クライオセラピーは鏡視下腱板修復術後の止血や抗炎症に有用か?

概要

論文の詳細を見る
This prospective randomized investigation evaluated the efficacy of cryotherapy on objective responses of blood test (Hb, CRP, CK, LDH) after arthroscopic rotator cuff repair. 35 patients were ramdomly assigned to 3 groups. 1) continuous cryotherapy cooled at 5°C group, 2) continuous cryotherapy cooled at 10°C group, 3) control group. The average ages of each group were 1) 57.0 years old, 2) 56.7 years old, and 3) 57.7years old respectively. Continuous cryotherapy was performed 48 hours after operation with the Icing System CF-3000 (Sigmax, Tokyo) and blood was taken at operation day and postoperative days 1, 7, 14 and 21. Our results demonstrated that there were no significant differences between each groups about Hb, CRP, LDH, CK levels in statistical analysis adapted by Mann-Whitney U test. There were no complications, such as frostbite, nerve injury or infection. There were no differences between Cryotherapy groups cooled at 5°C and 10°C and control group, but there was a tendency to decrease CK and CRP levels in the early phase of post operation. There are several reports that cryothrapy had an effect on the decrease of hemorrhages after knee and shoulder surgeries. We could not demonstrate that cryotherapy decreases the hemorrhage after ARCR. However, we suppose that it suggests the effects of cryotherapy on inflammation.
日本肩関節学会の論文
2009-07-27