[1]李琦,彭学丰,曾炳芳,等.续骨活血汤治疗踝关节急性骨挫伤的临床疗效观察[J].中国中医骨伤科杂志,2023,31(12):19-22+27.[doi:10.20085/j.cnki.issn1005-0205.231204]
　LI Qi,PENG Xuefeng,ZENG Bingfang,et al.Clinical Research on the Efficacy of Xugu Huoxue Decoction in Treating Acute Ankle Bone Contusion[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(12):19-22+27.[doi:10.20085/j.cnki.issn1005-0205.231204]
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续骨活血汤治疗踝关节急性骨挫伤的临床疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年12期
页码:
19-22+27
栏目:
临床研究
出版日期:
2023-12-15

文章信息/Info

Title:
Clinical Research on the Efficacy of Xugu Huoxue Decoction in Treating Acute Ankle Bone Contusion
文章编号:
1005-0205(2023)12-0019-04
作者:
李琦1; 彭学丰1; 曾炳芳1; 李颜1; 梁芳1; 王兵1; 张长青1; 杨庆诚1△
1上海市第六人民医院(上海,200233)
Author(s):
LI Qi1; PENG Xuefeng1; ZENG Bingfang1; LI Yan1; LIANG Fang1; WANG Bing1; ZHANG Changqing1; YANG Qingcheng1△
1Shanghai Sixth People's Hospital,Shanghai 200233,China.
关键词:
续骨活血汤;  踝关节;  急性骨挫伤
Keywords:
Xugu Huoxue decoction;  ankle;  acute bone contusion
分类号:
R684
DOI:
10.20085/j.cnki.issn1005-0205.231204
文献标志码:
A
摘要:
目的:评价续骨活血汤在踝关节急性骨挫伤治疗中的临床疗效。方法:从2019年9月至2022年7月,共收集踝关节急性骨挫伤病例78例,分为2组(各39例),采用不同的治疗方案。治疗组予以续骨活血汤结合踝关节支具固定治疗,同时结合对患者的舌象、脉象等综合分析,进行中医临床辨证分型,随证加减用药。对照组予以地奥司明结合支具固定治疗。连续治疗3个月,采用视觉模拟量表(VAS)评分、美国足踝外科协会(AOFAS)评分及踝关节信号改变区域面积变化作为疗效评价标准。结果:治疗后两组VAS评分、AOFAS评分及踝关节骨挫伤改善率明显优于治疗前,差异有统计学意义(P<0.05); 治疗后治疗组VAS评分、AOFAS评分及踝关节骨挫伤改善率明显优于对照组,差异有统计学意义(P<0.05); 治疗组不良反应发生率较对照组低,差异有统计学意义(P<0.05)。结论:续骨活血汤可降低VAS评分,提高AOFAS评分,并明显促进局部骨挫伤的水肿吸收,对踝关节急性骨挫伤疗效良好,安全性高,值得临床推广应用。
Abstract:
Objective:To evaluate the clinical efficacy of Xugu Huoxue decoction in treating acute ankle bone contusion.Methods:78 cases of acute ankle bone contusion were selected from September 2019 to July 2022.They were divided into 2 groups according to actual treatment.Patients in treatment group were treated with ankle splint and Xugu Huoxue decoction,who were divided into different subgroups according to tough and pulse and treated with other medicine,while the control group were treated with Diosmin and general supports.All patients were evaluated by score of visual analogue scale(VAS)and American orthopedic foot and ankle society(AOFAS)after 3 months treatment.Results:VAS score and AOFAS score were better after treatment.The difference was of significance(P<0.05).The improvement rate of high signal area was better in treatment group than that in control group after treatment.The difference was of significance(P<0.05).The side efficacy of treatment group was lower than control group,the difference was of significance(P<0.05).Conclusion:Xugu Huoxue decoction can reduce VAS score and raise AOFAS score effectively.It can also reduce the high signal area of ankle in MRI.It has wonderful efficacy on acute ankle bone contusion and has high security,which is worthy of clinical application.

参考文献/References:

[1] PUNWAR S,HALL-CRAGGS M,HADDAD F S.Bone bruises:definition,classification and significance[J].Br J Hosp Med(Lond),2007,68(3):148-151.
[2] 陶晶晶,汪桦.膝关节隐性骨折的MRI诊断价值[J].中国骨与关节损伤杂志,2008,23(1):73-74.
[3] 何亚军,李松军.骨髓水肿与踝关节周围骨挫伤相关研究进展[J].新医学,2020,51(9):658-662.
[4] 潘海松.低场磁共振对外伤性骨髓水肿的诊断价值[J].中国中医骨伤科杂志,2013,21(4):43-44.
[5] 俞羚,韩雪盈.MRI在踝关节挫伤诊断中的应用[J].世界最新医学信息文摘,2017,17(53):135.
[6] 肖平,陈翠芬,梁文彬,等.3.0T MRI在外伤性膝关节骨挫伤与关节软骨退行性损伤相关性的初步研究[J].中国CT和MRI杂志,2019,17(8):150-152.
[7] 张付祥.续骨活血汤结合微创钢板固定治疗三踝骨折临床观察[J].光明中医,2020,35(23):3794-3795.
[8] 梁碧波.续骨活血汤对老年股骨颈骨折患者骨折愈合及髋关节功能分析[J].医学理论与实践,2020,33(9):1462-1463.
[9] 杨忠强,吴云龙,周启付,等.续骨活血汤联合溶栓对老年四肢创伤骨折术后下肢血栓风险的影响[J].世界中西医结合杂志,2020,15(3):563-566.
[10] 周利,唐吉平,林春阳,等.微创接骨术配合“续骨活血汤”治疗胫骨平台前内侧塌陷骨折合并膝关节后外侧复合体损伤的疗效分析[J].中国中西医结合外科杂志,2020,26(2):338-343.
[11] 陈奕居,辛晓春.空心钉联合续骨活血汤加味治疗中青年股骨颈骨折[J].中医药临床杂志,2020,32(4):727-731.
[12] 杜保奇.续骨活血汤对老年性桡骨远端骨折患者腕关节功能及骨折愈合的影响[J].现代诊断与治疗,2020,31(5):695-697.
[13] 邵营钢,朱振康,沈忠伟,等.续骨活血汤治疗肘关节损伤术后骨化性肌炎34例[J].浙江中医杂志,2020,55(2):108-109.

备注/Memo

备注/Memo:
基金项目:上海市卫生健康委员会科研项目(202340059)
国家自然科学基金青年科学基金项目(81702137)
上海市进一步加快中医药传承创新发展三年行动计划中医药高层次人才引领计划项目(ZY(2021-2023)-0403)
第二批全国西医学习中医优秀人才研修项目上海市综合医院中西医协同引导项目(ZXXT-202308)
△通信作者 E-mail:tjyqc@163.com
更新日期/Last Update: 2023-12-10