[1]刘柏,蒋君.胫踝消肿方联合伤科外敷散治疗老年急性踝关节扭伤疗效观察[J].西部中医药,2025,38(12):161-164.[doi:10.12174/j.issn.2096-9600.2025.12.34]
　LIU Bai,JIANG Jun.Clinical Observation on the Treatment of Acute Ankle Sprain in the Elderly with Tibio-ankle Swelling-reducing Prescription and Traumatology External Application Powder[J].Western Journal of Traditional Chinese Medicine,2025,38(12):161-164.[doi:10.12174/j.issn.2096-9600.2025.12.34]
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胫踝消肿方联合伤科外敷散治疗老年急性踝关节扭伤疗效观察()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年12期
页码:
161-164
栏目:
特色医疗
出版日期:
2025-12-15

文章信息/Info

Title:
Clinical Observation on the Treatment of Acute Ankle Sprain in the Elderly with Tibio-ankle Swelling-reducing Prescription and Traumatology External Application Powder
作者:
刘柏, 蒋君
株洲市中医伤科医院，湖南 株洲 412000
Author(s):
LIU Bai, JIANG Jun
Zhuzhou Traditional Chinese Medicine Trauma Hospital, Zhuzhou 412000, China
关键词:
踝关节扭伤; 急性; 伤科外敷散; 消肿方; 临床疗效
Keywords:
ankle sprain;  acute; traumatology external application powder; swelling-reducing prescription; curative effects
分类号:
R274.32
DOI:
10.12174/j.issn.2096-9600.2025.12.34
文献标志码:
B
摘要:
目的观察胫踝消肿方联合伤科外敷散外敷治疗老年急性踝关节扭伤的临床疗效。 方法回顾性分析110例老年急性踝关节扭伤患者，根据治疗方案不同分为对照组和观察组，每组55例。对照组采用胫踝消肿方内服治疗，观察组采用胫踝消肿方内服联合伤科外敷散外敷治疗，两组疗程均为14天。比较两组患者肿胀消退时间、踝部疼痛视觉模拟量表（visual analogue scale，VAS）评分、血清炎症因子［白细胞介素1β（interleukin-1β，IL-1β）、白细胞介素6（interleukin-6，IL-6）、超敏C反应蛋白（hypersensitive C-reactive protein，hs-CRP）］水平、踝关节功能（Baird-Jackson评分）、后足功能［美国矫形外科足踝协会踝-后足评分系统（American orthopaedic foot & ankle society，AOFAS）评分］及临床总有效率。 结果观察组肿胀消退时间短于对照组（P＜0.05）。治疗7、14天后，观察组VAS评分、血清IL-1β、IL-6及hs-CRP水平均低于同期对照组（P＜0.05），Baird-Jackson评分及AOFAS评分均高于同期对照组（P＜0.05）；观察组临床总有效率［96.36%（53/55）］高于对照组［85.45%（47/55）］，差异有统计学意义（P＜0.05）。 结论胫踝消肿方联合伤科外敷散治疗老年急性踝关节扭伤，可缩短肿胀消退时间、缓解疼痛、降低炎症因子水平、改善踝关节及后足功能，临床疗效优于单纯胫踝消肿方内服治疗。
Abstract:
ObjectiveTo observe clinical effects of tibio-ankle swelling-reducing prescription and traumato-logy external application powder for external use in the treatment of acute ankle sprain in the elderly. MethodsA retrospective analysis was conducted among 110 geriatric patients with acute ankle sprain, and they were allocated to the control group and the observation group with 55 cases in each in light of therapeutic regimens. The control group was treated with oral administration of tibio-ankle swelling-reducing prescription, while internal use of tibio-ankle swelling-reducing prescription and traumatology external application powder for external use were given to the observation group, and both groups were treated for 14 days. To compare time to resolution of swelling, VAS scores for ankle pain, the levels of serum cytokines including IL-1β, IL-6 and hs-CRP, Baird-Jackson scales, and posterior foot function (AOFAS scores) and clinical total effective rate between the two groups. ResultsThe observation group was shorter than the control group in the time to resolution of swelling (P<0.05). After 7 and 14 days of the treatment, VAS scores, the levels of IL-1β, IL-6 and hs-CRP of the observation group were lower than these of the control group at the corresponding period (P<0.05), Baird-Jackson scales and AOFAS scores were higher than these of the control group over the corresponding period (P<0.05); clinical total effective rate of the observation group was [96.36%(53/55)], higher than [85.45%(47/55)] of the control group, and the difference had statistical meaning (P<0.05). ConclusionTibio-ankle swelling-reducing prescription and traumatology external application powder for external use in the treatment of acute ankle sprain in the elderly could shorten the time to resolution of swelling, relieve pain, reduce the levels of cytokines, improve ankle joint and posterior foot function, and its clinical effects were superior to these of single use of tibio-ankle swelling-reducing prescription for oral administration.

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备注/Memo

备注/Memo:
刘柏（1987—），男，硕士学位，副主任医师。研究方向：踝关节创伤疾病的治疗。
更新日期/Last Update: 2025-12-15