CAJ | 학술논문

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250 ml，2次/d;山莨菪碱10 mg肌内注射，3次/d。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。
목적 평개중약내복외부치료조기골근막실종합정적효과。방법 장56례조기골근막실종합정환자수궤분위량조，매조28례。치료조채용국부외부소어정，장약액침습무균사포후，재장사포부우환지상，매2소시환약일차，내복화어소종탕제치료；대조조20％감로순250 ml，2차/d;산랑탕감10 mg기내주사，3차/d。결과 치료조동통감경시간、종창소퇴급종창소실시간、족배동맥개변등방면균명현우우대조조，차이유통계학의의(P＜0.05)。결론 국부외부중약제제소어정，내복자의화어소종탕시비수술치료조기골근막실종합정적유효방법。
Objective To explore the clinical effect of oral administration and external application of traditional Chinese medicine on early stage of osteofascial compartment syndrome. Methods 56 early osteofascial compartment syndrome patients had assigned in two groups randomly, each group had 28 patients. The treatment group used topo-application Xiaoyu tincture,after aseptic gauze sodden by physic liquor,affected limb would coverd by the aseptic gauze and change of dressing every two hours,oral administration of Xingqihuayu decoction. The control group used 250ml of 20％ mannitol with dehydration therapy,two times everyday;654-2 bullet 10ml to intramuscular injection,three times every day. Results After the treatment,the results showed that the treatment group was much better than the control group at the time of ache abatement,swelling regression and disappear of all levels injury, arteriae dorsalis pedis changing. The difference had statistical significance( P ＜ 0.05). Conclusion Topo-application chinese drugs pharmaceutics of Xiaoyu tincture and oral administration of Xingqihuayu decoction was a available nonspecific treatment to early osteofascial compartment syndrome.