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治伤三黄酊压疮贴外敷治疗急性踝关节扭伤的效果OA

Effect of external application of Zhishang Sanhuang Tincture in the treat-ment of acute ankle sprain

中文摘要英文摘要

目的 观察治伤三黄酊压疮贴外敷治疗急性踝关节扭伤的临床效果.方法 选取2023年6月至2024年6月南昌市洪都中医院收治的80例急性踝关节扭伤患者作为研究对象,按照随机数字表法分为观察组(40例)与对照组(40例).对照组接受标准的RICE原则(休息、冰敷、加压、抬高)结合非甾体抗炎药(塞来昔布)口服治疗,观察组在对照组常规疗法的基础上,局部外敷浸润治伤三黄酊的压疮贴.两组连续治疗7 d.比较两组患者治疗前后的踝关节肿胀周径差值、视觉模拟评分法(VAS)评分、美国足踝外科协会(A OFAS)踝-后足功能评分,临床总有效率及不良反应.结果 治疗前,两组肿胀差值、VAS评分、AOFAS评分比较,差异无统计学意义(P>0.05).治疗第3、7天,观察组VAS评分、肿胀差值低于对照组,差异有统计学意义(P<0.05);治疗第7天,观察组AOFAS评分高于对照组,差异有统计学意义(P<0.05).观察组总有效率高于对照组,差异有统计学意义(P<0.05).两组均未发生严重不良反应.结论 采用压疮贴作为治伤三黄酊的载体进行外敷,能有效发挥中药活血散瘀与现代敷料湿性愈合的协同作用,显著缩短急性踝关节扭伤的康复周期,具有操作便捷、疗效确切的临床优势.

Objective To observe the clinical efficacy of the Zhishang Sanhuang Tincture in the external application for the treatment of acute ankle sprain.Methods A total of 80 patients with acute ankle sprain admitted to Hongdu Hospital of Tra-ditional Chinese Medicine from June 2023 to June 2024 were selected as the research subjects and divided into the observation group(40 cases)and the control group(40 cases)according to the random number table method.The control group received standard RICE principles(rest,ice,compression,elevation)combined with oral administration of non-steroidal anti-inflammatory drugs(Celecoxib),the observation group,in addition to the routine therapy of the control group,added local external application of the compressive plaster of Zhishang Sanhuang Tincture for wound treatment.Both groups received continuous treatment for 7 days.The differences in ankle joint swelling circumference before and after treatment,visual analogue scale(VAS)score,American Orthopaedic Foot & Ankle Society(AOFAS)score,clinical total ef-fective rate and adverse reactions were compared between the two groups.Results Before treatment,there were no statisti-cally significant differences in the swelling differences,VAS scores,and AOFAS scores between the two groups(P>0.05).On the 3rd and 7th day of treatment,the VAS scores and swelling differences of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).On the 7th day of treatment,the AOFAS score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total effective rate of the observation group was greater than that of the control group,and the difference was statistically significant(P<0.05).No serious adverse reactions occurred in either group.Conclusion Using pressure ulcer patches as the carrier of Zhishang Sanhuang Tincture for external ap-plication can effectively exert the synergistic effect of tra-ditional Chinese medicine for promoting blood circulation and removing blood stasis and modern dressings for wet healing,significantly shortening the rehabilitation period of acute ankle sprains.It has the clinical advantages of con-venient operation and definite therapeutic effect.

吴杭;王广发;李强;袁海涛;古鹏;范少勇;邓雄伟

南昌市洪都中医院足踝外二科,江西南昌 330038南昌市洪都中医院足踝外二科,江西南昌 330038南昌市洪都中医院足踝外二科,江西南昌 330038南昌市洪都中医院足踝外二科,江西南昌 330038南昌市洪都中医院足踝外二科,江西南昌 330038南昌市洪都中医院足踝外二科,江西南昌 330038南昌市洪都中医院足踝外二科,江西南昌 330038

医药卫生

治伤三黄酊急性踝关节扭伤中医药外治压疮贴

Zhishang Sanhuang TinctureAcute ankle sprainExternal therapy of traditional Chinese medicinePressure ulcer dressing

《中国当代医药》 2026 (22)

41-45,5

国家自然科学基金项目(82560946)江西省自然科学基金项目(2025BAC200562)江西省中医药中青年骨干人才(第一批)培养计划项目(赣中医药科教字[2020]2号)江西省南昌市市级重点专科建设项目(洪卫体改字[2023]10号)江西省南昌市洪都中医院院级项目(HZYJKT2025121714).

10.3969/j.issn.1674-4721.2026.22.08

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