[1]黄阿勇△ 栗国强 曹连波 杨海焱 杨玉鑫 杜思韬 孙学旺 徐午.消肿镇痛散外敷治疗Ⅰ,Ⅱ度急性踝关节扭伤的临床研究[J].中国中医骨伤科杂志,2020,28(09):40-43.
　HUANG Ayong LI Guoqiang CAO Lianbo YANG Haiyan YANG Yuxin DU Sitao SUN Xuewang XU Wu.Clinical Study on Xiaozhong Zhentong Power in Treating Ⅰ,Ⅱ Degree of Acute Ankle Sprain[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2020,28(09):40-43.
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消肿镇痛散外敷治疗Ⅰ,Ⅱ度急性踝关节扭伤的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年09期
页码:
40-43
栏目:
临床研究
出版日期:
2020-09-10

文章信息/Info

Title:
Clinical Study on Xiaozhong Zhentong Power in Treating Ⅰ,Ⅱ Degree of Acute Ankle Sprain
文章编号:
1005-0205(2020)09-0040-04
作者:
黄阿勇1△ 栗国强1 曹连波1 杨海焱1 杨玉鑫1 杜思韬1 孙学旺1 徐午1
1北京市门头沟区中医医院(北京,102300)
Author(s):
HUANG Ayong1△ LI Guoqiang1 CAO Lianbo1 YANG Haiyan1 YANG Yuxin1 DU Sitao1 SUN Xuewang1 XU Wu1
1Beijing Mentougou Hospital of Traditional Chinese Medicine,Beijing 102300,China.
关键词:
急性踝关节扭伤;  消肿镇痛散;  临床研究
Keywords:
acute ankle sprain;  Xiaozhong Zhentong power;  clinical study
分类号:
R274.3
文献标志码:
A
摘要:
目的:探讨消肿镇痛散外敷治疗Ⅰ,Ⅱ度急性踝关节扭伤的临床疗效及安全性。方法:选取Ⅰ,Ⅱ度急性踝关节扭伤患者90例,采用随机数字表法分为两组,治疗组和对照组各45例。治疗组采用消肿镇痛散外敷,对照组采用双氯芬酸二乙胺乳胶剂(扶他林)外涂,各治疗14 d。分别在治疗前、治疗后第3,7,10,14天记录VAS评分、肿胀程度和Kofoed踝关节功能; 在治疗后第14天评价中医症状体征总积分,进行临床疗效评定。结果:两组组内治疗前与治疗后各时间点的VAS评分差异均有统计学意义(P<0.05); 两组组间在治疗后各时间点VAS评分的差异均无统计学意义(P>0.05),说明两组缓解疼痛效果无明显差异。两组组内治疗前与治疗后各时间点的肿胀程度积分差异均有统计学意义(P<0.05); 两组组间在治疗后各时间点的肿胀程度积分差异均有统计学意义(P<0.05),且治疗组积分均低于对照组,差异有统计学意义(P<0.05),说明治疗组消肿效果优于对照组。两组组内治疗前与治疗后各时间点的踝关节功能评分差异均有统计学意义(P<0.05); 除治疗后第3天外,两组组间在治疗后其余时间点的踝关节功能评分差异均有统计学意义(P<0.05),且治疗组评分均高于对照组,差异有统计学意义(P<0.05),说明治疗组改善踝关节功能效果优于对照组。治疗组痊愈6例,显效17例,有效20例,无效2例,总有效率为95.56%; 对照组痊愈3例,显效12例,有效25例,无效5例,总有效率为88.89%,治疗组的临床疗效优于对照组,差异有统计学意义(P<0.05)。两组均未出现局部皮肤过敏现象。结论:消肿镇痛散外敷治疗Ⅰ,Ⅱ度急性踝关节扭伤能缓解疼痛肿胀、改善踝关节功能,临床疗效及安全性较好。
Abstract:
Objective:To evaluate clinical efficacy and safety of Xiaozhong Zhentong power in treating Ⅰ,Ⅱdegree of acute ankle sprain.Methods:90 patients withⅠ,Ⅱ degree of acute ankle sprain were randomly divided into two groups with 45 cases in each group.The treatment group was externally treated by Xiaozhong Zhentong power,and the control group by Votalin.The treatment course was 14 d.The VAS score,swelling degree and ankle joint function were respectively documented before and 3rd,7th,10th,14th day after treatment.Scores of TCM symptons and signs were evaluated at 14th day after treatment to evaluate the efficacy and safety.Results:Significant stastically difference of VAS score was found before and after treatment in each group(P<0.05),but no significant difference at different time point between groups after treatment(P>0.05).It was suggested that the effect of relieving pain in both groups was no significantly different.There were significant differences in swelling degree before and after treatment in each group and during two groups(P<0.05).It was suggested that the effect of treatment group on relieving swelling was better than that of control group.There was significant difference in the ankle joint function in each group before and after treatment(P<0.05).Except for the these index at 3th day,others showed significant difference at diffierent time points(P<0.05).The effect of treatment group on improving the ankle activity was superior to that of control group.There were 6 cured cases,17 remarkably effective cases,and effective 20 cases in the treatment group,and the total effective rate in the treatment group was 95.56%.There were 3 cured cases,12 remarkably effectivecases,and effective 25 cases in the control group,and total effective rate was 88.89%.The efficacy of treatment group was remarkably superior to the control group(P<0.05).There was no local skin allergy in both groups.Conclusion:The Xiaozhong Zhentong power shows satisfied clinical efficacy and safety in treating Ⅰ,Ⅱ degree of acute ankle sprain seem positive in relieving pain,swelling and improving the ankle joint function.

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备注/Memo

备注/Memo:
(收稿日期:2020-05-04) 基金项目:北京中医药薪火传承“3+3”工程李万禄名家研究 室建设项目(2018-SZ-A-46) 北京中医药薪火传承“3+3”工程刘海起基层老中 医传承工作室建设项目(2018-JC-19) 北京第三批基层中医药学科团队基地建设项目 (2019015) △通信作者 E-mail:huangsss@126.com
更新日期/Last Update: 2020-09-10