“宫廷正骨”跌打万应膏结合元书纸排子固定治疗急性踝关节扭伤临床研究

Observation of curative effect on lumbar facet joint syndrome by palace bonesetting therapeutic combined with lumbar medial branch nerve block

目的评价“宫廷正骨”跌打万应膏结合元书纸排子固定治疗急性踝关节扭伤的临床疗效。方法将符合入选标准的60例急性踝关节扭伤患者按随机数字表法分为2组,每组30例。观察组采用“宫廷正骨”跌打万应膏外敷并以元书纸排子固定治疗,对照组采用双氯芬酸二乙胺乳胶剂外敷及弹力绷带固定治疗。2组均治疗14 d。观察疼痛消失时间与肿胀消退时间,采用VAS量表评估踝关节疼痛程度,采用美国足踝骨科协会(American Orthopedic Foot & Ankle Society, AOFAS)踝-后足评分系统评估踝关节功能,评价临床疗效。结果观察组疼痛消失时间[(9.7±1.6)d比(13.4±3.5)d,t=5.638]与肿胀消退时间[(3.5±1.3)d比(6.7±1.1)d,t=10.292]均早于对照组(P<0.01)。治疗后,观察组VAS评分[(1.9±1.1)分比(3.3±1.3)分,t=4.503]低于对照组(P<0.01),AOFAS踝-后足评分[(93.6±3.9)分比(84.2±5.1)分,t=8.019]高于对照组(P<0.01)。观察组总有效率为96.7%(29/30)、对照组为80.0%(24/30),2组比较差异有统计学意义(χ2=4.043,P=0.044)。结论“宫廷正骨”跌打万应膏结合元书纸排子固定可有效促进踝关节功能的恢复,缩短踝关节的疼痛与肿胀时间,提高临床疗效。

Objective To observe the clinical effect of "palace bone-setting" Dieda-Wanying cream combined with Yuan Shu Zhi Pai Zi fixation in the treatment of acute ankle sprain. Methods A total of 60 patients with acute ankle sprain were collected and randomly divided into observation group and control group according to the random number table method, with 30 cases in each group. The observation group was treated with "Palace Bone-setting" Dieda-Wanying cream combined with Yuan Shu Zhi Pai Zi for fixation. The control group was treated with external application of diclofenac diethylamine emulsion and fixation of elastic bandage. Two groups were treated for 14 days. The patients pain disappeared time and the swelling subsided, the VAS scale for assessment of ankle pain observed. The American Orthopedic Foot and Ankle Society (AOFAS) Ankle-after scoring system was used to assess the Ankle function, evaluation of clinical curative effect. Results The pain disappear time (9.7 ± 1.6 d vs. 13.4 ± 3.5 d, t=5.638), regression and time (3.5 ± 1.3 d vs. 6.7 ± 1.1 d, t=10.292) in the observation group were significantly earlier than those in the control group (P<0.01). After treatment, VAS score (1.9 ± 1.1 vs. 3.3 ± 1.3, t=4.503) of the observation group significantly lower than that of the control group (P<0.01);AOFAS score (93.6 ± 3.9 vs. 84.2 ± 5.1, t=8.019) significantly higher than the control group (P<0.01). Total effective rate in the observation group was 96.7%(29/30), and the control group was 80.0%(24/30), which the difference was statistically significant (χ2=4.043, P=0.044). Conclusions The "Palace Bone-setting" Dieda-Wanying cream combined with Yuan Shu Zhi Pai Zi fixation has definite curative effect on acute ankle sprain, relieve pain, swelling and promote the ankle function.