急性闭合性软组织损伤处理原则的研究进展  

Research Progress in Treatment Principles of Acute Closed Soft Tissue Injuries

作　　者：张冰颖 张霄瀚 钱驿 唐文博 高奉[2,3] 周敬滨[3,4] ZHANG Bingying;ZHANG Xiaohan;QIAN Yi;TANG Wenbo;GAO Feng;ZHOU Jingbin(School of Sports Medicine and Rehabilitation,Beijing Sport University,Beijing 100084,China;Department of Sports Trauma Surgery,Sports Hospital,Institute of Sports Medicine,General Administration of Sport of China,Beijing 100061,China;Key Laboratory of Sports Trauma and Rehabilitation,General Administration of Sport of China,Beijing 100010,China;Department of Sports and Rehabilitation Medicine,Beijing Chao-Yang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]北京体育大学运动医学与康复学院,北京100084 [2]国家体育总局运动医学研究所体育医院运动创伤外科,北京100061 [3]国家体育总局运动创伤与康复重点实验室,北京100010 [4]首都医科大学附属北京朝阳医院运动与康复医学科,北京100020

出　　处：《中国医学科学院学报》2024年第6期828-835,共8页Acta Academiae Medicinae Sinicae

基　　金：国家体育总局科技服务(2023-270)

摘　　要：本文主要综述急性闭合性软组织损伤处理原则的研究进展,梳理了4个主要阶段(RICE原则、PRICE原则、POLICE原则、PEACE&LOVE原则)的理念保留和更新。传统的加压抬高和休息保护仍有保留的价值,但随着康复理念的进步,早期主动康复在组织愈合过程中占据更加重要的地位。传统的冷疗仍有益处,因此无须完全放弃。非甾体抗炎药在缓解软组织急性疼痛、肿胀和改善功能方面有积极的作用,患者及医务人员使用偏好高,故临床应用利大于弊。最后,现代医学模式已经开始融入更多的社会心理因素,关注个体的心理状态和社会环境,同时引导个体主动参与康复过程,可加速康复进程,改善治疗效果。This article comprehensively reviews the research progress in the management principles of acute closed soft tissue injuries,summarizing the retention and updates of the four main principles(RICE,PRICE,POLICE,and PEACE&LOVE)at different stages.Traditional methods such as compression,elevation,rest,and protection remain valuable.However,with the advancement in rehabilitation philosophy,early active rehabilitation plays an increasingly important role in the tissue healing process.Traditional cold therapy remains a choice because of its benefits.Non-steroidal anti-inflammatory drugs play a positive role in relieving the acute pain and swelling and improving the function of soft tissue,being preferred by both patients and medical practitioners.Therefore,advantages outweigh disadvantages in the clinical application of non-steroidal anti-inflammatory drugs.Finally,modern medical models have begun to incorporate more social and psychological factors,focusing on patients’mental state and social environment,while guiding patients to actively participate in the rehabilitation process,which can accelerate the recovery process and improve treatment outcomes.

关 键 词：急性软组织损伤 运动损伤 处理原则 运动康复 

分 类 号：R493[医药卫生—康复医学]