关键词: 跟骨骨折, 冷疗, 脉冲加压

Abstract: 【Abstract】 Objective To observe the effect of cold therapy with pulse-type compression on calcaneal fracture patients. Methods The data of 53 patients with unilateral calcaneal fracture from Jan 2010 to Dec 2012 was analyzed retrospectively. All cases received alternative conserving treatment before operation because of intra-articular fracture,.cold therapy with pulse-type compression (CT group, n=36) and common cold compress (CC group, n=17). The patients in CT group were treated with pulsed-wave mode cold therapy on afflicted part (1 hour per time, 3 times a day) for 2 days. Those in CC group received ice bag on afflicted part (20 min per time, 9 times a day) for 2 days. The perimeters round the calcaneus were measured respectively at the time point of admission, 24 and 48 hours after treatment and were compared between two groups. Results After cold therapy 24 h and 48 h, the averaged reduced value of calcaneal circum in CT group were lower than that in CC group (P< 0.05)..The number of cases of complete detumescence and the averaged detumescence time in CT group were also superior to that in CC group. Conclusion Cold therapy with pulse-type compress can obviously improve the local swelling,.shorten the time for detumescence before operation in calcaneal fracture patients and worth to spread in clinic.

Key words: Calcaneal fracture, Cold therapy, Pulse-type compression