二乌止痛散外敷治疗急性踝关节扭伤的疗效观察

目的观察二乌止痛散外敷治疗急性踝关节扭伤的疗效。方法选取2021年1月至2022年9月台州市黄岩区中医院骨伤科收治的急性踝关节扭伤患者60例,采用随机数字表法分为对照组与观察组,每组各30例,对照组在POLICE治疗原则上予以扶他林外用处理,观察组在POLICE治疗原则上予以二乌止痛散外敷于患处,比较两组患者治疗前后1周和2周时的VAS疼痛评分及AOFAS踝关节功能评分。结果两组患者在治疗期间均未发生不良反应。组内治疗前后VAS疼痛评分及AOFAS踝关节功能评分比较,差异有统计学意义(P<0.05)。两组治疗后VAS评分及AOFAS评分比较,差异有统计学意义(P<0.05)。结论二乌止痛散外敷治疗急性踝关节扭伤疗效显著,可明显缓解患者踝关节疼痛,提高踝关节功能,加速踝关节康复,值得临床推广。

Objective To observe the clinical effect of Erwuzhitong Powder on acute ankle sprain.Methods Sixty patients with acute ankle sprains admitted to the Orthopaedic Trauma Department of Taizhou Huangyan District Hospital of Traditional Chinese Medicine were selected from January 2021 to September 2022,and were divided into a control group and an observation group using the random number table method,with 30 cases in each group.The control group was treated with voltaren externally on the principle of POLICE treatment,and the observation group was treated with Erwuzhitong Powder applied externally on the affected area on the principle of POLICE treatment,and the patients of the two groups were compared with the visual analogue scoring(VAS)pain score and American Orthopaedic Foot&Ankle Society(AOFAS)ankle function score at 1 week and 2 weeks before and after treatment.The VAS pain score and AOFAS ankle function score of the two groups were compared before and after treatment at 1 week and 2 weeks.Results There were no adverse reactions in both groups during the treatment.Comparison of VAS pain scores and AOFAS ankle function scores before and after treatment within the group,the difference was statistically significant(P<0.05).Comparison of VAS score and AOFAS score after treatment in both groups,the difference was statistically significant(P<0.05).Conclusion Erwuzhitong Powder external application in the treatment of acute ankle sprain has a significant clinical effect,which can significantly relieve ankle pain,improve ankle function and accelerate ankle rehabilitation,which is worthy of clinical promotion.