[1]俞聪,金环,苏标瑞,等.功能性训练联合玄黄膏治疗踝关节扭伤的疗效分析[J].中国中医骨伤科杂志,2025,33(05):42-46.[doi:10.20085/j.cnki.issn1005-0205.250509]
　YU Cong,JIN Huan,SU Biaorui,et al.Effect Analysis of Functional Training Combined with Xuanhuang Ointment on Ankle Sprain[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(05):42-46.[doi:10.20085/j.cnki.issn1005-0205.250509]
点击复制

功能性训练联合玄黄膏治疗踝关节扭伤的疗效分析()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年05期
页码:
42-46
栏目:
临床研究
出版日期:
2025-05-05

文章信息/Info

Title:
Effect Analysis of Functional Training Combined with Xuanhuang Ointment on Ankle Sprain
文章编号:
1005-0205(2025)05-0042-05
作者:
俞聪1; 金环1; 苏标瑞1; 孙文英2△; 范筱2
1中国人民解放军陆军第七十三集团军医院(福建 厦门,361000); 2青岛市市立医院
Author(s):
YU Cong1; JIN Huan1; SU Biaorui1; SUN Wenying2△; FAN Xiao2
173rd Group Army Hospital of PLA,Xiamen 361000,Fujian China; 2Qingdao Municipal Hospital,Qingdao 266011,Shandong China.
关键词:
急性踝关节扭伤;  功能性训练;  玄黄膏;  踝关节功能;  炎症因子
Keywords:
acute ankle sprain;  functional training;  Xuanhuang ointment;  ankle joint function;  inflammatory factors
分类号:
R684.7
DOI:
10.20085/j.cnki.issn1005-0205.250509
文献标志码:
A
摘要:
目的:采用功能性训练联合玄黄膏治疗急性踝关节扭伤,分析对急性踝关节扭伤患者踝关节功能及炎症因子的影响。方法:选取2022年2月至2024年2月接受治疗的急性踝关节扭伤患者作为研究对象,按照随机数字表法分为对照组和观察组(各66例)。对照组采用玄黄膏治疗,观察组在对照组基础上进行功能性训练,检测对比两组患者踝关节功能、疼痛、肿胀程度、疼痛介质、跖屈活动度、背伸活动度、炎症因子、氧化应激水平、临床疗效及复发率。结果:治疗后,观察组踝关节功能评分、疼痛评分、肿胀程度低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组P物质(SP)、神经肽Y(NPY)、神经生长因子(NGF)、白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-ɑ)、白细胞介素-6(IL-6)及丙二醛(MDA)水平低于对照组,超氧化物歧化酶(SOD)水平高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组跖屈活动度及背伸活动度高于对照组,差异有统计学意义(P<0.05)。与对照组相比,观察组总有效率较高,复发率较低,差异有统计学意义(P<0.05)。结论:急性踝关节扭伤患者采用功能性训练联合玄黄膏治疗,可改善患者踝关节功能,减轻疼痛及肿胀程度,提高临床疗效,抑制患者治疗后复发,具有较好的应用效果。
Abstract:
Objective:To analyze the efficacy of functional training combined with Xuanhuang ointment on ankle function and inflammatory factors in patients with acute ankle sprain.Methods:Patients with acute ankle sprain who received treatment from February 2022 to February 2024 were selected as the research objects.According to the random number table method,they were divided into the control group and the observation group,with 66 cases in each group.The ankle joint function,pain,swelling degree,pain mediators,plantar flexion activity,dorsal extension activity,inflammatory factors,oxidative stress level,clinical efficacy,and recurrence rate were detected and compared between the two groups.Results:After treatment,the ankle function score,pain score and swelling degree of the observation group were lower than those of the control group(P<0.05).After treatment,the levels of SP,NPY,NGF,IL-1β,TNF-ɑ,IL-6 and MDA in the observation group were lower than those in the control group,and the level of SOD was higher than that in the control group(P<0.05).After treatment,the plantar flexion activity and dorsal extension activity of the observation group were higher than those of the control group(P<0.05).Compared with the control group,the total effective rate of the observation group was higher,and the recurrence rate was lower(P<0.05).Conclusion:Functional training combined with Xuanhuang ointment on the treatment of patients with acute ankle sprain can improve the ankle function of patients,reduce the degree of clinical pain and swelling,improve the clinical efficacy,inhibit the recurrence of patients after treatment,and has a good application efficacy.

