外敷中药“接骨散”治疗地震伤员早期肿痛临床疗效观察

The Clinical Efficacy of Topical TCM "Jiegusan" in Treating Swelling-pain Caused by Earthquake Trauma

目的观察外敷中药"接骨散"缓解外伤肿痛的临床疗效和安全性。方法采用随机空白对照法,选择150例符合纳入标准的地震伤员,随机分为治疗组120例,对照组30例。在给予骨科基本处理的基础上,治疗组予每日1次外敷中药"接骨散",对照组不予该治疗,分别在第1、3、6、9、12、15天观察疼痛、肿胀程度。结果治疗后各观察时点两组疼痛均较治疗前明显减轻(P<0.05),但治疗组明显优于对照组(P<0.05);自第6天起的各观察时点,两组肿胀程度均有明显减轻,但治疗组明显优于对照组(P<0.01),至第15天,两组肿胀缓解程度趋于一致(P>0.05);治疗组有8例发现轻微皮肤反应。结论外敷中药"接骨散"缓解外伤早期肿痛疗效确切、不良反应小。

Objective To observe the effects and safety of external Chinese herb ＂Jiegusan＂ for relieving swelling and pain in patients with trauma. Methods 150 cases were randomly divided into two groups： the treatment group （120 cases）and the control group （30 cases）. Both groups were performed the basic management of orthopedics. The treatment group were used by external Chinese herb＂Jiegusan＂once a day,but the control group were not. Both groups were observed of pain and swelling on the lst,3rd,6th,9th,12th and 15th day. Results There was a significant difference of the pain reduction after the 3rd dayand the swelling reduction. After the 6th day in both groups（P〈0.05）except the 15th day（P〉0.05）. There were 8 patients of treatment group presenting with mild sensitive of skin. Conclusion External Chinese herb ＂Jiegusan＂ was effectiveness in the early stage of relieving swelling and pain with trauma, and lower rate in the adverse reaction.