自制石膏止痛软膏外敷对早期踝关节扭伤的治疗效果  

Therapeutic effect of self-made plaster analgesic ointment for external application on early ankle sprain

作　　者：曾远[1] 陈嘉怡[1] 何锦安 ZENG Yuan;CHEN Jiayi;HE Jin′an(The Second Department of Orthopaedics,Zhongshan Hospital of Traditional Chinese Medicine,Guangdong Province,Zhongshan528400,China)

机构地区：[1]广东省中山市中医院骨二科,广东中山528400

出　　处：《中国当代医药》2022年第21期70-74,共5页China Modern Medicine

摘　　要：目的探讨自制石膏止痛软膏外敷治疗早期踝关节扭伤的临床效果。方法选取2018年7月1日至2020年6月30日广东省中山市中医院骨二科收治的80例早期踝关节扭伤患者作为研究对象,按照随机数字表法分为对照组与观察组,每组各40例。对照组采用口服塞来昔布胶囊镇痛治疗的方法,观察组采用口服塞来昔布胶囊镇痛的基础上外敷医院自制剂石膏止痛软膏的方法。比较两组患者的治疗效果、治疗后不同时间点的疼痛好转情况和症状改善情况,并记录两组患者瘀斑和关节肿胀消退时间。结果观察组的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。观察组患者的肢体压痛、皮肤瘀斑程度以及关节功能障碍评分低于对照组,差异有统计学意义(P<0.05)。治疗3 d后及治疗1、2周后,观察组患者的视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05)。观察组患者的瘀斑消退时间、肿胀消退时间短于对照组,差异有统计学意义(P<0.05)。观察组患者的各项踝关节扭伤症状积分量表(ASI)评分低于对照组,差异有统计学意义(P<0.05)。结论早期踝关节扭伤患者通过自制石膏止痛软膏外敷后临床症状显著缓解,治疗效果显著。Objective To explore and analyze the clinical effect of external application of plaster analgesic ointment in patients with early ankle sprain.Methods A total of 80 patients with early ankle sprain treated in the Second Department of Orthopaedics,Zhongshan Hospital of Traditional Chinese Medicine,Guangdong Province from July 1,2018 to June 30,2020 were selected as research objects,they were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was treated with oral Celecoxib Capsule for analgesia,the observation group was treated with oral Celecoxib Capsule and external application of plaster analgesic ointment,a self-made agent of Zhongshan Hospital of Traditional Chinese Medicine.The treatment effect,symptom and pain improvement at different time points after treatment were compared between the two groups,and the regression time of ecchymosis and joint swelling were recorded.Results The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The scores of limb tenderness,the degree of skin ecchymosis and the joint dysfunction in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After 3 d,1 and 2 weeks of treatment,the visual analogue scale(VAS)scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The regression time of ecchymosis and swelling in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The scores of ankle symptom index(ASI)in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion The clinical symptoms of patients with early ankle sprain can be significantly relieved after external application of self-made plaster analgesic ointment.

关 键 词：早期踝关节扭伤 局部肿胀 自制石膏止痛软膏 外敷 瘀斑消退时间 

分 类 号：R274.9[医药卫生—中西医结合]