改良型双乌祛痛膏治疗急性踝关节扭伤的疗效观察  

Effect of Modified Shuangwu Qutong Ointment on Acute Ankle Sprain

作　　者：史长龙[1] 孟州令 刘劲松[1] 张威[1] 吕光 王建楠 郭长青 邵帮伟 李路广 张学思 SHI Changlong;MENG Zhouling;LIU Jingsong;ZHANG Wei;LYN Guang;WANG Jiannan;GUO Changqing;SHAO Bangwei;LI Luguang;ZHANG Xuesi(Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China;Beijing University of Chinese Medicine,Beijing 100029,China;Combined Orthopedic Ward of Gu'an Hospital of Traditional Chinese Medicine,Langfang 065500,Hebei China.)

机构地区：[1]中国中医科学院望京医院,北京100102 [2]北京中医药大学 [3]河北固安县中医院骨科联合病房

出　　处：《中国中医骨伤科杂志》2020年第8期26-30,35,共6页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：中国中医科学院望京医院院级课题(WJYY2018-03)。

摘　　要：目的:观察改良型双乌祛痛膏治疗急性踝关节扭伤的临床疗效。方法:选取急性踝关节扭伤患者120例,采用随机数字表法随机分为A组(改良型双乌祛痛膏)和B组(双乌祛痛膏)和C组(冰敷联合扶他林软膏)。每组各40例,疗程14 d,1个月后随访。对三组患者治疗前、第7天、第14天及随访期的VAS,AOFAS踝-后足评分及临床疗效进行比较。结果:治疗后和随访期三组的VAS及AOFAS踝-后足评分与治疗前差异均有统计学意义(P<0.017)。治疗后第7天VAS及AOFAS踝-后足评分比较,A和B组分别与C组差异均有统计学意义(P<0.05),A组与B组差异无统计学意义(P>0.05)。治疗后第14天VAS及AOFAS踝-后足评分比较,三组间两两比较差异均有统计学意义(P<0.05)。随访期三组间VAS评分两两比较差异无统计学意义(P>0.05),随访期AOFAS踝-后足评分比较,A和B组分别与C组比较,差异均无统计学意义(P>0.05),A组与C组比较差异有统计学意义(P<0.05)。治疗14 d后三组间的临床疗效两两比较,差异均有统计学意义(P<0.017);随访期A和C组分别与B组的临床疗效两两比较,差异均无统计学意义(P>0.017),A与C组的临床疗效比较差异有统计学意义(P<0.017)。结论:改良型双乌祛痛膏治疗急性踝关节扭伤,在缓解疼痛和恢复踝关节功能等方面疗效更显著,安全性好,随访期疗效更稳定。Objective:To observe the clinical efficacy of modified Shuangwu Qutong ointment on the treatment of acute ankle sprain. Methods:120 patients with acute ankle sprain were randomly divided into group A(modified Shuangwu Qutong ointment),group B(Shuangwu Qutong ointment),group C(ice application combined with Futalin ointment) with 40 cases in each group. The course of treatment was 14 d with followed up one month later. The VAS,AOFAS scores and clinical efficacy of the three groups were documented before treatment and the 7 th,14 th and 30 th day after treatment. Results:There were significant differences in VAS and AOFAS scores between the three groups after treatment and before treatment(P<0.017).There were significant differences in VAS and AOFAS scores between group A and group B and group C 7 d after treatment(P<0.05),but there was no significant difference between group A and group B(P>0.05). There were significant differences in VAS and AOFAS scores among three groups on the 14 th day after treatment(P<0.05). During the follow-up period,there was no significant difference in VAS score between the two groups(P>0.05),and no significant difference in AOFAS score was found among group A and C(P>0.05),and there was significant difference between group A and group C(P<0.05).There was statistically significant difference in clinical efficacy between each two groups(P<0.017),during the follow-up period,there was no significant difference between A,B and C groups(P>0.017),and there was statistically significant difference in clinical efficacy between group A and C(P<0.017). Conclusion:The improved Shuangwu Qutong ointment is more effective and safe on the treatment of acute ankle sprain in the aspects of pain relief and ankle function recovery,and has more stable effect in the follow-up period.

关 键 词：改良型双乌祛痛膏 氮酮 急性踝关节扭伤 疗效观察 

分 类 号：R684.7[医药卫生—骨科学]