扭伤散联合纸夹板外固定治疗急性踝关节扭伤的疗效及优势  

Efficacy and Advantages of Niushang Powder Combined with Paper Splint External Fixation on the Treatment of Acute Ankle Sprain

作　　者：陈阳 仓挺松 吴骏 曹峰 王星华 CHEN Yang;CANG Tingsong;WU Jun;CAO Feng;WANG Xinghua(Orthopaedics and Traumatology Department,Suzhou Hospital of Integrated Traditional Chinese and Western Medicine,Suzhou 215000,Jiangsu China)

机构地区：[1]苏州市中西医结合医院骨伤科,江苏苏州215000

出　　处：《中国中医骨伤科杂志》2023年第11期12-17,共6页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：苏州市科技发展计划项目(SYSD2020235)。

摘　　要：目的:探讨扭伤散联合纸夹板外固定治疗急性踝关节扭伤(Acute Ankle Sprain,AAS)的临床疗效和安全性,为其推广应用提供临床数据。方法:选取2020年1月至2022年12月就诊的急性踝关节扭伤患者作为研究对象,按照随机数字表法分为基础组、对照组和治疗组。所有患者均遵循POLICE原则,基础组按基础治疗处理,对照组和治疗组在基础治疗的基础上,分别予氟比洛芬凝胶贴膏和扭伤散外敷进行治疗。各组均使用纸夹板进行外固定,治疗疗程为14 d,第3,7,14天复查随访,比较三组患者的临床疗效,记录治疗前、治疗后第3,7,14天的疼痛视觉模拟量表(VAS)评分、踝关节评分量表评分(Kofoed评分)、肿胀评分和不良反应,以评估其疗效及安全性。结果:本试验共纳入获得完整随访的急性踝关节扭伤患者180例,其中基础组58例,对照组62例,治疗组60例,各组患者的基线资料、VAS评分、Kofoed评分和肿胀评分差异无统计学意义(P>0.05)。治疗结束后,三组的总有效率分别为75.87%,91.94%和90.00%,对照组和治疗组间的疗效差异无统计学意义(P>0.05)。治疗后,三组患者在各时间点的VAS评分和肿胀评分均较前明显降低,Kofoed评分明显提高,疼痛程度、功能和活动度均较前改善,对照组和治疗组均优于基础组,差异有统计学意义(P<0.05),但对照组和治疗组间的差异无统计学意义(P>0.05)。治疗过程中,对照组和治疗组分别出现2例对膏药过敏事件,症状轻微,予对症处理后症状缓解,未出现其他不良反应。结论:扭伤散联合纸夹板治疗急性踝关节扭伤,具有不劣于氟比洛芬凝胶贴膏的镇痛、消肿、改善功能障碍的临床疗效,且安全性高,更加价廉易得,值得临床推广应用。Objective:To investigate the clinical efficacy and safety of sprain dispersion combined with paper splint external fixation on the treatment of acute ankle sprain(AAS),and to provide clinical data to support its promotion and application.Methods:Patients with AAS were selected as the study subjects and divided into the basic group,control group and treatment group according to the random number table method from January 2020 to December 2022.All patients were treated according to the POLICE principle.The basic group was treated according to the basic treatment,while the control group and the treatment group were treated with flurbiprofen gel paste and topical application of sprain dispersion on top of the basic treatment.All groups were treated with external fixation using a paper splint for 14 d and the treatment course was followed up on days 3,7 and 14.The efficacy and safety were evaluated.Results:A total of 180 patients with AAS who received complete follow-up were included in this trial,including 58 patients in the base group,62 patients in the control group and 60 patients in the treatment group.There were no statistical differences in the baseline data levels,visual analogue scale(VAS)scores,Kofoed scores and swelling scores between the groups(P>0.05).The overall effective rates of the three groups were 75.87%,91.94%and 90.00%respectively,with no statistically significant differences in efficacy between the control and treatment groups at the end of treatment(P>0.05).Patients in all three groups after treatment had significantly lower VAS scores and swelling scores,significantly higher Kofoed scores,and improved pain levels,function and mobility at all time points compared to before,with both the control and treatment groups outperforming the base group(P<0.05),but the difference between the two groups was not statistically significant(P>0.05).There were two cases of allergy to the plaster in the control group and two cases in the treatment group respectively during the treatment.The symptoms were mild an

关 键 词：踝关节扭伤 扭伤散 纸夹板 外固定 

分 类 号：R684.7[医药卫生—骨科学]