伤柏膏治疗急性踝关节外侧副韧带损伤患者疼痛的临床效果

Efficacy of Shangbai ointment in alleviating pain in patients with acute ankle joint lateral collateral ligament injury:a randomized controlled trial

目的探讨伤柏膏在治疗急性踝关节外侧副韧带损伤患者疼痛的临床治疗效果。方法选取我院单侧踝关节损伤患者50例随机分为治疗组和对照组,每组各25例,分别在入院治疗前及治疗第3,7,14天对患者进行疼痛度视觉模拟评分(VAS)和kofoed评分,同时测量患者踝关节周径,以及踝关节损伤后下肢功能自我功能评定。结果两组患者治疗前一般临床资料差异均无统计学意义,在治疗第3,7,14天后,治疗组在VAS评分及肿胀消除上均优于对照组,差异具有统计学意义(P<0.05);两组患者在治疗前和治疗第3天后Kofoed踝关节评分无显著性差异(P>0.05),在治疗7,14 d后,治疗组在Kofoed踝关节评分显著高于对照组(P<0.05)。在自我功能评定上,治疗前和治疗第3天,两组患者评分均无统计学差异,治疗7,14 d后,治疗组评分显著高于对照组(P<0.01)。结论伤柏膏外敷治疗能够较快改善急性踝关节外侧副韧带损伤患者的疼痛,并改善相关功能性评分。

Objective To investigate the effect of Shangbai ointment in relieving pain in patients with acute ankle joint lateral collateral ligament injury. Methods Fifty patients with unilateral ankle injury were randomized into Shangbai ointment treatment group and control group(n=25). The Visual Analog Scale(VAS) pain scores,ankle joint circumference,Kofoed score and self-rated lower limb function were recorded before and at 3,7,and 14 days after the treatment. Results The baseline data were comparable between the two groups. The VAS pain score and swelling elimination in the treatment group were better than those in the control group at 3,7,and 14 days after treatment; the Kofoed ankle score was higher in the treatment group than in the control group at 7 and 14 days after treatment. The patients in the treatment also reported better self-rated lower limb function than those in the control group at 7 and 14 days after the treatment. Conclusion Shangbai ointment treatment can rapidly relieve pain in patients with acute ankle joint lateral collateral ligament injury and improve the functional scores of the joint.