低温冲击疗法联合活血止痛汤治疗急性踝关节损伤30例
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摘要
目的观察低温冲击疗法联合活血止痛汤治疗急性踝关节损伤的临床疗效。方法选取90例急性踝关节损伤的患者,随机分为观察组、对照组和中药组各30例,中药组予以加压固定配合活血止痛汤内服,对照组在中药组基础上加用间断冰敷法治疗,观察组在中药组基础上加用低温冲击疗法治疗,比较3组患者的临床疗效。结果治疗后3组患者VAS评分、周径差值均较治疗前明显下降(P<0.05),治疗后观察组、对照组VAS评分、周径差值均明显低于中药组(P<0.05),观察组周径差值明显低于对照组(P<0.05)。结论低温冲击疗法联合活血止痛汤内服治疗急性踝关节损伤,能快速消肿止痛,比间断冰敷法及口服活血止痛汤疗效更优,值得临床推广应用。
Objective To observe the clinical efficacy of cold shock therapy combined with Huoxue Zhitong Decoction in the treatment of acute ankle injury. Methods Ninety patients with acute ankle injury were randomly and equally divided into observation group, control group, and traditional Chinese medicine(TCM) group. All the three groups received pressure fixation combined with oral administration of Huoxue Zhitong Decoction. The control group received additional treatment with intermittent ice compress. The observation group received additional cold shock therapy. The clinical outcomes were compared between the three groups. Results After treatment, the Visual Analog Scale(VAS) score and perimeter difference were significantly reduced in all three groups(P<0.05); the observation group and the control group had significantly lower VAS score and perimeter difference than the TCM group(P<0.05); the observation group had a significantly lower perimeter difference than the control group(P<0.05).Conclusion Cold shock therapy combined with oral administration of Huoxue Zhitong Decoction can quickly reduce swelling and pain for acute ankle injury, which is superior to intermittent ice compress or oral administration of Huoxue Zhitong Decoction. The combined treatment holds promise for clinical application.
Objective To observe the clinical efficacy of cold shock therapy combined with Huoxue Zhitong Decoction in the treatment of acute ankle injury. Methods Ninety patients with acute ankle injury were randomly and equally divided into observation group, control group, and traditional Chinese medicine(TCM) group. All the three groups received pressure fixation combined with oral administration of Huoxue Zhitong Decoction. The control group received additional treatment with intermittent ice compress. The observation group received additional cold shock therapy. The clinical outcomes were compared between the three groups. Results After treatment, the Visual Analog Scale(VAS) score and perimeter difference were significantly reduced in all three groups(P<0.05); the observation group and the control group had significantly lower VAS score and perimeter difference than the TCM group(P<0.05); the observation group had a significantly lower perimeter difference than the control group(P<0.05).Conclusion Cold shock therapy combined with oral administration of Huoxue Zhitong Decoction can quickly reduce swelling and pain for acute ankle injury, which is superior to intermittent ice compress or oral administration of Huoxue Zhitong Decoction. The combined treatment holds promise for clinical application.
引文
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[9]古琨如,余芳菲,李小霞.针灸联合低温冲击治疗鼻咽癌放疗后颈部肌肉纤维化的效果分析[J].川北医学院学报,2017,32(4):529-531,550.
[10]郑光明,胡志军,陈棉智.跟痛洗剂联合体外低温冲击仪治疗跖筋膜炎32例[J].中国民族民间医药,2017,26(12):133-135,139.
[11]王正义.足踝外科学[M].北京:人民卫生出版社,2006:3-4.
[2] BLEAKLEYC M, GLASGOW P, MACAULEY D C, et al. PRICE needs updating, should we call the POLICE[J]. Br J Sports Med, 2012,46(4):220-221.
[3]王和鸣.中医骨伤科学[M].北京:中国中医药出版社,2012:362-363.
[4]马勇.中医筋伤学[M].北京:人民卫生出版社,2012:28-31.
[5]刘翠芬.循环加压冷疗系统在急性踝关节扭伤48 h内的效果观察[J].内蒙古医学杂志,2014,46(11):1380-1382.
[6]蒋协远,王大伟.骨科临床疗效评价标准[M].北京:人民卫生出版社,2005:275-277.
[7]徐金成,矫玮,高颀,等.急性闭合性软组织运动损伤早期处理方法的发展-从PRICE到POLICE[J].中国运动医学杂志,2013,32(4):360-363.
[8] BENIRSCHKES K, KRAMER P A. Wound healing comPlications in closed and oPen calcaneal fractures[J]. OrthoP Trauma,2004,18(1):1-6.
[9]古琨如,余芳菲,李小霞.针灸联合低温冲击治疗鼻咽癌放疗后颈部肌肉纤维化的效果分析[J].川北医学院学报,2017,32(4):529-531,550.
[10]郑光明,胡志军,陈棉智.跟痛洗剂联合体外低温冲击仪治疗跖筋膜炎32例[J].中国民族民间医药,2017,26(12):133-135,139.
[11]王正义.足踝外科学[M].北京:人民卫生出版社,2006:3-4.