.31,95%CI(-2.46,-0.16),P=0.026]and axillary[SMD=-1.19,95%CI(-2.11),-0.27),P=0.011]and swelling scores[SMD=-0.86,95%CI(-1.22,-0.50),P<0.001]24 h postoperatively in the compression cryotherapy group were lower than those in the conventional cryotherapy group;the swelling values at 15 cm from the epicondyle[SMD=-0.81,95%CI(-1.44,-0.18),P=0.012],20 cm from the epicondyle[SMD=-1.14,95%CI(-1.57,-0.71),P<0.001]and axillary[SMD=-1.55,95%CI(-2.95,-0.15),P=0.030]and swelling scores[SMD=-0.85,95%CI(-1.44,-0.26),P=0.005]48 h postopera-tively in the compression cryotherapy group were also lower than those in the conventional cryotherapy group.Conclusion Compression cryotherapy is more effective in relieving pain and swelling than conventional cryotherapy after shoulder arthroscopy.关键词
肩关节镜/加压冷疗/传统冷疗/疼痛/肿胀/Meta分析Key words
Shoulder arthroscopy/Compression cryotherapy/Conventional cryotherapy/Pain/Swelling/Meta-analysis分类
医药卫生引用本文复制引用
陈婷婷,童凤玲,程超,徐伟..肩关节镜术后加压冷疗与传统冷疗效果比较的Meta分析[J].上海护理,2024,24(12):17-22,6.基金项目
中国科学技术大学2023年度校级教育教学改革研究项目基金(2023xjyxm094). （2023xjyxm094）
