急性外踝韧带损伤中药外治方案专家共识  

Expert consensus on Chinese external treatment protocol for acute external ankle ligament injury

作　　者：张磊[1] 胡跃林[2] 华英汇[3] 王雪松[4] 陈天鑫 ZHANG Lei;HU Yue-lin;HUA Ying-hui;WANG Xue-song;CHEN Tian-xin(Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China;Peking University Third Hospital,Beijing 100191,China;Huashan Hospital Affiliated to Fudan University,Shanghai 200040,China;Beijing Jishuitan Hospital,Beijing 100035,China)

机构地区：[1]中国中医科学院望京医院,北京100102 [2]北京大学第三医院,北京100191 [3]复旦大学附属华山医院,上海200040 [4]北京积水潭医院,北京100035

出　　处：《中国骨伤》2024年第11期1135-1140,共6页China Journal of Orthopaedics and Traumatology

基　　金：中国中医科学院科技创新工程-重大攻关项目(编号:CI2021A02009)。

摘　　要：急性外踝韧带损伤是一种常见的关节运动损伤类型,随着近年来运动人群的增加,患病人数也呈现上升趋势。急性韧带损伤如果早期处理不当,可能出现慢性疼痛、关节不稳等症状,严重者需考虑手术治疗。中医药有着悠久的历史,对于韧带损伤的诊治积累了丰富经验,临床实践中,中医药与现代医学的诊疗方式相互结合。针对急性韧带损伤早、中、晚3个时期不同阶段组织损伤及修复特点,专家组总结相关研究证据,形成中药三期论治方案,并首次提出“凉血止血、活血化瘀、和营生新”三期中药外治方案。为提高医务工作者对急性韧带损伤的诊疗水平,实现急性外踝韧带损伤诊疗的标准化、规范化,基于临床研究证据、临床经验,采用德尔菲法结合专家讨论,最终形成专家共识。Acute lateral ankle ligament injuries represent a prevalent form of joint sports trauma,with their occurrence increasing alongside the expanding sports demographic.Inadequate initial management of these injuries can precipitate chronic pain,joint instability,and related complications,sometimes necessitating surgical intervention.Chinese medicine,renowned for its long history and extensive experience in treating ligament injuries,is frequently integrated with modern medical practices for a comprehensive treatment approach.Addressing the distinct phases of tissue damage and repair in acute ligament injuries-early,middle,and late-expert group summarizes relevant research evidence and develops a three-stage treatment plan for Chinese medicine,and a new three-phase external treatment protocol was proposed by experts.The focus of the proposed protocol is on"cooling blood to stop bleeding,activating blood circulation and removing stasis,and harmonizing and regenerating new tissue,"tailored to the specific characteristics of each stage.To enhance the diagnostic and treatment capabilities of healthcare professionals and standardize the management of acute lateral ankle ligament injuries,an expert consensus was formulated using a combination of clinical research,practical experience,and the Delphi method.The aim of the consensus is to refine the accuracy and efficacy of diagnosis and treatment through evidence-based practices and expert opinions.

关 键 词：急性韧带损伤 中药外治 三期论治 专家共识 

分 类 号：R274.9[医药卫生—中西医结合] R289.6[医药卫生—中医骨伤科学]