参考文献/References:

[1] RUIZ-SÁNCHEZ F J,RUIZ-MUÑOZ M,MARTÍN-MARTÍN J,et al.Management and treatment of ankle sprain according to clinical practice guidelines:a PRISMA systematic review[J].Medicine(Baltimore),2022,101(42):31-37.
[2] DHILLON M S,PATEL S,BABURAJ V.Ankle sprain and chronic lateral ankle instability:optimizing conservative treatment[J].Foot Ankle Clin,2023,28(2):297-307.
[3] WAGEMANS J,BLEAKLEY C,TAEYMANS J,et al.Exercise-based rehabilitation reduces reinjury following acute lateral ankle sprain:a systematic review update with meta-analysis[J].PLoS One,2022,17(2):26-29.
[4] 杨谢安,昝强,张为宝,等.加味玄黄膏治疗急性踝关节外侧副韧带损伤(气滞血瘀证)的临床研究[J].中国中医急症,2020,29(7):1188-1190.
[5] 王回,陈卉芳,贾毓栋,等.踝关节平衡装置训练对功能性踝关节不稳患者踝关节功能及姿势控制能力的影响[J].中国康复,2023,38(2):81-85.
[6] 中国中西医结合学会骨伤科分会.外踝韧带损伤的中西医结合治疗专家共识[J].中华骨科杂志,2019,39(11):653-659.
[7] 吴俊德,黄致超,孙卫东,等.藏药奇正消痛贴膏治疗踝关节扭伤的真实世界临床观察[J].中国中医骨伤科杂志,2023,31(11):30-36.
[8] 陈阳,仓挺松,吴骏,等.扭伤散联合纸夹板外固定治疗急性踝关节扭伤的疗效及优势[J].中国中医骨伤科杂志,2023,31(11):12-17.
[9] GOGATE N,SATPUTE K,HALL T.The effectiveness of mobilization with movement on pain,balance and function following acute and sub acute inversion ankle sprain:a randomized,placebo controlled trial[J].Phys Ther Sport,2021,48(9):91-100.
[10] 张泽毅,刘卉,张美珍,等.FAI和Coper患者踝关节扭伤相关动作中的下肢运动生物力学特征[J].中国体育科技,2023,59(8):47-55.
[11] 李斌杰,周晓芳,黄自冲.芍药甘草汤加减联合针刺疗法对急性踝关节扭伤患者炎症因子的影响[J].中国医院用药评价与分析,2022,22(3):286-288.
[12] 李浩,朱伟,王鸽鸽,等.玄黄膏联合黄帝内针治疗急性踝关节扭伤疗效研究[J].中国中医急症,2021,30(1):67-70.
[13] 杨华瑜,李聪聪,祁鑫,等.超声波结合多模式功能训练治疗功能性踝关节不稳的临床效果[J].河南医学研究,2022,31(19):3514-3516.
[14] 李路广,史长龙,成永忠,等.双乌祛痛热奄包联合西医常规疗法对急性踝关节扭伤患者肿胀疼痛的影响[J].中国中医药信息杂志,2021,28(7):102-106.
[15] 杨涛,李昱,黄琳.针刺联合关节松动术治疗气滞血瘀型陈旧性踝关节扭伤的疗效及对患者疼痛和踝关节功能的影响[J].河北中医,2022,44(9):1523-1525.
[16] 吴素丹,黄春霞,李丹.超短波联合中频电治疗急性踝关节扭伤的疗效及对患者炎症细胞因子水平的影响[J].海南医学,2022,33(8):980-983.
[17] 袁家秀,欧阳梦婷,罗颖慧,等.针刺运动疗法联合早期康复训练对急性踝关节扭伤患者踝关节功能、血清炎症因子和致痛物质水平的影响[J].现代生物医学进展,2023,23(4):739-743.
[18] 齐秀春,孙楠,郭喜钦,等.栀黄止痛散治疗急性踝关节扭伤的疗效及对损伤韧带形态学的影响[J].南京中医药大学学报,2021,37(3):360-365.
[19] 刘广宇,徐西林,李志刚,等.平衡针联合骨折挫伤胶囊治疗急性踝关节扭伤临床观察[J].中国中医急症,2023,32(10):1774-1778.
[20] 王强,刘志杨,巨少华,等.伤科止痛膏肌内效贴治疗踝关节扭伤疗效观察[J].康复学报,2023,33(2):160-166.
[21] 孙庆禄,高鸣,田连国,等.Ilizarov骨短缩-延长及皮瓣修复术对胫腓骨骨折伴软组织缺损患者功能康复及氧化应激的影响[J].新疆医科大学学报,2023,46(5):653-658.

备注/Memo

备注/Memo:
基金项目:山东中医药科技发展计划项目(2019-0614)
△通信作者 E-mail:1850987003@qq.com
更新日期/Last Update: 2025-05-15