中药足浴治疗足踝部慢性筋伤

摘要

Objective To explore and analyze the clinical effect of foot bath in treating chronic tendon injury of foot and ankle. Methods From August 2014 to May 2016, 60 patients with chronic foot and ankle tendon injury were selected from the department of orthopedics and outpatient of Changping hospital, the patients were divided into group A and group B by random number table, 30 cases in each group, group A was given TCM lavipeditum, group B was given oral anti-inflammatory analgesic western medicine nabumetone capsules, compared two groups of curative effect before and after treatment and 1 month, the second month in patients of motion, muscle strength, swelling, pain score (VAS score) change, the incidence of adverse reactions. Results The total effective rate of group A was higher than that of group B, and the difference was statistically significant (P <0.05). Two groups of patients after 1 month,2 months after treatment compared with before treatment, ankle dorsiflexion activity increased, ankle plantar flexion activity increased, muscle strength classification increased, swelling cases decreased and VAS score decreased, group A after treatment 1 month and the second month, compared to group B about the above indicators improved more significantly, the difference was statistically significant (P <0.05). There was no obvious adverse reaction caused by external use of Chinese medicine in group A, and the adverse reaction rate in group A was lower than that in group B, and the difference was statistically significant (P <0.05). Conclusion TCM lavipeditum is effective in treating chronic tendon injury of foot and ankle, which can effectively improve joint mobility and muscle strength, improve swelling, reduce pain and adverse reaction rate, and has higher safety.%目的 探究与分析中药足浴治疗足踝部慢性筋伤的临床疗效.方法 选取北京昌平中医医院骨科门诊及住院自2014年8月-2016年5月收治符合慢性足踝部筋伤患者60例,采取随机数字表法分为A组和B组,各30例,A组给予中药足浴,B组给予口服西药消炎镇痛药物萘丁美酮胶囊,对比两组疗效及治疗前、治疗后第1个月、第2个月患者的关节活动度、肌力、肿胀情况、疼痛积分(VAS评分)变化、不良反应发生率.结果 A组与B组相比临床总有效率较高,差异具有统计学意义(P<0.05).2组患者治疗后1个月、治疗后2个月与治疗前相比踝关节背屈活动度升高、踝关节跖屈活动度升高、肌力分级升高、肿胀病例数减少以及VAS评分降低,A组治疗后1个月、治疗后2个月与B组治疗后1个月、治疗后2个月相比上述指标改善更加显著,差异具有统计学意义(P<0.05).A组未见因中药外用引起的明显不良反应,A组与B组相比不良反应率较低,差异具有统计学意义(P<0.05).结论 采用中药足浴治疗足踝部慢性筋伤的临床疗效显著,有效改善关节活动度及肌肉力量,改善肿胀情况,减少疼痛感及不良反应发生率,安全性较高.