[1]邵继胜,牛崇信.中药熏洗治疗桡骨远端骨折复杂区域性疼痛综合征35例[J].西部中医药,2021,34(04):126-130.[doi:10.12174/j.issn.2096-9600.2021.04.31]
　SHAO Jisheng,NIU Chongxin.Treating 35 Cases of Complex Regional Pain Syndrome of Distal Radius Fractures by Herbal Hot Compress and Fumigation[J].Western Journal of Traditional Chinese Medicine,2021,34(04):126-130.[doi:10.12174/j.issn.2096-9600.2021.04.31]
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中药熏洗治疗桡骨远端骨折复杂区域性疼痛综合征35例
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
34
期数:
2021年04期
页码:
126-130
栏目:
出版日期:
2021-04-15

文章信息/Info

Title:
Treating 35 Cases of Complex Regional Pain Syndrome of Distal Radius Fractures by Herbal Hot Compress and Fumigation
作者:
邵继胜1, 牛崇信2
1.秦安县人民医院，甘肃 秦安 741600
2.甘肃省中医药研究院
Author(s):
SHAO Jisheng1, NIU Chongxin2
1.Qin′an County People′s Hospital, Qin′an 741600, China
2.Gansu Provincial Academy of Chinese Medicine
关键词:
桡骨远端骨折; 复杂区域疼痛综合征; 三期辨证; 和法; 中医康复
Keywords:
distal radius fractures; CRPS; three-stage syndrome differentiation of fracture; harmonization method; TCM rehabilitation method
分类号:
R683.41
DOI:
10.12174/j.issn.2096-9600.2021.04.31
摘要:
目的探讨以黄芪桂枝五物汤为代表的温和法中药熏洗治疗桡骨远端骨折复杂区域疼痛综合征（complex regional pain syndrome，CRPS）的临床效果。 方法选择80例桡骨远端骨折CRPS的患者，随机法分为观察组和对照组各40例，全部患者已行闭合复位小夹板外固定治疗。观察组给予黄芪桂枝五物汤熏洗伤侧腕关节，对照组给予双氯芬酸二乙胺乳胶剂涂抹伤侧腕关节，连续治疗4周。评价两组临床疗效，视觉模拟疼痛（visual analogue score，VAS）评分、上肢功能障碍评分量表（disability of arm shoulder and hand，DASH）评分，神经病理性疼痛临床指标［机械性痛阈、畏寒（风）VAS评分、体表温度差］，桡神经传导速度及不良反应。 结果两组各有5例脱落病例，有效病例每组35例。总有效率观察组为86.67%（26/35），优于对照组56.67%（17/35）（P＜0.05）；观察组疼痛VAS评分及DASH评分均低于对照组（P＜0.05）；观察组治疗后机械性痛阈高于对照组（P＜0.05），且提高程度与畏寒（风）VAS评分的降低、体表温度差的缩小存在相关性（P＜0.05）；观察组治疗后神经传导速度快于对照组（P＜0.05）；观察组未观察到不良反应，对照组有2例患者出现一过性的皮肤红斑。 结论应用黄芪桂枝五物汤为代表的温和法中药熏洗治疗桡骨远端骨折CRPS，止痛疗效确切，且有助于提高局部机械性痛阈和神经传导速度。
Abstract:
ObjectiveTo explore clinical effects of herbal hot compress and fumigation with Huangqi Guizhi Wuwu Tang, the representative of the mild method, in treating CRPS of distal radius fractures. MethodsEighty patients were chosen and allocated to the observation group and the control group using random method, all the patients were treated by closed reduction and small splint external fixation. The observation group accepted hot compress and fumigation of injured wrist joint with Huangqi Guizhi Wuwu Tang, and the control group accepted smearing diclofenac diethylamine emulgel over the injured wrist joint, for four consecutive weeks. To assess clinical effects between both groups, VAS scores, DASH scores, clinical indicators of neuropathic pain [mechanical pain threshold, degree of chilliness (wind) and body surface temperature difference], radial nerve conduction velocity (NCV) and adverse reactions in two groups. ResultsFive cases dropped in each group, and there were 35 effective cases in each group. Total effective rate of the observation group was 86.67% (26/35), superior to 56.67% (17/35) of the control group (P<0.05); the observation group was lower than the control group in VAS scores and DASH scores (P<0.05); the observation group was higher than the control group in mechanical pain threshold (P<0.05), its improvements were related to degree of chilliness (wind), the decrease of VAS and body surface temperature difference (P<0.05); the observation group was faster than the control group in NCV (P<0.05); no adverse reaction was observed in the observation group, and two patients in the control group had transient erythema. ConclusionHot compress and fumigation of injured wrist joint with Huangqi Guizhi Wuwu Tang in treating CRPS of distal radius fractures could obtain definite analgesic effects, and it could help raise mechanical pain threshold and NCV.

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备注/Memo

备注/Memo:
邵继胜（1983—），男，主治医师。研究方向：骨科疾病的中医诊治。
更新日期/Last Update: 2021-04-15