施氏伤科散瘀和伤洗方联合强筋护踝功法治疗陈旧性踝关节扭伤的临床研究  

Efficacy of fuming and washing decoction of Shi’s orthopedics for dissipating stasis and harmonizing injury combined with exercise for strengthening sinew and protecting ankle

作　　者：蒋恩宇 刘光明 杨佳裕 孙波 季伟 JIANG Enyu;LIU Guangming;YANG Jiayu;SUN Bo;JI Wei(Huangpu District Xiangshan Hospital of Traditional Chinese Medicine,Shanghai 200020,China)

机构地区：[1]上海市黄浦区香山中医医院,上海200020

出　　处：《现代中西医结合杂志》2024年第7期906-910,916,共6页Modern Journal of Integrated Traditional Chinese and Western Medicine

基　　金：上海市卫生健康委员会中医药科研项目(2020LQ005)。

摘　　要：目的评价施氏伤科散瘀和伤洗方联合强筋护踝功法治疗陈旧性踝关节扭伤的临床疗效。方法将2020年8月—2022年11月于上海市黄浦区香山中医医院以及上海市黄浦区打浦桥街道社区卫生服务中心、上海市黄浦区五里桥街道社区卫生服务中心就诊的70例陈旧性踝关节扭伤患者随机分为试验组和对照组各35例,试验组使用施氏伤科散瘀和伤洗方联合强筋护踝功法治疗,对照组使用扶他林乳胶剂配合热毛巾外敷治疗,2组均治疗6周。比较2组治疗2周、4周、6周后及治疗后3个月、6个月的AOFAS踝与后足功能评分、踝关节疼痛视觉模拟评分法(VAS)评分、Cumberland踝关节不稳定评分,并比较2组不良反应发生情况及患者治疗6周的依从率。结果重复测量方差分析结果显示:AOFAS评分、Cumberland评分的时间单独效应、干预单独效应及干预×时间交互作用差异均有统计学意义(P均<0.05);VAS评分的干预单独效应及干预×时间交互作用差异均无统计学意义(P均>0.05),时间单独效应差异有统计学意义(P<0.05)。治疗后6个月,2组的AOFAS评分、Cumberland评分均明显高于治疗前(P均<0.05),VAS评分均明显低于治疗前(P均<0.05),且试验组治疗后6个月的AOFAS评分、Cumberland评分均明显高于对照组(P均<0.05)。试验组1例、对照组2例出现皮肤过敏,未影响治疗;2组治疗依从率比较差异无统计学意义(P>0.05)。结论施氏伤科散瘀和伤洗方联合强筋护踝功法治疗陈旧性踝关节扭伤可以取得满意的临床疗效,且操作简便易学,适合向广大基层医院推广。Objective It is to evaluate the clinical efficacy of fuming and washing decoction of Shi’s orthopedics for dissipating stasis and harmonizing injury combined with exercise for strengthening sinew and protecting ankle in the treatment of old ankle sprains.Methods Seventy patients with old ankle sprains treated at Huangpu District Xiangshan Hospital of Traditional Chinese Medicine,Dapuqiao Street Community Health Service Center and Wuliqiao Street Community Health Service Center from August 2020 to November 2022 were randomly divided into experimental group and control group,with 35 cases in each group.The experimental group was treated with fuming and washing decoction of Shi’s orthopedics for dissipating stasis and harmonizing injury combined with exercise for strengthening sinew and protecting ankle.The control group was Futalin emulsion combined with external application of hot towel,both groups were treated for 6 weeks.The AOFAS ankle and hindfoot function scores,visual analog scale(VAS)scores of ankle pain,and Cumberland ankle instability scores of the two groups were compared after 2,4,and 6 weeks of treatment,and at 3 and 6 months after treatment,the incidence of adverse reactions and the compliance rate of patients of the two groups after 6 weeks of treatment were also compared.Results Repeated-measures analysis of variance showed that the differences in time-alone effects,intervention-alone effects,and intervention×time interaction effects were statistically significant for the AOFAS score and Cumberland score(all P<0.05);the differences in intervention-alone effects and intervention×time interaction effects were not statistically significant for the VAS score(all P>0.05),and the differences in time-alone effects were statistically significant(all P<0.05).At 6 months after treatment,the AOFAS scores and Cumberland scores of the two groups were significantly higher than those before treatment(all P<0.05),while the VAS scores were significantly lower than those before treatment(all P<0.05),and the AOF

关 键 词：陈旧性踝关节扭伤 中药熏洗 功能锻炼 

分 类 号：R684.7[医药卫生—骨科学]