定痛膏治疗骨科急慢性疼痛回顾性分析  

Retrospective Analysis of Dingtong Ointment for Acute and Chronic Pain of Orthopedics Department

作　　者：孙毅东 陈宝婷 李玲玲 叶凌云 林爱华 SUN Yidong;CHEN Baoting;LI Lingling;YE Lingyun;LIN Aihua

机构地区：[1]广州中医药大学第二附属医院珠海医院,广东珠海519015

出　　处：《新中医》2018年第3期100-103,共4页New Chinese Medicine

基　　金：珠海市医疗卫生科技计划项目(2015A0001)

摘　　要：目的:观察定痛膏治疗骨科急慢性疼痛的有效性和安全性。方法:回顾分析本院100例骨科急慢性疼痛患者的病历资料,将采用定痛膏治疗的70例患者纳入治疗组,采用复方南星止痛膏治疗的30例患者纳入对照组。分析2组的治疗效果及治疗前后视觉模拟评分法(VAS)评分、临床症状评分的变化。结果:治疗3天,2组VAS评分及临床症状评分均较治疗前下降,差异均有统计学意义(P<0.05)。治疗7天,2组VAS评分及临床症状评分均较治疗3天时下降,差异均有统计学意义(P<0.05)。2组VAS评分及临床症状评分治疗前后差值比较,差异均无统计学意义(P>0.05)。治疗组总有效率94.29%,对照组总有效率96.67%,2组比较,差异无统计学意义(P>0.05)。治疗组发生皮肤瘙痒1例,缩短每天敷药时间后自行缓解。结论:定痛膏治疗骨科急慢性疼痛具有良好的疗效及安全性。Objective：To observe the effectiveness and safety of applying Dingtong ointment for acute and chronic pain of orthopedics department. Methods：Reviewed and analyzed medical records of 100 patients with acute and chronic pain of orthopedics department in our hospital,and divided them into the treatment group being 70 cases which received Dingtong ointment for treatment,and the control group being 30 cases which received compound Nanxing Zhitong ointment. Analyzed curative effect in two groups and the changes of scores of visual analogue scales（VAS） and clinical symptoms. Results：In the 3rd day of treatment,the scores of VAS and clinical symptoms in both groups were reduced in comparison with those before treatment,differences being significant（P〈0.05）;in the 7 th day of treatment,these two scores in both groups were declined in comparison with those in the 3rd day of treatment,differences being significant（P〈0.05）. No difference was found when comparing the differences of the two scores in both groups before and after treatment（P〈0.05）. The total effective rate was 94.29% in the treatment group and was 96.67% in the control group,the difference was not statistically significant（P〈0.05）.There was one case of patient with itch of skin being found in the treatment group,which got spontaneous remission after shortening the application time. Conclusion：Applying Dingtong ointment for acute and chronic pain in orthopedics departmen thas good curative effect and safety.

关 键 词：急慢性疼痛 骨科 定痛膏 复方南星止痛膏 视觉模拟评分法(VAS) 临床症状评分 

分 类 号：R68[医药卫生—骨科学]