排针联合桃红四物汤治疗足踝部早期急性骨筋膜室综合征的效果观察  

The observation on the therapeutic effect of Pai acupuncture combined with Taohong Siwu decoction on early acute compartment syndrome in the foot and ankle region

作　　者：张辉 ZHANG Hui(Department of Orthopedics,Yangxin County Traditional Chinese Medicine Hospital,Binzhou,251800,Shandong,China)

机构地区：[1]阳信县中医医院骨科,山东滨州251800

出　　处：《大医生》2024年第1期43-46,共4页Doctor

摘　　要：目的 研究排针联合桃红四物汤治疗足踝部早期急性骨筋膜室综合征(ACS)的效果,为临床提供参考。方法 回顾性分析2021年7月至2023年5月阳信县中医医院收治的186例足踝部早期ACS患者的临床资料,根据治疗方法不同分为观察组(96例,给予排针联合桃红四物汤治疗)和对照组(90例,给予七叶皂苷钠治疗)。比较两组患者疗效、炎症因子[C反应蛋白(CRP)、白细胞介素-6(IL-6)及肿瘤坏死因子-α(TNF-α)]水平及美国足踝外科协会(AOFAS)踝-后足评分。结果 观察组患者整体疗效优于对照组(P<0.05)。治疗3 d后,两组患者CRP、TNF-α及IL-6水平均低于治疗前,且观察组均低于对照组(均P<0.05)。两组患者治疗3 d后和治疗后3个月的AOFAS踝-后足评分均高于治疗前,且观察组高于对照组(P<0.05)。结论 排针联合桃红四物汤治疗足踝部早期ACS患者的效果显著,可降低患者炎症因子水平,促进足踝功能恢复。Objective To study the effect of combination of Pai acupuncture and Taohong Siwu decoction on the treatment of early acute compartment syndrome(ACS)in the foot and ankle region to provide reference for clinical practice.Methods The clinical data of 186 patients with early ACS in the foot and ankle region admitted to Yangxin County Traditional Chinese Medicine Hospital from July 2021 to May 2023 were retrospective analysis.According to different treatment methods,they were divided into the observation group(96 cases,treated with Pai acupuncture combined with Taohong Siwu decoction)and the control group(90 cases,treated with sodium aescinate).The efficacy,inflammatory cytokines[C-reactive protein(CRP),interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)]and American Orthopaedic Foot and Ankle Society(AOFAS)ankle-posterior foot score between two groups of patients were compared.Results The overall efficacy of the observation group was better than that of the control group(P<0.05).After 3 days of treatment,the levels of CRP,IL-6 and TNF-αin the two groups of patients were lower than those before treatment,and the levels of the inflammatory factors of the observation group were lower than those of the control group(P<0.05).The AOFAS ankle-posterior foot scores of the two groups of patients after 3 days of treatment and 3 months after treatment were higher than those before treatment,and the score of the observation group were higher those of than the control group(P<0.05).Conclusion Pai acupuncture combined with Taohong Siwu decoction has significant therapeutic effect on early ACS patients in the foot and ankle region,which can reduce the level of inflammatory factors and promote the recovery of foot and ankle function.

关 键 词：排针 桃红四物汤 足踝部 急性骨筋膜室综合征 

分 类 号：R686[医药卫生—骨科学]