中药热罨包联合RICE法治疗急性踝关节扭伤临床观察

Evaluation of the Effectiveness of Combined Use of Chinese Herbal Hot Compress and RICE Method for Acute Ankle Sprain

目的观察中药热罨包联合RICE法对急性踝关节扭伤(AAS)的效果。方法采用随机数字表法将92例AAS患者将分为观察组与对照组各46例。对照组采用RICE法进行处理,观察组在RICE的基础上联合中药热罨包。治疗2周后评估患者临床疗效,并比较中医证候积分,评估不同时间疼痛及肿胀情况(入院时、治疗1周及治疗2周)及不同时间踝关节功能恢复情况(入院时、治疗1周及治疗1个月),统计患者治疗期间不良反应。结果观察组治疗总有效率为91.30%,高于对照组的76.09%(P<0.05);两组患者治疗后中医主症、次症及总积分均降低(P<0.05),观察组各积分均低于对照组(P<0.05);与治疗前比较,2组患者治疗1周、治疗2周后的VAS评分、踝关节周长均降低(P<0.05),与治疗1周比较,两组患者治疗2周后的VAS评分、踝关节周长均降低(P<0.05);与对照组比较,观察组患者治疗1周、治疗2周后的VAS评分、踝关节周长均降低(P<0.05);与治疗前比较,两组患者治疗1周、治疗1个月Kofoed评分均升高(P<0.05),与治疗1周比较,两组AAS患者治疗1个月Kofoed评分均升高(P<0.05);与对照组比较,观察组治疗1周、治疗1个月Kofoed评分均升高(P<0.05);两组患者治疗期间均未见明显的不良反应。结论中药热罨包联合RICE法能够改善AAS患者临床症状,提高患者临床疗效,有利于踝关节功能恢复,且应用安全有效。

Objective:To observe the effectiveness of the combined use of Chinese herbal hot compress and RICE method for acute ankle sprain(AAS).Methods:92 patients with AAS were randomly divided into an observation group and a control group,each consisting of 46 patients,using a random number table method.The control group was treated with the RICE method,while the observation group received the RICE method combined with Chinese herbal hot compress.Clinical efficacy was assessed in both groups 2 weeks after treatment,and the TCM syndrome scores were compared.Pain and swelling at admission,after 1 week of treatment,and after 2 weeks of treatment,as well as ankle joint function at admission,after 1 week of treatment,and after 1 month of treatment,were evaluated.Adverse reactions during treatment were also recorded.Results:The total effective rate of treatment in the observation group was 91.30%,which was higher than the 76.09%in the control group(P<0.05).After treatment,the main symptoms,secondary symptoms,and total scores of TCM syndromes decreased in both groups(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).Compared with before treatment,the VAS scores and ankle circumference of both groups decreased after 1 week and 2 weeks of treatment(P<0.05).Compared with 1 week of treatment,the VAS scores and ankle circumference of both groups decreased after 2 weeks of treatment(P<0.05).Compared with the control group,the VAS scores and ankle circumference of the observation group decreased after 1 week and 2 weeks of treatment(P<0.05).Compared with before treatment,the Kofoed scores of both groups increased after 1 week and 1 month of treatment(P<0.05).Compared with 1 week of treatment,the Kofoed scores of both groups increased after 1 month of treatment(P<0.05).Compared with the control group,the Kofoed scores of the observation group increased after 1 week and 1 month of treatment(P<0.05).No significant adverse reactions were observed in either group during treatment.Conclusion:The combined use of Chinese herbal hot compress and RICE method can improve clinical symptoms in patients with AAS,enhance clinical efficacy,and facilitate ankle joint functional recovery,making it safe and effective.