摘要
目的:评价加压冷疗联合四黄散外敷对踝关节急性软组织损伤疼痛及肿胀程度的改善作用。方法:将180例踝关节急性软组织损伤患者随机分为2组各90例,治疗组予加压冷疗联合四黄散外敷加护踝外固定,对照组予扶他林软膏外敷加护踝外固定;2组均治疗2周,分别于治疗前、治疗后第14天和疗程结束后3月进行观察,记录疼痛及肿胀程度。结果:治疗14天、随访3月,2组患者疼痛视觉模拟评分法(VAS)评分、肿胀程度均较治疗前改善(P<0.05);且治疗组疼痛VAS评分、肿胀程度改善较对照组同时段更显著,差异均有统计学意义(P<0.05)。结论:加压冷疗联合四黄散外敷能够有效改善急性踝关节扭伤患者伤踝的疼痛程度及肿胀情况,具有良好的临床疗效。
Objective： To evaluate the improvement of pressurized cold therapy combined with external application of Sihuang powder for ankle acute soft tissue injury. Methods： Divided 180 cases of patients with ankle acute soft tissue injury into two groups randomly, 90 cases in each group. The treatment group was given pressurized cold therapy combined with external application of Sihuang powder and external fixation of ankle guard for treatment,while the control group was given external application of voltaren ointment and external fixation of ankle guard. The two groups received treatment for two weeks. Observed and recorded the degree of pain and swelling respectively before treatment,after treatment of 14 days and three months after treatment. Results：On the 14 th day of treatment and after three months of follow-up,VAS scores and the swelling degrees of patients in the two groups were improved when compared with those before treatment（P〈0.05）;and the improvement of VAS scores and the swelling degree in the treatment group was more obvious than those in the control group at the same period,differences being significant（P〈0.05）. Conclusion：The therapy of pressurized cold therapy combined with external application of Sihuang powder can effectively improve the degree of pain and swelling of patients with ankle acute soft tissue injury,which has good clinical effect.
作者
楼红侃
叶海
金甬
LOU Hongkan;YE Hai;JIN Yong
出处
《新中医》
CAS
2018年第7期108-110,共3页
New Chinese Medicine
基金
国家中医药管理局全国名老中医药专家传承工作室建设项目叶海全国名老中医药专家传承工作室(国中医药人教发[2016]42号)
关键词
踝关节急性软组织损伤
四黄散
加压冷疗
外敷
护踝外固定
Ankle acute soft tissue injury~ Sihuang powder
Pressurized cold therapy~ External application
Externalfixation of ankle guard
