复元活血汤联合弃杖膏治疗急性踝关节扭伤的临床观察  

Clinical Observation of Fuyuan Huoxue Tang Combined with Qizhang Gao for Treating Patients with Acute Ankle Injury

作　　者：张清[1,2] 杨功旭[1,2] 董石磊[1,2] 钟传棋 ZHANG Qing;YANG Gongxu;DONG Shilei;ZHONG Chuanqi(Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430061 ,China;Hubei Province Academy of Traditional Chinese Medicine, Wuhan 430074, China.)

机构地区：[1]湖北省中医院,武汉430074 [2]湖北省中医药研究院

出　　处：《中国中医骨伤科杂志》2018年第5期19-22,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：中国中医科学院基础理论研究所"院所协同创新基金"(YZ-1619)

摘　　要：目的:观察复元活血汤联合弃杖膏外敷治疗急性踝关节扭伤的临床疗效。方法:采取前瞻性随机对照研究方法,将门诊治疗的60例踝关节扭伤患者随机分为两组,每组30例。治疗期间两组患者均行弹力绷带8字固定,对照组患者加压包扎治疗并给予内服复元活血汤治疗,在受损初期(24h内)常规采用冰敷,观察组内服复元活血汤联合弃杖膏外敷。两组患者治疗疗程均为2周。分别采用视觉模拟评分(VAS)、踝与后足评分量表(AOFAS)、踝关节扭伤疗效分级评定标准等,对两组患者治疗前、治疗后1周、治疗后2周进行比较和疗效评价。结果:治疗前两组间踝关节损伤、VAS评分及AOFAS评分差异无统计学意义(P>0.05)。治疗后第1周,观察组VAS评分低于对照组、AOFAS评分高于对照组,差异有统计学意义(P<0.05);至治疗后第2周,观察组VAS评分及AOFAS评分差异无统计学意义(P>0.05)。结论:复元活血汤联合弃杖膏外敷治疗急性踝关节扭伤效果显著,有助于及时减轻患者疼痛及促进功能恢复。Objective：To observe the clinical effect of Fuyuan Huoxue Tang combined with Qizhang Gao for treating acute ankle injury.Methods：A prospective randomized controlled study was conducted,in which 60 patients with ankle sprain were randomly divided into two groups：30 patients in each.During the treatment,the patients in both groups were fixed with 8 words of elastic bandage,the patients in the controlled group were treated with ice and compression at the early stage of injury（within 24 hours）.After the treatment,the patients were treated with Fuyuan Huoxue Tang.The observed group was treated combined with Qizhang Gao and Fuyuan Huoxue Tang.The patients in two groups were treated for 2 weeks.The patients were evaluated by visual analogue scale（VAS）,ankle and hindfoot score scale（AOFAS）and evaluation criteria of ankle sprain and evaluated according to the time of prior treatment one and two weeks after treatment respectively.Results：There was no significant difference at the degree of ankle injury,VAS score and AOFAS score between the two groups at baseline（P〉0.05）.At the first week after treatment,the VAS score of the observed group was lower than that of the controlled group,and the AOFAS score of the observed group was higher than that of the controlled group（P〈0.05）.There was no significant difference both in the VAS score and AOFAS score in the observed group（P〉0.05）.Conclusion：Fuyuan Huoxue Tang combined with Qizhang Gao is effective for treating the acute ankle sprain.In addition,it is helpful to reduce the pains on the injured ankle and enhance recovery capacity of the functional.

关 键 词：急性踝关节扭伤 复元活血汤 弃杖膏 临床观察 

分 类 号：R684.7[医药卫生—骨科学]