金黄散外敷治疗待术期足踝部骨折的疗效观察

摘要/Abstract

摘要： 目的观察金黄散外敷治疗待术期足踝部骨折的疗效。方法选取杭州市2021年8月—2022年12月拱墅区人民中西医结合医院收治的100例待术期足踝部骨折患者,根据不同治疗方法分为对照组与观察组,各50例。对照组予以常规处理,观察组予以常规处理+金黄散外敷治疗,对比两组患者的局部皮温、患侧踝关节周长、肿胀程度、疼痛程度评分、疼痛介质指标（P物质、5-羟色胺、去甲肾上腺素）、疼痛缓解效果以及炎症因子（超敏C反应蛋白、白细胞介素-6、肿瘤坏死因子-α）水平。结果观察组治疗第1、3、5、7天的局部皮温低于对照组,差异有统计学意义（P<0.05）;观察组治疗第1、3、5、7天患侧踝关节周长小于对照组,差异有统计学意义（P<0.05）;观察组患者治疗后轻度肿胀占比高于对照组,重度肿胀占比低于对照组,差异有统计学意义（P<0.05）,两组患者中度肿胀对比,差异无统计学意义（P>0.05）;观察组治疗后VAS评分低于对照组,差异有统计学意义（P<0.05）;观察组治疗后P物质、5-羟色胺、去甲肾上腺素水平低于对照组,差异有统计学意义（P<0.05）;观察组疼痛缓解效果的总有效率高于对照组,差异有统计学意义（P<0.05）;观察组治疗后超敏C反应蛋白、白细胞介素-6、肿瘤坏死因子-α水平低于对照组,差异有统计学意义（P<0.05）。结论金黄散外敷治疗待术期足踝部骨折的疗效显著,可稳定患处皮温,减小患侧踝关节周长,减轻肿胀与疼痛程度,且能在一定程度上改善疼痛介质指标,降低炎症因子水平,疼痛缓解效果好,可在临床应用。

关键词: 金黄散外敷治疗, 待术期, 足踝部骨折, 疼痛, 肿胀, 炎症因子

Abstract: Objective To observe the curative effect of external application of Jinhuang Powder on ankle fracture in the waiting period. Methods A total of 100 patients with ankle fracture to be treated in Gongshu District People's Hospital of Integrated Traditional Chinese and Western Medicine from August 2021 to December 2022 were selected. According to different treatment methods, 50 patients were included in the control group and 50 patients in the observation group. The control group was treated with routine treatment, and the observation group was treated with routine treatment and external application of Jinhuang powder. For the local skin temperature, the circumference of the affected ankle joint, the degree of swelling, the score of the degree of pain, the index of pain medium (substance P, 5-hydroxytryptamine, norepinephrine) Pain relief effect and inflammatory factor level (hypersensitive C-reactive protein, interleukin-6, tumor necrosis factor-α). Results The local skin temperature of the observation group on the 1st, 3rd, 5th and 7th day of treatment was lower than that of the control group (P<0.05); The circumference of the affected ankle in the observation group on the 1st, 3rd, 5th and 7th day of treatment was smaller than that in the control group (P<0.05); after treatment, the constituent ratio of mild swelling in the observation group was higher than that in the control group (P<0.05), and the constituent ratio of severe swelling was lower than that in the control group (P<0.05). There was no difference between the two groups in moderate swelling (P>0.05); the VAS score of the observation group after treatment was lower than that of the control group (P<0.05); the levels of substance P, 5-hydroxytryptamine and norepinephrine in the observation group after treatment were lower than those in the control group (P<0.05); the total effective rate of pain relief in the observation group was higher than that in the control group (P<0.05); the level of hypersensitivity C-reactive protein, interleukin-6, tumor necrosis factor in the observation group after treatment-α was lower than that of the control group (P<0.05). Conclusion The external application of Jinhuangsan has a significant effect on the treatment of ankle fracture to be operated. It can stabilize the skin temperature of the affected area, reduce the circumference of the affected ankle joint, reduce the degree of swelling and pain, and improve the indicators of pain mediators and reduce the level of inflammatory factors to a certain extent. The pain relief effect is good, which can be popularized and applied.

