功能绷带治疗军事训练损伤的疗效评价

Therapeutic trial on function bandage for military training injuries

目的 观察“天年素”功能绷带对军事训练损伤 (军训伤 )的治疗效果。方法 采用随机三盲对照实验。选取某部 1998年度新兵基础训练中发生的软组织伤和应力性骨折战士 ,两种损伤分别观察且均随机分为A、B绷带组 ,除使用绷带不同外 ,其他措施完全一致。由观察人员定期随访 ,并抽取部分伤员于治疗前后作骨闪烁成像 (ECT)检查各一次。治疗结束后厂家揭密 ,A为对照绷带 ,B为“天年素”功能绷带。结果 A、B两种绷带治疗软组织伤的总有效率分别为 6 6 .7%、86 .4% ,B绷带优于A绷带 ,差异有显著性 ,从症状改善来看 ,消肿效果B绷带优于A绷带 ;治疗应力性骨折的总有效率分别为 6 7.2 %、75 .0 % ,两者差异无显著性。对其中 2 6个受伤胫骨ECT检查显示 ,治疗后较治疗前骨质损伤程度并无明显改善。结论 “天年素”功能绷带对治疗软组织伤有一定作用 。

Objective To evaluate therapeutic effectiveness of 'Tianniansu' function bandage used for military training injuries (MTI). Methods In a randomized tri blind controlled trial, recruits of all soft tissue injuries and stress fracture (SF) who took part in basic training in 1998 were separated into two groups-A and B with comparability,except the use of bandage. After close follow up on weekly base, part of the patents were subjected by ECT pre and post therapy. Results Effective rates of bandage A and B on treating soft tissue injuries were 66.7 % and 86.4 %, respectively. However, in terms of symptoms, detumescence effect of bandage B showed milder than that of A. The effective rate of bandage A and B in treating SF were 67.2 % and 75.0 %, respectively, but statistically not significant. The treatment effect in 26 injured tibias evaluated by bone scintigraphy pre and post treatment showed that the degree of osteogen injury after treatment was not significantly improved. Conclusion 'Tianniansu' function bandage had significant effect on treating soft tissue injuries, but did not have effect in treating SF.