世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2014年
11期
1488-1490,1493
,共4页
舒经化瘀活络%大活络胶囊%双氯芬酸二乙胺乳胶剂%急性软组织损伤
舒經化瘀活絡%大活絡膠囊%雙氯芬痠二乙胺乳膠劑%急性軟組織損傷
서경화어활락%대활락효낭%쌍록분산이을알유효제%급성연조직손상
Soothing the channels,transforming stasis and quickening vessels%Dahuoluo capsule%Diclofenac Diethylamine Emulgel%Acute soft tissue injury
目的：观察舒经化瘀活络法治疗急性软组织损伤的疗效。方法：采用开放、随机、对照、前瞻性研究方法对我科门诊部收诊的430例急性软组织损伤患者进行临床观察。将86例患者按数字表法随机分为对照组和治疗组各215例，对照组给予草木犀流浸液片、双氯芬酸二乙胺乳胶剂应用，治疗组在对照组基础上根据舒经化瘀活络法给予大活络胶囊口服，1个疗程后对比2组治疗前后临床症状及血液流变学等实验室指标，3个疗程时对比最终治愈率及治愈时间。结果：1个疗程时，治疗组愈显率74.42％高于对照组的39.54，差异有统计学意义（P ＜0.05），治疗组疼痛、肿胀、瘀斑、功能障碍等症状、体征评分及血浆黏度、红细胞比容、纤维蛋白原、红细胞沉降率等血液流变学指标血清水平均明显低于对照组，差异均有统计学意义（P ＜0.05），3个疗程后，治疗组最终治愈率97.67％优于对照组的81.39％，治疗组平均用时（10.79±3.17）d，较对照组的（15.79±3.63）d 明显缩短，差异均有统计学意义（P ＜0.05），全部治疗期间，2组安全性无统计学差异（P ＞0.05）。结论：舒经化瘀活络法治疗急性软组织损伤可促进临床症状缓解，改善血液流变性，缩短病程，疗效显著，无严重不良反应。
目的：觀察舒經化瘀活絡法治療急性軟組織損傷的療效。方法：採用開放、隨機、對照、前瞻性研究方法對我科門診部收診的430例急性軟組織損傷患者進行臨床觀察。將86例患者按數字錶法隨機分為對照組和治療組各215例，對照組給予草木犀流浸液片、雙氯芬痠二乙胺乳膠劑應用，治療組在對照組基礎上根據舒經化瘀活絡法給予大活絡膠囊口服，1箇療程後對比2組治療前後臨床癥狀及血液流變學等實驗室指標，3箇療程時對比最終治愈率及治愈時間。結果：1箇療程時，治療組愈顯率74.42％高于對照組的39.54，差異有統計學意義（P ＜0.05），治療組疼痛、腫脹、瘀斑、功能障礙等癥狀、體徵評分及血漿黏度、紅細胞比容、纖維蛋白原、紅細胞沉降率等血液流變學指標血清水平均明顯低于對照組，差異均有統計學意義（P ＜0.05），3箇療程後，治療組最終治愈率97.67％優于對照組的81.39％，治療組平均用時（10.79±3.17）d，較對照組的（15.79±3.63）d 明顯縮短，差異均有統計學意義（P ＜0.05），全部治療期間，2組安全性無統計學差異（P ＞0.05）。結論：舒經化瘀活絡法治療急性軟組織損傷可促進臨床癥狀緩解，改善血液流變性，縮短病程，療效顯著，無嚴重不良反應。
목적：관찰서경화어활락법치료급성연조직손상적료효。방법：채용개방、수궤、대조、전첨성연구방법대아과문진부수진적430례급성연조직손상환자진행림상관찰。장86례환자안수자표법수궤분위대조조화치료조각215례，대조조급여초목서류침액편、쌍록분산이을알유효제응용，치료조재대조조기출상근거서경화어활락법급여대활락효낭구복，1개료정후대비2조치료전후림상증상급혈액류변학등실험실지표，3개료정시대비최종치유솔급치유시간。결과：1개료정시，치료조유현솔74.42％고우대조조적39.54，차이유통계학의의（P ＜0.05），치료조동통、종창、어반、공능장애등증상、체정평분급혈장점도、홍세포비용、섬유단백원、홍세포침강솔등혈액류변학지표혈청수평균명현저우대조조，차이균유통계학의의（P ＜0.05），3개료정후，치료조최종치유솔97.67％우우대조조적81.39％，치료조평균용시（10.79±3.17）d，교대조조적（15.79±3.63）d 명현축단，차이균유통계학의의（P ＜0.05），전부치료기간，2조안전성무통계학차이（P ＞0.05）。결론：서경화어활락법치료급성연조직손상가촉진림상증상완해，개선혈액류변성，축단병정，료효현저，무엄중불량반응。
Objective:To observe the curative effect of soothing the channels,transforming stasis and quickening vessels in treating acute soft tissue injury.Methods:An open,randomized,controlled,and prospective study conducted on 430 patients treated in our outpatient department with acute soft tissue injury.Patients were randomly divided into control group and observation group with 215 cases in each. Patients in the control group were given Melilotus Extract Tablet,Diclofenac Diethylamine Emulgel application,and the observation group applied soothing channel method of Dahuoluo pills apart from the same treatment as the control group.Clinical symptoms and blood rheol-ogy index of laboratory after one treatment course.The final curative rate and healing time were compared before and after treatment after 3 treatment courses.Results:After one treatment course,the effective rate of the observation group was 74.42%,which was higher than that of the control group (39.54%),and the difference was statistically significant (P <0.05).The symptoms including pain,swelling, bruising,dysfunction,the symptoms score and plasma viscosity,hematocrit,fibrinogen,erythrocyte sedimentation rate and blood rheology serum levels of the observation group were all significantly lower than those in the control group,and the the differences were statistically significant (P <0.05);After 3 courses of treatment,the final curative rate of observation group was 97.67%,which was better than that of the control group (81.39%).the observation group took an average of (10.79 ±3.17)days which was significantly decreased com-pared with the control group (15.79 ±3.63)days,and there was significant difference (P <0.05).There was no statistical difference between the two groups in terms of safety (P >0.05).Conclusion:Soothing the channels,transforming stasis and quickening vessels in treating acute soft tissue injury can promote the clinical symptoms,improve blood rheology,shorten the course of disease,and the curative effect is distinct with no serious adverse reactions.