Key words: external application of Jinhuang powder, waiting period, ankle fracture, pain, swelling, inflammatory factor level

中图分类号:

R274

姜勇, 姜波, 丁慧勇. 金黄散外敷治疗待术期足踝部骨折的疗效观察[J]. 中华养生保健, 2023, 41(14): 24-27.

JIANG Yong, JIANG Bo, DING Hui-Yong. Observation on the Therapeutic Effect of External Application of Jinhuang Powder in Treating Ankle Fracture[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(14): 24-27.

参考文献

[1] 齐济. 改良型冰袋用于足踝部闭合性骨折术前消肿临床观察[J].世界最新医学信息文摘(连续型电子期刊),2020,20(9):253-254.
[2] 雷扬,疏致富,孙军,等.足踝创伤性关节炎应用踝关节融合术治疗的临床疗效[J].中外医疗,2022,41(8):42-45.
[3] 官志猛. 微创踝关节融合术治疗创伤性关节炎的效果及对患者远期足踝功能和生活质量的影响[J].中国医药科学,2022,12(20):143-145,184.
[4] 高晓乐,施毅.丹参注射液与玻璃酸钠注射液对踝关节骨创伤患者足踝功能及骨密度的影响[J].中国药物滥用防治杂志,2022,28(5):646-649,672.
[5] 杨帆. 基于循证理论的全面性护理对足踝骨折患者足踝肿胀情况及并发症的影响[J].现代中西医结合杂志,2021,30(1):99-102.
[6] 古曼. 足踝部骨折[M].北京:人民卫生出版社, 2009:208-213.
[7] 雷爽,徐红霞.改良型加压冰敷袋对成人踝关节骨折术前患肢肿胀及疼痛程度的影响[J].实用医院临床杂志,2022,19(2):29-32.
[8] 齐步娇,朱汉翠,陈姣姣,等.分析金黄散外敷对PCI患者术后皮下瘀血及疼痛的改善作用[J].北方药学,2021,18(10):34-35.
[9] 向福辉,代华勇,赵鲁沂,等.如意金黄散外敷在闭合性骨折早期的应用效果分析[J].特别健康,2021(3):107.
[10] 杨志强,夏先学,张雅茜,等.徒手淋巴引流术对急性闭合性踝关节骨折患者术前肿胀程度及血清致痛物质、炎症因子的影响[J].广西医学,2022,44(15):1726-1729,1738.
[11] 黄健,闫兆东,周利民. 祛瘀消肿汤加减对三踝骨折术前准备时间和踝关节功能的影响:随机对照研究[J].中国中西医结合杂志,2022,42(9):1053-1057.
[12] 徐虹霞,杨紫樱,雷爽.桃红回物汤联合快速康复理念在踝关节骨折术后康复期的应用价值研究[J].四川中医,2021,39(4):160-163.
[13] 史莎,段会霞,李秀婷,等.循环加压冷疗法对踝部骨折患者早期软组织肿胀的效果研究[J].河北医科大学学报,2020,41(1):50-53.
[14] 李盼想,刘媛媛,周兴华,等.刺络放血联合红光照射治疗踝关节周围骨折局部肿胀[J].吉林中医药,2022,42(8):980-983.
[15] 易倩,陈罗西,常朗.活血散瘀洗药配合康复功能训练对踝关节骨折患者关节功能恢复和疼痛的影响[J].四川中医,2021,39(5):140-144.
[16] 张伟,李娟.中医活血益肾法对三踝骨折切开复位内固定术后踝关节功能康复的影响[J].现代中西医结合杂志,2021,30(16):1773-1777.
[17] 刘平举,唐飞,郑路.金黄散外敷联合双氯芬酸钠治疗急性痛风性关节炎短期临床疗效[J].内蒙古中医药,2020,39(3):142-144.
[18] 刘慧敏,袁晓玉.观察金黄散外敷配合电针及关节腔注射药物治疗膝关节骨性关节炎疗效[J].心理月刊,2020,15(9):171.
[19] 刘诗云,史贞,程巧玲,等.金黄散外敷治疗急性痛风性关节炎的临床疗效分析[J].中文科技期刊数据库(全文版)医药卫生,2022,3(12):99-101.
[20] 郑传松,潘天锋,陈瀚.梅花针刺络放血联合金黄散外敷治疗痛风急性发作的效果[J].华夏医学,2022,35(5):140-143.