低能量冲击波与速愈乐联合应用治疗足踝部外伤性创面的临床疗效评价  

Clinical effect of low-energy shock wave combined with Suile in the treatment of traumatic wounds in feet and ankles

作　　者：何为卫 张晖[2] 奉光荣 韩学清 吴建军 程小强 龙禹飞 邓玲 阮丽 金毅[1] 田甜 He Weiwei;Zhang Hui;Feng Guangrong;Han Xueqing;Wu Jianjun;Cheng Xiaoqiang;Long Yufei;Deng Ling;Ruan Li;Jin Yi;Tian Tian(Department of Hand and Foot Surgery,Neijiang Hospital of Traditional Chinese Medicine,Neijiang 641000,China;Department of Orthopaedics,West China Hospital,Sichuan University,Chendu 610041,China)

机构地区：[1]内江市中医医院手足外科,四川内江641000 [2]四川大学华西医院骨科足踝外科与肢体矫形中心,四川成都610041

出　　处：《实用药物与临床》2025年第3期188-191,共4页Practical Pharmacy and Clinical Remedies

基　　金：四川省医学会伤口疾病(泰阁)专项研究课题(2021TG39)。

摘　　要：目的探讨低能量冲击波与速愈乐联合应用治疗足踝部外伤性创面的临床疗效及应用价值。方法选择内江市中医医院手足外科在2022年4月至2024年4月收治的50例足踝部外伤性创面患者,使用随机数字表法将患者分为对照组(n=25)和研究组(n=25),对照组接受速愈乐治疗,研究组接受低能量冲击波联合速愈乐治疗。对比两组患者创面愈合评分、炎症因子水平、足功能评分、瘢痕量表评分、VAS评分、创面愈合有效率和满意率等指标变化情况。结果治疗后1周研究组和对照组创面愈合评分比较,差异无统计学意义[(13.52±2.40)分vs.(13.44±2.42)分](P>0.05),治疗后2周[(9.08±2.31)分vs.(10.40±2.26)分]及治疗后1个月[(3.28±3.08)分vs.(5.40±3.65)分],研究组创面愈合评分低于对照组,差异具有统计学意义(P<0.05)。与治疗前相比较,两组治疗后C反应蛋白(CRP)、白细胞计数(WBC)均下降,且研究组低于对照组,差异具有统计学意义(P<0.05)。治疗后研究组足功能评分高于对照组[(90.32±5.55)分vs.(80.96±10.56)分],瘢痕量表评分低于对照组[(6.84±3.39)分vs.(9.08±2.77)分],差异均具有统计学意义(P<0.05)。治疗后两组的VAS评分均降低,且研究组低于对照组,研究组的治疗有效率及满意度均高于对照组,差异均具有统计学意义(P<0.05)。结论低能量冲击波联合速愈乐治疗足踝部外伤性创面,可促进创面愈合,提高足部功能,减少瘢痕形成,减轻患者疼痛,提高患者满意度,具有较好的临床疗效。Objective To evaluate the clinical efficacy and application value of low-energy shock wave therapy combined with Suile in the treatment of traumatic wounds in the feet and ankles.Methods A total of 50 patients with traumatic wounds in the feet and ankles treated in Neijiang Hospital of Traditional Chinese Medicine from April 2022 to April 2024 were selected and randomly divided into a control group(n=25)and a study group(n=25).The control group received Suile treatment alone,while the study group received a combination of low-energy shock wave therapy with Suile treatment.The wound healing scores,inflammatory factor levels,foot function scores,scar scale scores,VAS scores,wound healing efficiency,and patient satisfaction were compared between the two groups.Results There was no significant difference in the wound healing score between the study group(13.52±2.40)and the control group(13.44±2.42)after one-week treatment(P>0.05),while the study group had lower wound healing score than the control group after two-week[(9.08±2.31)vs.(10.40±2.26)]and one-month[(3.28±3.08)vs.(5.40±3.65)]treatment respectively,demonstrating a significant difference between the two groups(P<0.05).Both groups showed decreases in C-reactive protein(CRP)and white blood cell count(WBC)levels after treatment,but the study group had lower level than the control group(P<0.05).After treatment,the score of foot function was higher in the study group(90.32±5.55)than in the control group(80.96±10.56),suggesting significant difference between the two groups(P<0.05).The scar scale score in the control group(9.08±2.77)was higher than that in the study group(6.84±3.39),indicating a statistically significant difference(P<0.05).The VAS scores of the two groups decreased after treatment,and the study group had a lower level than the control group,with a significant difference between the two groups(P<0.05).The treatment efficiency and satisfaction of the study group were higher than those of the control group,and the difference between the two gr

关 键 词：低能量冲击波 速愈乐 足踝部外伤性创面 

分 类 号：R47[医药卫生—护理学]