팔꿈치 부분 탈구 환자에서 두 가지 방법에 따른 도수 정복 시 통증 비교 (Comparison of Pain Scale on Two Different Manual Reduction Technique in Patients with Elbow Subluxation)

서지정보

· 발행기관 : 대한응급의학회
· 수록지 정보 : 대한응급의학회지 / 19권 / 5호 / 569 ~ 575페이지
· 저자명 : 이정아, 최상천, 권정훈, 민영기, 안정환, 정윤석, 조준필, 조영신, 최혜경, 김기운

초록

Purpose: This research was done to assess the effectiveness
of two manual reduction techniques for elbow subluxation
and to determine which technique was less painful
during trial of manual reduction.
Methods: A prospective, controlled, randomized survey
was conducted on children who presented to the
Emergency Department (ED) of an inner-city university hospital
with clinical features and physical findings suggestive
of an elbow subluxation between Mar 1, 2007 and February
28, 2008. We evaluated the success rate of each reduction
technique and the pain scale during trial of manual reduction.
We classified each group into 2 subgroups (under 3
years of age and over 3 years of age) for evaluating the
pain score. The degree of pain was determined using the
FLACC scale (under 3 years of age) and faces pain scale
(over 3 years of age).
Results: One hundred and four children were enrolled in
our study and they were equally divided into a supination
group (SG) and a pronation group (PG). There was no statistically
significant difference with regards to the demographic
data between the two groups. The success rate for
the SG was 85.7% and for PG was 91.7% (p=0.32). For
patients under 3 years of age, the FLACC scale for the SG
was 5.14 and for PG was 3.82 (p=0.01). For patients over 3
years of age, the face pain scale for the SG was 5.5 and for
PG was 5.54 (p=0.83).
Conclusion: Both reduction techniques are useful for
reducing elbow subluxations. In case of children under 3
years old, we believe that the pronation technique is a better
option due to lesser pain produced compared to the
supination technique.

영어초록

Purpose: This research was done to assess the effectiveness
of two manual reduction techniques for elbow subluxation
and to determine which technique was less painful
during trial of manual reduction.
Methods: A prospective, controlled, randomized survey
was conducted on children who presented to the
Emergency Department (ED) of an inner-city university hospital
with clinical features and physical findings suggestive
of an elbow subluxation between Mar 1, 2007 and February
28, 2008. We evaluated the success rate of each reduction
technique and the pain scale during trial of manual reduction.
We classified each group into 2 subgroups (under 3
years of age and over 3 years of age) for evaluating the
pain score. The degree of pain was determined using the
FLACC scale (under 3 years of age) and faces pain scale
(over 3 years of age).
Results: One hundred and four children were enrolled in
our study and they were equally divided into a supination
group (SG) and a pronation group (PG). There was no statistically
significant difference with regards to the demographic
data between the two groups. The success rate for
the SG was 85.7% and for PG was 91.7% (p=0.32). For
patients under 3 years of age, the FLACC scale for the SG
was 5.14 and for PG was 3.82 (p=0.01). For patients over 3
years of age, the face pain scale for the SG was 5.5 and for
PG was 5.54 (p=0.83).
Conclusion: Both reduction techniques are useful for
reducing elbow subluxations. In case of children under 3
years old, we believe that the pronation technique is a better
option due to lesser pain produced compared to the
supination technique.

참고자료

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