Effect of coolant spray on rib fracture pain of geriatric blunt thoracic trauma patients: a randomized controlled trial.

IF 1.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Revista da Associacao Medica Brasileira Pub Date : 2023-01-01 DOI:10.1590/1806-9282.20220048

İlker Akbaş, Sinem Dogruyol, Abdullah Osman Kocak, Talha Dogruyol, Meryem Betos Koçak, Sultan Tuna Akgol Gur, Zeynep Cakir

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引用次数: 4

Abstract

Objective: This study aimed to evaluate the effectiveness of cryotherapy in elderly patients with rib fractures due to blunt thoracic trauma.

Methods: In this prospective randomized controlled study, geriatric patients were assigned to groups to receive either coolant spray (n=51) or placebo spray (n=50). The visual analog scale scores of all patients were recorded before starting spray application (V0), as well as at 10th (V1), 20th (V2), 30th (V3), 60th (V4), 120th (V5), and 360th (V6) minute. The mean decreases in the visual analog scale scores were calculated.

Results: The differences between V0 and V1, V0 and V2, V0 and V3, and V0 and V4 mean visual analog scale scores measured in the coolant spray group were found to be significantly higher (p<0.001). In V1, V2, V3, and V4 measurements, the incidence of "clinical effectiveness" in the coolant spray group was significantly higher than in the placebo group (p=0.001).

Conclusions: Coolant spray therapy can be used as a component of multimodal therapy to provide adequate analgesia due to rib fractures in geriatric patients.

Abstract Image

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冷却剂喷雾对老年钝性胸外伤患者肋骨骨折疼痛的影响:一项随机对照试验。

目的:探讨冷冻治疗老年钝性胸外伤所致肋骨骨折的疗效。方法:在这项前瞻性随机对照研究中，老年患者被分配到接受冷却剂喷雾(n=51)或安慰剂喷雾(n=50)的组。记录所有患者在开始喷雾前(V0)、第10分钟(V1)、第20分钟(V2)、第30分钟(V3)、第60分钟(V4)、第120分钟(V5)、第360分钟(V6)时的视觉模拟量表评分。计算视觉模拟量表得分的平均下降。结果:冷却剂喷雾组的V0与V1、V0与V2、V0与V3、V0与V4的平均视觉模拟量表评分差异显著较高(p)。结论:冷却剂喷雾治疗可作为多模式治疗的一个组成部分，为老年肋骨骨折患者提供充分的镇痛。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista da Associacao Medica Brasileira 医学-医学：内科

CiteScore

2.20

自引率

0.00%

发文量

276

审稿时长

12 weeks

期刊介绍： A Revista da Associação Médica Brasileira (RAMB), editada pela Associação Médica Brasileira, desde 1954, tem por objetivo publicar artigos que contribuam para o conhecimento médico.