施氏吊伤膏治疗急性踝关节扭伤的近期疗效观察

Clinical Observation on the Treatment of Acute Ankle Sprain by Shi’s Plaste

目的:研究施氏吊伤膏外用治疗急性踝关节扭伤的优势,评价其优效性。方法:将上海市黄浦区香山中医医院骨伤科2016年1月至2018年6月门诊收治的急性踝关节扭伤患者按随机数字表法分为施氏吊伤膏组(研究组)和复方紫荆消伤膏组(对照组)两组。在治疗前、治疗后第3天、第7天、第10天分别记录VAS评分、患处关节肿胀度、患处关节活动度并进行优效性评价;在治疗前和治疗后第10天评价中医症状体征积分,进行疗效评定。结果:从各个时间点来看,两组治疗前后VAS评分差异无统计学意义(P<0.05)。治疗前后组间存在交互效应,提示各个时间点VAS评分存在差异,且不同组对于VAS评分的作用会随着时间的变化而变化,两组不存在差异;治疗后各个时间点施氏吊伤膏组对肿胀的疗效均优于复方紫荆消伤膏组,且治疗前后组间存在交互效应,提示各个时点对肿胀的影响存在差异,且不同组对肿胀的影响的作用会随着时间的变化而变化,两组存在差异;除治疗前及治疗后第3天外,其余各时间点施氏吊伤膏组对活动度的影响均优于复方紫荆消伤膏组,且治疗前后组间存在交互效应,提示各个时间点对活动度的影响存在差异,且不同组对活动度的影响的作用会随着时间的变化而变化,两组存在差异;治疗前两组中医症状体征总积分差异无统计学意义(P>0.05),具有可比性,治疗后第10天以相关中医症状体征积分进行评价,治疗后施氏吊伤膏组总有效率为95.35%,复方紫荆消伤膏组总有效率为83.72%,差异有统计学意义(P<0.001)。结论:施氏吊伤膏在急性踝关节扭伤治疗中对患踝肿胀及活动度的改善优于复方紫荆消伤膏,总有效率优于复方紫荆消伤膏。

Objective:To study the advantages of Shi’s plaste in the treatment of acute ankle sprain and evaluate its effectiveness.Methods:The Shanghai Huangpu district Xiangshan hospital of traditional Chinese medicine orthopedics in January 2016 to June 2018 clinic patients of acute ankle sprains according to random numbers were randomly divided into Shi’s plaste group and compound Zijing plaste control group two groups,before treatment,treatment after 3 d,7 d,10 d,respectively,VAS score,joint swelling degree affected part,of an excellent efficiency evaluation of motion;Scores of TCM symptoms and signs were evaluated before and 10 d after treatment to evaluate the efficacy.Results:There was no significant difference in VAS score between the two groups before and after treatment.Before and after treatment,there were interaction effects with different treatment groups.It was suggested that VAS score at each time point was different,and the effect of different groups on VAS score would change with time,and there was no difference between the two groups.After treatment,the effect of Shi’s plaste group on swelling was better than that of compound Zijing plaste control group at all time points,and there were interaction effects between the two groups before and after treatment.It was suggested that the effects of different time points on swelling were different,and the effects of different groups on swelling would change with time,and there were differences between the two groups.From each time point,except before treatment and the third day after treatment,the effect of Shi’s plaste group on the activity was better than that of compound Zijing plaste control group at all other time points,and there were interaction effects between the two groups before and after treatment.It is suggested that the influence of each time point on the activity level is different,and the influence of different groups on the activity level will change with the change of time,and there are differences between the two groups.Treatment of two groups of symptoms and signs of traditional Chinese medicine before the total integral comparison difference has no statistical significance(P>0.05),comparable,10 d after treatment,to evaluate the associated symptoms and signs of traditional Chinese medicine integral,Shi’s plaste after treatment group total effective rate was 95.35%,compound Zijing plaste group total effective rate was 83.72%,the difference was statistically significant(P<0.001).Conclusion:In the treatment of acute ankle sprain,Shi’s plaste is superior to Zijing plaste group in the improvement of activity degree and total effective rate to Zijing plaste group in the treatment of ankle swelling.