疗伤续筋巴布膏治疗急性踝关节扭伤的临床观察

Observation on the Therapeutic Effect of Liaoshang Xujin Cataplasm on Acute Ankle Sprain

目的观察疗伤续筋中药巴布膏治疗急性踝关节扭伤的临床疗效并探讨其作用机制。方法80例患者按随机数字表法分为对照组(40例,脱落4例)与治疗组(40例,脱落2例)。对照组36例患者按照PRICE原则处理;治疗组38例在对照组治疗基础上加用疗伤续筋中药巴布膏外敷联合治疗。1周为1个疗程,共治疗2个疗程。分别在治疗前、治疗3 d、治疗7 d、治疗14 d时,比较两组患者踝关节的VAS评分、肿胀程度、活动度;并评定两组临床疗效。结果治疗组总有效率为92.11%,高于对照组的80.56%(P<0.05)。两组治疗前VAS评分、肿胀程度和踝关节活动度比较,差别均不大(均P>0.05)。两组VAS评分、肿胀程度和踝关节活动度均随着时间改变呈下降趋势(均P<0.05)。两组在治疗的3、7、14 d,VAS评分均低于治疗前,且治疗组均低于对照组(均P<0.05)。两组治疗3、7、14 d的肿胀程度均低于治疗前,且治疗组治疗3、7 d肿胀程度均低于对照组(均P<0.05);两组治疗14 d时肿胀情况比较,差别不大(P>0.05)。两组治疗3、7、14 d的踝关节活动度受限均优于治疗前,且治疗组治疗3、7 d踝关节活动度受限度均优于对照组(均P<0.05),而两组治疗14 d时踝关节活动受限程度比较,差别不大(P>0.05)。两组治疗期间均无药物过敏等不良反应发生。结论疗伤续筋巴布膏外敷可有效改善急性踝关节扭伤患者疼痛、肿胀程度及关节活动度,加快患者康复。

Objective:To observe the clinical efficacy of Liaoshang Xujin Cataplasm in the treatment of acute ankle sprain.Methods:Patients with acute ankle sprain were randomly divided into a control group(40 cases,4cases of loss to follow-up)and a treatment group(40 cases,2 cases of loss to follow-up)using a random number table method.The control group was treated according to the principle of PRICE;on the basis of the control group,the treatment group was treated with the combination of external application of Liaoshang Xujin Cataplasm for healing and promoting tendons.The cataplasm was replaced every 24 hours,with a treatment period of 1 week.Patients were treated for 2 courses.The VAS score,swelling degree,and range of motion of the ankle joints between the two groups of patients before treatment,at 3 days,7 days,and 14 days of treatment were compared;the clinical efficacies of two groups were also evaluated.Results:The total effective rate of the treatment group was 92.11%,which was higher than 80.56%(P<0.05)of the control group.In terms of pain relief,there was a significant difference in the VAS scores between the treatment group and the control group before and after treatment,both of which were statistically significant(P<0.05);at the 3rd,7th,and 14th day of treatment,the VAS scores of the treatment group were lower than those of the control group,and the differences were statistically significant(P<0.05).In terms of eliminating swelling,there was a significant difference between the treatment group and the control group before and after treatment in the degree of ankle joint swelling,both of which were statistically significant(P<0.05);after 3 and 7 days of treatment,the degree of swelling in the treatment group was lower than that in the control group,and the difference was statistically significant(P<0.05).In terms of ankle joint mobility,there was a significant difference between the treatment group and the control group before and after treatment in the limited degree of ankle joint mobility,both of which were statistically significant(P<0.05);after 3 and 7 days of treatment,the limited degree of ankle joint mobility in the treatment group was smaller than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Liaoshang Xujin Cataplasm can effectively improve the VAS score,swelling degree,and joint mobility of patients with acute ankle sprain,accelerating patient recovery.