2.冰袋/冷袋/冰豆治疗法cold pack/ice pack/bag of peas。
目的是:
可以方便地运用冰疗在身体的任何部位,缓解疼痛与肿胀。一杯水和半杯搽浴酒精也行。调节冰敷袋带子的松紧度使患者感觉到舒适。随意调节的带子可以在任何部位运用冰敷疗法。随意曲折的冰敷袋提供舒适的安抚的缓解疼痛疗法。帮助减少疼痛和促进愈合。
3. cryocuff--controlled cold compression units
4. vapocoolant sprays蒸汽冷冻喷雾剂
5. frozen towels冰毛巾
6. ice water冰水
7. cold whirlpool冰水涡流
8. contrast bath冷热交替浴
冰敷时间如何决定呢?
根据冷却变化的分级(magnitude of cooling change)
冰按摩(Ice massage)> 冰袋(ice bags)> 冷水浴(cold water bath)> 冰冻凝胶袋(frozen gel packs )
因此:
1. 冰杯/冰按摩5~10分钟(ice cup/massage 5~10min)
2. 冷水袋/冰敷袋/冰豆 使用10~20分钟缓解疼痛、炎症、水肿,如果缓解痉挛的状态则需要超过30分钟。cold pack/ice pack/bag of peas 10~20 min for pain, inflammation, edema; up to 30min for spasticity
3. cryocuff--controlled cold compression units 15min~ can be repeated every 2 hours
4. 蒸汽冷冻喷雾剂vapocoolant sprays
5.冰毛巾小于30分钟冰敷治疗( frozen towels <30min)
6.冰水<30分钟( ice water<30min)
7. 冷水涡流治疗0~26度,10~30分钟。(cold whirlpool 0~26 degrees 10~30min)
8.冷热交替浴。热水3~4分钟,然后,转入冷水1分钟 ,在25~30分钟之内进行5~6次交替,最后在热水中结束治疗。contrast bath warm water 3~4min<-> cold water 1min x5~6 times during 25~30min, end with warm water.
禁忌Contraindications
1.冷导致的过敏症 cold hypersensitivity(cold-induced urticaria)
2. 寒冷耐受不良cold intolerance
3. 冷球蛋白血症cryoglobulinemia
4. 阵发性冷性血红蛋白尿症paroxysmal cold hemoglobinuria
5. 雷诺(氏)病(raynaud's disease or phenomenon)
6. 外周神经再生over regenerating peripheral nerves
7.血液循环缺佳或外周血管疾病( over an area with circulatory compromise or peripheral vascular disease )
警惕
1. 主要的表浅神经束over a superficial main branch of a nerve。
2. 在开放的伤口处over an open wound。
3. 高血压hypertension
4. 感觉障碍与情绪低落poor sensation or poor mentation
5. 太小的或太老的人群不宜。very young and very old patients