[1]张清△ 杨功旭 董石磊 钟传棋.复元活血汤联合弃杖膏治疗急性踝关节扭伤的临床观察[J].中国中医骨伤科杂志,2018,26(05):19-22.
　ZHANG Qing YANG Gongxu DONG Shilei ZHONG Chuanqi.Clinical Observation of Fuyuan Huoxue Tang Combined with Qizhang Gao for Treating Patients with Acute Ankle Injury[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(05):19-22.
点击复制

复元活血汤联合弃杖膏治疗急性踝关节扭伤的临床观察()
分享到：

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

卷:
第26卷
期数:
2018年05期
页码:
19-22
栏目:
临床研究
出版日期:
2018-05-02

文章信息/Info

Title:
Clinical Observation of Fuyuan Huoxue Tang Combined with Qizhang Gao for Treating Patients with Acute Ankle Injury
文章编号:
1005-0205(2018)05-0019-04
作者:
张清1; 2△ 杨功旭1; 2 董石磊1; 2 钟传棋1; 2
1湖北省中医院(武汉,430074) 2湖北省中医药研究院
Author(s):
ZHANG Qing1; 2△ YANG Gongxu1; 2 DONG Shilei1; 2 ZHONG Chuanqi1; 2
1Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430061,China; 2Hubei Province Academy of Traditional Chinese Medicine,Wuhan 430074,China.
关键词:
急性踝关节扭伤;  复元活血汤;  弃杖膏;  临床观察
Keywords:
Keywords: acute ankle injury;  Fuyuan Huoxue Tang;  Qizhang Gao;  clinical observation
分类号:
R684.7
文献标志码:
A
摘要:
目的:观察复元活血汤联合弃杖膏外敷治疗急性踝关节扭伤的临床疗效。方法:采取前瞻性随机对照研究方法,将门诊治疗的60例踝关节扭伤患者随机分为两组,每组30例。治疗期间两组患者均行弹力绷带8字固定,对照组患者加压包扎治疗并给予内服复元活血汤治疗,在受损初期(24 h内)常规采用冰敷,观察组内服复元活血汤联合弃杖膏外敷。两组患者治疗疗程均为2周。分别采用视觉模拟评分(VAS)、踝与后足评分量表(AOFAS)、踝关节扭伤疗效分级评定标准等,对两组患者治疗前、治疗后1周、治疗后2周进行比较和疗效评价。结果:治疗前两组间踝关节损伤、VAS评分及AOFAS评分差异无统计学意义(P>0.05)。治疗后第1周,观察组VAS评分低于对照组、AOFAS评分高于对照组,差异有统计学意义(P<0.05); 至治疗后第2周,观察组VAS评分及AOFAS评分差异无统计学意义(P>0.05)。结论:复元活血汤联合弃杖膏外敷治疗急性踝关节扭伤效果显著,有助于及时减轻患者疼痛及促进功能恢复。
Abstract:
Abstract Objective:To observe the clinical effect of Fuyuan Huoxue Tang combined with Qizhang Gao for treating acute ankle injury.Methods:A prospective randomized controlled study was conducted,in which 60 patients with ankle sprain were randomly divided into two groups:30 patients in each.During the treatment,the patients in both groups were fixed with 8 words of elastic bandage,the patients in the controlled group were treated with ice and compression at the early stage of injury(within 24 hours).After the treatment,the patients were treated with Fuyuan Huoxue Tang.The observed group was treated combined with Qizhang Gao and Fuyuan Huoxue Tang.The patients in two groups were treated for 2 weeks.The patients were evaluated by visual analogue scale(VAS),ankle and hindfoot score scale(AOFAS)and evaluation criteria of ankle sprain and evaluated according to the time of prior treatment one and two weeks after treatment respectively.Results:There was no significant difference at the degree of ankle injury,VAS score and AOFAS score between the two groups at baseline(P>0.05).At the first week after treatment,the VAS score of the observed group was lower than that of the controlled group,and the AOFAS score of the observed group was higher than that of the controlled group(P<0.05).There was no significant difference both in the VAS score and AOFAS score in the observed group(P>0.05).Conclusion:Fuyuan Huoxue Tang combined with Qizhang Gao is effective for treating the acute ankle sprain.In addition,it is helpful to reduce the pains on the injured ankle and enhance recovery capacity of the functional.

