zxcvb: 痛風發作,冷敷、熱敷有用嗎?這才是正確做法!

痛風發作,冷敷、熱敷有用嗎?這才是正確做法!


10 Aug 2023 at 09:46pm
痛風的好發部位是下肢關節,關節局部會出現紅腫、發熱等表現,一部分患者特別是首次發作的患者會誤以為扭傷、關節勞損等,會採用熱敷、泡腳等措施。

痛風發作的急性期,特別是48 小時之內,是禁止熱敷的。雖然溫度升高有利於尿酸鹽晶體的溶解,但是痛風急性發作時炎細胞浸潤,血管擴張,病變部位充血、水腫,熱敷會促進血管擴張,使充血、水腫更明顯,加劇疼痛。痛風

在急性期,冷敷有利於血管收縮,減輕炎性細胞的聚集,減少關節炎症的滲出,減少腫脹,減輕對感覺神經的壓迫。另外,冷敷使局部降溫,感覺神經對炎症釋放的疼痛物質反應就遲鈍,最終起到減輕疼痛的作用。雖然冷敷能暫時減輕疼痛,但是低溫使血管收縮後,會減少炎症的吸收,此外,關節局部溫度降低,會犀利士犀利士藥局犀利士價格犀利士ptt犀利士5mg犀利士學名藥犀利士副作用犀利士藥效犀利士購買Cialis犀利士官網



導致更多的尿酸形成結晶析出並沉積在關節,時間久了會加重炎症。

在常規的藥物治療之餘,還有這幾點輔助治療。

1.減少活動

急性期應該盡量減少活動,建議臥床休息,發作的那一側肢體制動,等疼痛緩解後再逐漸恢復活動。

2.抬高患肢

急性痛風性關節炎好發於足部,關節處會出現充血、水腫,將足部適當抬高,能減輕水腫,有助於緩解疼痛。

3.短期冰敷

雖然對於冰敷的作用目前還存在爭議,但是最新的ACR 指南對於已經使用抗炎治療的痛風患者,有條件推薦可以使用冰敷作為輔助治療。

前面我們也了解到冰敷能緩解急性疼痛,但是不利於炎症及尿酸鹽結晶的吸收,因此建議冰敷時間不宜過長

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