目的评价中药内服外敷治疗早期骨筋膜室综合征的效果。方法将56例早期骨筋膜室综合征患者随机分为两组,每组28例。治疗组采用局部外敷消瘀酊,将药液浸湿无菌纱布后,再将纱布敷于患肢上,每2小时换药一次,内服化瘀消肿汤剂治疗;对照组20%甘露醇250ml,2次/d;山莨菪碱10mg肌内注射,3次/a。结果治疗组疼痛减轻时间、肿胀消退及肿胀消失时间、足背动脉改变等方面均明显优于对照组,差异有统计学意义(P〈0.05)。结论局部外敷中药制剂消瘀酊,内服自拟化瘀消肿汤是非手术治疗早期骨筋膜室综合征的有效方法。
Objective To explore the clinical effect of oral administration and external application of tradi-tional Chinese medicine on early stage of osteofascial compartment syndrome. Methods 56 early osteofascial com-partment syndrome patients had assigned in two groups randomly, each group had 28 patients. The treatment groupused topo-application Xiaoyu tincture, after aseptic gauze sodden by physic liquor, affected limb would coverd by theaseptic gauze and change of dressing every two hours, oral administration of Xingqihuayu decoction. The control groupused 250ml of 20% mannltol with dehydration therapy ,two times everyday ;654-2 bullet 10ml to intramuscular injec-tion, three times every day. Results After the treatment, the results showed that the treatment group was much betterthan the control group at the time of ache abatement, swelling regression and disappear of all levels injury, arteriaedorsalis pedis changing. The difference had statistical significance(P 〈 0.05). Conclusion Topo-application chinesedrugs pharmaeeutics of Xiaoyu tincture and oral administration of Xingqihuayu decoction was a available nonspecifictreatment to early osteofascial compartment syndrome.