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題 名 | 水療、蠟療及微粒熱療後上肢腫脹和表皮溫度變化之比較=Comparison of Volume and Skin Temperature Change in Hydrotherapy, Paraffin, and Fluidotherpy |
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作 者 | 簡盟月; 王淑芬; 詹美華; 廖文炫; | 書刊名 | 中華民國物理治療學會雜誌 |
卷 期 | 22:4 1997.10[民86.10] |
頁 次 | 頁243-250 |
分類號 | 418.95 |
關鍵詞 | 水療; 蠟療; 微粒熱療; 腫脹; Hydrotherapy; Paraffin; Fluidotherapy; Volume; |
語 文 | 中文(Chinese) |
中文摘要 | 臨床上經常利用熱療的熱效應來治療病患,但熱效應也會造成治療後次發性水腫 的現象而影響治療效果。微粒熱療是一種利用固體微粒傳熱的治療方式,治療部位可由主機 側面的開口進入,以減少治療後姿勢性水腫的產生。然而回顧國內外文獻,卻少有研究報告 微粒熱療後肢體容積值變化的情形,因此本實驗的目的為了解水療、蠟療和微粒熱療三種方 式,其治療之後上肢腫脹和表皮溫度的變化,並分析肢體腫脹和溫度改變之間的關係。受試 者有 54 位,隨機分為三組,其中水療組 16 位,治療溫度為 38~39 ℃; 蠟療組有 18 位 ,治療溫度為 52~53 ℃;微粒熱療組有 20 位,治療溫度為 42~44 ℃,各組治療時間均 為 20 分鐘。 分別測量治療前和治療後的表皮溫度,並用量筒測量治療前和治療後 1 分鐘 、5 分鐘及 10 分鐘的上肢容積值。結果發現治療後各組的表皮溫度都有上升 (p<0.05), 其中微粒熱療組溫度增加最多。 容積值的變化則顯示治療後 1 分鐘,水療和微粒熱療使上 肢容積值增加,蠟療組會下降,這些變化均達到統計意義的程度 (p<0.05)。 水療後 10 分 鐘,其上肢容積值仍較治療前腫脹,且達統計意義; 微粒熱療組則在治療後 5 分鐘時,其 容積值就較治療前小。 相關分析的結果顯示表皮溫度的改變與肢體腫脹的程度並無相關 (P>0.05)。因此本實驗建議臨床使用熱療時,應考慮治療產生的熱效應及次發性水腫,並配 合病人狀況選擇適當的治療方式。(中華物療誌 1997;22(4):243-250) |
英文摘要 | Superficial heat is applied widely in various clinical conditions. Despite the advantage of superficial heat, there is potential for increasing edema secondary to heat and, therefore, offset treatment effect. Hydrotherapy, paraffin wax and fluidotherapy are currently used thermal agents. Fluidotherapy is a dry heat agent that transfers heat by suspended air-fluidized solid by forced warm air stream, and its entrance sleeve was designed at the lateral side of the container for decreasing secondary edema. The purpose of the study was to compare volume and skin temperature change after three superficial agents application. Fifty-four healthy medical college students were divided into three groups randomly. The temperature of wrist was measured before and after treatment, and the volume change of upper extremity was measured before treatment and 1min, 5min, 10 min after heat agents application. The results showed the skin temperature was significantly greater than the pre-treatment temperature (p<0.05) . One-way ANOVA revealed temperature rising after Fluidotherapy was the greatest. Repeated measured ANOVA was used to compare the volume of the upper extremity at pre-test and 1 min, 5 min, 10 min after treatments. Volume was increased after hydrotherapy and fluidotherapy but decreased after paraffin immediately after treatments. Volume increase was still significant 10 min after hydrotherapy. There was no correlation between temperature rise and volume change (p>0.05). The results suggested that the clinical use of superficial heat should consider the factors of heat production and edema secondary to heat. (JPTA ROC 1997;22(4):243-250) |
本系統中英文摘要資訊取自各篇刊載內容。