术中冰袋应用对鼻整形术后疼痛、水肿和瘀斑的影响：一项随机对照试验
Effect of Intraoperative Ice Pack Application on Postoperative Pain, Edema, and Ecchymosis in Rhinoplasty: A Randomized Controlled Trial.
文献信息
| PMID | 42803349 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Uzdan Uz |
| 作者单位 | Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine, Manisa Celal Bayar University, Manisa, Turkey. |
| 期刊 | Facial plastic surgery & aesthetic medicine |
| SCI 分区 | Q2 |
| IF | 2 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 鼻科 |
中文摘要
背景： 疼痛、眶周水肿和瘀斑在鼻整形术后常见。术中冰袋应用可能减轻这些后遗症。
目的： 比较鼻整形术后5分钟和10分钟术中冰袋应用与无术中冷却的效果。
方法： 33例接受初次减容鼻整形的患者被随机分配至5分钟冰袋应用组（A组，n = 11）、10分钟冰袋应用组（B组，n = 11）或无术中冰袋应用组（C组，n = 11）。在术后第1、3和7天评估眶周水肿（0-4）、瘀斑（0-5）和疼痛（0-10 VAS）。
结果： 两个冰袋应用组在术后第1天（A组：4.46 ± 0.72；B组：3.96 ± 0.85；C组：5.46 ± 0.93；p = 0.003）和第3天（A组：3.82 ± 0.56；B组：3.41 ± 0.86；C组：5.09 ± 0.63；p < 0.001）的疼痛评分均低于对照组。水肿在第1天或第3天各组间无差异，但在第7天A组和B组较低（A组：0.09 ± 0.25；B组：0.09 ± 0.29；C组：0.36 ± 0.47；p = 0.019）。瘀斑在任何时间点各组间均无差异。
结论： 术中冰袋应用与鼻整形术后较低的疼痛评分相关。未观察到瘀斑的显著减少，对水肿的影响有限。
英文摘要
BACKGROUND: Pain, periorbital edema, and ecchymosis are common after rhinoplasty. Intraoperative ice pack application may reduce these sequelae.
OBJECTIVE: To compare 5- and 10-min intraoperative ice pack application with no intraoperative cooling after rhinoplasty.
METHODS: Thirty-three patients undergoing primary reduction rhinoplasty were randomized to 5-min ice pack application (Group A, n = 11), 10-min ice pack application (Group B, n = 11), or no intraoperative ice pack application (Group C, n = 11). Periorbital edema (0-4), ecchymosis (0-5), and pain (0-10 VAS) were assessed on postoperative days 1, 3, and 7.
RESULTS: Pain scores were lower in both ice pack application groups than in the control group on postoperative days 1 (Group A: 4.46 ± 0.72; Group B: 3.96 ± 0.85; Group C: 5.46 ± 0.93; p = 0.003) and 3 (Group A: 3.82 ± 0.56; Group B: 3.41 ± 0.86; Group C: 5.09 ± 0.63; p < 0.001). Edema did not differ among groups on days 1 or 3 but was lower in Groups A and B on day 7 (Group A: 0.09 ± 0.25; Group B: 0.09 ± 0.29; Group C: 0.36 ± 0.47; p = 0.019). Ecchymosis did not differ among groups at any time point.
CONCLUSIONS: Intraoperative ice pack application was associated with lower pain scores after rhinoplasty. No significant reduction in ecchymosis was observed, and the effect on edema was limited.