纸夹板联合跌打万应膏治疗踝关节急性软组织损伤的临床研究  

Clinical Study on the Treatment of Acute Soft Tissue Injury of Ankle Joint by Paper Splint Combined with Dieda Wanying Ointment

作　　者：甄朋超[1] 王庆甫 戚晴雪[1] 赵环宇[1] 刘钢[1] ZHEN Pengchao;WANG Qingfu;QI Qingxue;ZHAO Huanyu;LIU Gang(Huguo Temple Chinese Medicine Hospital Affiliated to Beijing University of Chinese Medicine,Beijing 100035,China;The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学附属护国寺中医医院,北京100035 [2]北京中医药大学第三附属医院,北京100035

出　　处：《中国中医骨伤科杂志》2020年第11期22-25,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：北京市西城区卫生健康委员会青年科技人才培养项目(XWKX2020-04);北京中医药“薪火传承3+3”工程。

摘　　要：目的:观察纸夹板联合跌打万应膏治疗踝关节急性软组织损伤的治疗效果。方法:将60例本病患者随机分为治疗组(30例)和对照组(30例)。治疗组采用纸夹板联合跌打万应膏治疗,对照组采用RICE(休息、冰敷、加压包扎、抬高患肢)疗法配合双氯酚酸二乙酰乳胶剂外敷,治疗2周后观察两组患者治疗前后中医证候积分、AOFAS评分、FFAM评分差异及血清肿瘤坏死因子α(TNF-α),白细胞介素-1β(IL-1β),白细胞介素-6(IL-6)变化并评价疗效。结果:疗程结束后治疗组总有效率为90.0%,明显高于对照组的73.3%;治疗后两组AOFAS评分及FFAM评分较治疗前均升高,差异有统计学意义(P<0.05),且治疗组的评分高于对照组,差异有统计学意义(P<0.05);治疗后两组中医证候积分以及血清TNF-α,IL-1β,IL-6数值较治疗前均下降,差异有统计学意义(P<0.05),且治疗组的评分低于对照组,差异有统计学意义(P<0.05)。结论:纸夹板联合跌打万应膏治疗踝关节急性软组织损伤效果明显,其作用机制可能与控制炎症因子有关。Objective:To observe the therapeutic effect of paper splint combined with Dieda Wanying ointment on acute soft tissue injury of ankle joint.Methods:60 patients were randomly divided into treatment group(30 cases)and control group(30 cases).The treatment group was treated with paper splint combined with Dieda Wanying ointment,and the control group was treated with RICE(rest,ice,compression,elevation)and diclofenac diethylamine emulgelas external application.After 2 weeks of treatment,the differences of TCM syndrome score,AOFAS score,FFAM score,and the changes of serum TNF-α,IL-1βand IL-6 between the two groups before and after treatment were observed and evaluated.Results:The total effective rate of the treatment group was 90.0%after the course of treatment,which was significantly higher than that of the control group(73.3%).AOFAS score and FFAM score in the two groups increased after treatment(P<0.05),and the score in the treatment group was higher than that in the control group(P<0.05).After treatment,the TCM syndrome score and serum TNF-α,IL-1β,IL-6 values in the two groups were lower than those before treatment(P<0.05),and the score in the treatment group were lower than those in the control group(P<0.05).Conclusion:Paper splint combined with Dieda Wanying ointment is effective in the treatment of acute soft tissue injury of ankle joint,and its mechanism may be related to the control of inflammatory factors.

关 键 词：纸夹板 跌打万应膏 踝关节 急性软组织损伤 

分 类 号：R686[医药卫生—骨科学]