摘要
目的观察加味玄黄膏外敷配合早期功能锻炼治疗急性踝关节外侧副韧带损伤(气滞血瘀证)的临床疗效并探讨其作用机制。方法 120例患者随机分为观察组与对照组两组各60例,观察组给予加味玄黄膏、冷敷、支具固定配合功能锻炼治疗,对照组给予冷敷、支具固定配合功能锻炼治疗。采用踝关节Kofoed评分分别于治疗后3 d、7 d、2周及4周进行记录,4周后行超声辅助检查并评价疗效。结果治疗4周后,观察组超声检查后外侧副韧带损伤修复有效率98.33%高于对照组的91.67%(P<0.05)。两组Ⅰ、Ⅱ度患者治疗前Kofoed评分比较差别均不大(均P> 0.05)。治疗后两组Ⅰ、Ⅱ度患者Kofoed评分与治疗前比较均改善(均P<0.05)。观察组Ⅰ、Ⅱ度患者Kofoed评分于治疗3 d、7 d、2周及4周后均优于对照组(均P<0.05)。两组Ⅰ、Ⅱ度损伤患者踝关节Kofoed评分逐渐升高。观察组患者视觉模拟量表(VAS)评分治疗3 d、7 d、2周及4周后均较对照组均改善(均P<0.05)。结论加味玄黄膏外敷配合冷敷及功能锻炼治疗急性踝外侧副韧带损伤(气滞血瘀证)可有效改善疼痛,消除肿胀,其疗效优于传统冷敷及功能锻炼治疗。
Objective:To explore the clinical effect of external application of Modified Xuanhuang Plaster combined with early functional exercise on the syndrome of qi stagnation and blood stasis caused by the acute injury of lateral collateral ligament of ankle joint. Methods:Collected 120 patients with qi stagnation and blood stasis type in acute injury of lateral collateral ligament of ankle joint were randomly divided them into two groups,60 cases in the observation group and 60 cases in the control group. The observation group was treated with Modified Xuanhuang Plaster,cold compress,brace fixation combined with functional exercise,while the control group was treated with cold compress,brace fixation combined with functional exercise. Using Kofoed score of ankle joint to record on the 3 rd,7 th day,2 nd and 4 th week after treatment,and performing ultrasound-assisted examination on the4 th week after treatment. Results:After 4 weeks of treatment,the repair of lateral collateral ligament injury was examined by ultrasonography. The effective rate of the observation group was 98.33% higher than that of the control group(91.67%)(P< 0.05). There was no significant difference in Kofoed scores of Grade Ⅰ and Ⅱ patients between groups before treatment(P > 0.05). After treatment,they were improved compared with those before treatment(P< 0.05). Kofoed scores of Grade Ⅰ and Ⅱ patients in the observation group were better than those in the control group on 3 days,7 days,2 weeks and 4 weeks after treatment(P< 0.05). The score of Kofoed gradually increased in both group. Compared with the control group,VAS pain score of the observation group was improved on3 days,7 days,2 weeks and 4 weeks after treatment compared with the control group(P< 0.05). Conclusion:External application of Modified Xuanhuang Plaster combined with cold compress and functional exercise on acute injury of lateral collateral ligament of ankle joint can effectively improve pain and eliminate swelling. Its effect is better than traditional cold compress an
作者
杨谢安
昝强
张为宝
牟宏亮
李志鹏
Yang Xiean;Zan Qiang;Zhang Weibao;Mou Hongliang;Li Zhipeng(Shaanxi University of Chinese Medicine,Shaanxi,Xianyang 712046,China.;不详)
出处
《中国中医急症》
2020年第7期1188-1190,1208,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
陕西省昝强名中医工作室。
关键词
急性踝关节外侧副韧带损伤
气滞血瘀
加味玄黄膏
踝关节Kofoed评分
Acute injury of lateral collateral ligament of ankle joint
Qi stagnation and blood stasis
Modified Xuanhuang Plaster
Kofoed score of ankle
