踝关节肌动绑带对急性踝关节扭伤患者疼痛控制的影响。

Ömer Faruk Karakoyun, Zeynep Nisa Karakoyun, Elif Aylin Yüce Yörük, Mustafa Buğra Coşkun, Yalçın Gölcük
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引用次数: 0

摘要

背景本研究旨在评估在急诊科(ED)环境中应用 Kinesio 胶带(KT)作为急性踝关节扭伤(AAS)患者辅助治疗的疗效。方法在一家三级医院急诊科进行了一项前瞻性准随机对照试验。试验纳入了被诊断为孤立、稳定的 1 级和 2 级踝关节扭伤的成人患者。患者被分为两组:KT 组和对照组,前者在常规治疗的基础上加用 KT;后者仅接受常规治疗。结果虽然两组患者在基线和第 30 分钟时的疼痛程度相似,但对照组在第 60 分钟时的疼痛程度明显降低(分别为 p=0.575、p=0.437 和 p=0.042)。KT 组的镇痛药物用量减少,患者满意度更高(分别为 p<0.001 和 p=0.003)。逻辑回归分析显示,第 60 分钟时疼痛强度的差异失去了显著性,而镇痛药用量和患者满意度仍有显著性(分别为 p=0.631、p=0.003 和 p=0.026)。还需要进一步的研究来完善其应用,并确认其在标准 AAS 治疗方案中的有效性。
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The impact of ankle kinesio taping on pain management in patients with acute ankle sprain.
BACKGROUND The objective of this study was to assess the efficacy of Kinesio Tape (KT) application as a complementary treatment for patients with acute ankle sprain (AAS) in an Emergency Department (ED) setting. METHODS A prospective, quasi-randomized controlled trial was conducted in a tertiary care ED. Adult patients diagnosed with isolated, stable Grade 1 and Grade 2 AAS were included. Patients were divided into two groups: the KT group, where KT was applied in addition to conventional treatment, and the control group, receiving only conventional treatment. Pain intensity, analgesic usage, and patient satisfaction were assessed. RESULTS While pain levels were similar between both groups at baseline and the 30th minute, the control group reported significantly lower pain levels at the 60th minute (p=0.575, p=0.437, and p=0.042, respectively). The KT group exhibited reduced analgesic drug consumption and higher patient satisfaction levels (p<0.001 and p=0.003, respectively). Logistic regression analysis revealed that the difference in pain intensity at the 60th minute lost significance, while analgesic usage and patient satisfaction remained significant (p=0.631, p=0.003, and p=0.026, respectively). CONCLUSION KT application, as a complementary treatment, may reduce the need for analgesics and enhance patient satisfaction in patients with AAS in the ED. Further research is needed to refine its application and confirm its effectiveness in standard AAS treatment protocols.
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