参考文献/References:

[1] Kemler E,van de Port I,Backx F,et al.A systematic review on the treatment of acute ankle sprain:brace versus other functional treatment types[J].Sports Med,2011,41(3):186-197.
[2] 杜伟斌,鲍关爱,全仁夫.针刺小节穴配合理筋手法对踝关节扭伤镇痛消肿作用的影响[J].中国针灸,2014,34(7):647-650.
[3] 沈志生.《内经》经筋理论的再认识[J].中国针灸,2006,26(9):639-640.
[4] 赵希云,张晓刚,宋敏,等.急性踝关节扭伤的中医治疗进展[J].中国中医急症,2016,25(4):675-677.
[5] 梁永瑛,郭艳明,顾钧青,等.三色膏联合微波治疗急性踝关节扭伤临床观察[J].中国中医骨伤科杂志,2015,23(2):18-20.
[6] 梁晓军,赵宏谋.急性踝关节损伤治疗方法的选择策略[J].中国骨伤,2017,30(6):489-491.
[7] 陆宸照.踝关节损伤的诊断和治疗[M].上海:上海科学技术文献出版社,2000:45-55.
[8] 国家中医药管理局.中医病症诊断疗效标准[M].南京:南京大学出版社,1994:198-199.
[9] Stubbs DF.Visual analogue scales[J].British Journal of Clinical Pharmacology,1979,7(1):124.
[10] 严广斌.AOFAS踝-后足评分系统[J].中华关节外科杂志:电子版,2014,8(4):557-557.
[11] 郭国新,郭继涛,李伟,等.基于有限元模型的踝关节生物力学分析[J].中国组织工程研究,2012,16(17):3056-3060.
[12] 张如云,张奇,杨宗酉,等.成人踝关节损伤的流行病学分析[J].中国骨科临床与基础研究杂志,2014,6(3):139-143.
[13] Tenforde AS,Yin A,Hunt KJ.Foot and ankle injuries in runners[J].Physical Medicine & Rehabilitation Clinics of North America,2016,27(1):121-137.
[14] 沈玉杰,李玉久,董焘.舒筋除痹壮骨膏联合推拿治疗急性踝关节扭伤的临床观察[J].陕西中医,2016,37(8):1011-1013.
[15] 王燕,吴玉云,赵文琼,等.冷敷对急性踝关节扭伤疗效影响的病例对照研究[J].中国骨伤,2015,28(12):1091-1094.
[16] 蔡群斌,黄枫,郑晓辉,等.陈基长教授治疗急性踝关节扭伤经验浅析[J].中国中医骨伤科杂志,2016,24(2):72-73.
[17] Mittlmeier T.Focus on osteo-ligamentous injuries around the ankle.[J].European Journal of Trauma and Emergency Surgery,2015,41(6):585-586.
[18] 赵勇,王钢.消肿止痛膏外敷联合弹性固定治疗急性踝关节扭伤的临床对照研究[J].北京中医药,2015,34(4):315-317.
[19] 黄永铨,苏海涛,侯秋科,等.驳骨油纱联合舒筋活络洗剂治疗急性踝关节扭伤的临床疗效观察[J].广州中医药大学学报,2017,34(1):39-42.
[20] 关国平,孟强,牛文鑫,等.踝关节扭伤防护及其康复研究进展[J].医用生物力学,2016,31(1):78-82.
[21] 章明刚,洪时清,何建军.消肿止痛膏联合清热化瘀方治疗急性踝关节扭伤的临床研究[J].中国中医急症,2015,24(2):219-221.
[22] Mclauchlan GJ,Gardner DL.Sacral and iliac articular cartilage thickness and cellularity:relationship to subchondral bone end-plate thickness and cancellous bone density[J].Rheumatology,2002,41(4):375-380.

备注/Memo

备注/Memo:
基金项目:中国中医科学院基础理论研究所“院所协同 创新基金”(YZ-1619) △通信作者 E-mail:15121210@qq.com
更新日期/Last Update: 2018-05-02