| 摘要: |
| 目的：观察自拟外伤 1 号方熏洗治疗Ⅰ - Ⅱ度急性踝关节扭伤的疗效。方法：共纳入 78 例Ⅰ - Ⅱ度急性踝关节扭伤患者，根据就诊顺序按照随机数字表法随机分成治疗组和对照组各 39 例。对照组使用弹力绷带缠绕足背至踝上后支具固定踝关节于功能位 3 周；治疗组在对照组基础上加用自拟外伤 1 号方熏洗治疗。随访观察治疗前和治疗后第 1、2、3、4 周， 从踝关节疼痛、肿胀程度和功能等方面评价治疗效果。结果：治疗组治疗后第 1、2 周 VAS 评分为（3.21±0.40 分、2.38±0.23分），明显低于对照组（4.89±0.47 分、4.02±0.15 分），差异比较有统计学意义 (P<0.05)。治疗后第 3、4 周 VAS 评分比较，差异无统计学意义（P>0.05）。治疗后第 2、3、4 周踝关节肿胀程度 [（1.30±0.22） cm、（0.75±0.20）cm、（0.35±0.10）cm] 明显低于对照组 [（2.41±0.19）cm、（1.88±0.26）cm、（1.65±0.18）cm]，差异比较有统计学意义 (P<0.05)。伤后第 4 周，治疗组踝关节功能优良率（90%）明显优于对照组（67%）（P<0.05）。结论：自拟外伤 1 号方熏洗治疗Ⅰ - Ⅱ度急性踝关节扭伤，疗效确切，具有经济实惠，副作用较少等优点，但观察时间尚短，存在一定的局限性，远期疗效尚待 进一步随访研究。 |
| 关键词: 外伤 1 号方 熏洗疗法 急性踝关节扭伤 |
| DOI：10.3969/j.issn.1007-6948.2019.05.022 |
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| 基金项目:浙江省中医药科技计划项目（2016ZB108） |
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| Clinical Effect of Self-drawn Decoction Fuming-Washing Therapy in Treatment of Acute Ankle Sprain (I-II) |
| YUE Zhen-shuang,TANG Yang-hua,HU Zhong-qing |
| Traditional Chinese Medical Hospital of Xiaoshan, Hangzhou (311201), China |
| Abstract: |
| Objective To observe the clinical effect of self-drawn decoction fuming-washing therapy for treating acute ankle sprain (I-II). Methods Seventy-eight patients with acute ankle sprain (I-II) were enrolled and randomly divided into control and treatment groups (n=39). Both groups were treated with elastic bandage to wrap the foot and ankle joint and the ankle joint was ?xed in the functional position for three weeks with the position brace, while the patients in treatment group were additionally given self-drawn decoction fuming-washing therapy. All patients were followed up before and after 1, 2, 3 and 4 weeks of treatment. The therapeutic effects were evaluated in terms of ankle pain, swelling degree and function. Results The VAS scores of the treatment group (3.21±0.40 and 2.38±0.23) at week 1 and 2 after treatment were signi?cantly lower than those of the control group (4.89±0.47 and 4.02±0.15) with signi?cant difference (P<0.05), while the VAS scores at week 3 and 4 after treatment showed no signi?cant difference (P>0.05). The swelling degrees of ankle [(1.30±0.22) cm, (0.75±0.20) cm and (0.35±0.10) cm] at week 2, 3 and 4 after treatment were signi?cantly lower than those in the control group [(2.41±0.19) cm, (1.88±0.26) cm and (1.65±0.18) cm] with signi?cant difference (P<0.05). The good rate of the treatment group (90%) after 4 weeks of treatment was better than that of the control group (67%) with signi?cant difference (P<0.05). Conclusion The clinical effect of self-drawn decoction fuming-washing therapy for treating acute ankle sprain ( Ⅰ-Ⅱ ) is positive. However, this study also has some shortcomings, such as the shorter observation time, certain limitation and so on, and the long-term curative effect remains to be further follow-up study. |
| Key words: Self-drawn decoction fuming-washing therapy acute ankle sprain |
