CAJ | 학술논문

目的：观察自拟健脾益气汤治疗脾气虚型踝关节扭伤后期肿胀的临床疗效。方法将360例脾气虚型踝关节扭伤后期肿胀患者随机分为2组，分别给予自拟健脾益气汤内服（治疗组）、七叶皂苷钠片口服（对照组）。疗程21 d。观察两组治疗前后证候评分变化及踝关节肿胀消退程度。结果治疗后不同踝关节损伤程度证候评分比较，Ⅰ型、Ⅱ型患者治疗组优于对照组（P＜0.05），Ⅲ型患者与对照组疗效相当，差异无统计学意义（P＞0.05）；不同病程踝关节扭伤患者证候评分比较，病程小于1月的患者，两组证候评分比较差异无统计学意义（P＞0.05），病程为1~3月、4~6月的患者，治疗组证候评分优于对照组（P＜0.05），病程为7月~1年、＞1年的患者，治疗组优于对照组（P＜0.01）；踝关节肿胀消退程度比较，Ⅰ型患者两组疗效相当（P＞0.05），Ⅱ型、Ⅲ型患者治疗组优于对照组（P＜0.01， P＜0.05）。结论自拟健脾益气汤对于不同程度踝关节扭伤后期肿胀均有确切疗效。
목적：관찰자의건비익기탕치료비기허형과관절뉴상후기종창적림상료효。방법장360례비기허형과관절뉴상후기종창환자수궤분위2조，분별급여자의건비익기탕내복（치료조）、칠협조감납편구복（대조조）。료정21 d。관찰량조치료전후증후평분변화급과관절종창소퇴정도。결과치료후불동과관절손상정도증후평분비교，Ⅰ형、Ⅱ형환자치료조우우대조조（P＜0.05），Ⅲ형환자여대조조료효상당，차이무통계학의의（P＞0.05）；불동병정과관절뉴상환자증후평분비교，병정소우1월적환자，량조증후평분비교차이무통계학의의（P＞0.05），병정위1~3월、4~6월적환자，치료조증후평분우우대조조（P＜0.05），병정위7월~1년、＞1년적환자，치료조우우대조조（P＜0.01）；과관절종창소퇴정도비교，Ⅰ형환자량조료효상당（P＞0.05），Ⅱ형、Ⅲ형환자치료조우우대조조（P＜0.01， P＜0.05）。결론자의건비익기탕대우불동정도과관절뉴상후기종창균유학절료효。
〔Abstract〕 Objective To observe the clinical effect of JianpiYiqi Decoction in treatment of spleen deficiency type of late swelling of ankle sprain. Methods 360 cases of patients with late swelling of ankle joint sprain (spleen deficiency type) were randomly divided into 2 groups, which were treated with self-made JianpiYiqiDecoction taken orally (the treatment group), sodium aescinatetablets (the control group). The course of treatment was for 21d. The symptoms score and swelling extent of ankle joint were observed of the two groups. Results According to the score of the two groups of patients' symptoms score, the treatment group was better than the control group of type I and type II patients (P<0.05); There was no statistical significance of type III patients (P>0.05). According to the symptom scores of patients with different course of ankle, the differences in two groups with the course of disease less than one month had no statistical significance (P>0.05); The symptom score of the treatment group with the course for 1-3 months and 4-6 months, was better than the control group (P<0.05); The treatment group with the course for 7 months to 1 year or more than 1 year, was better than the control group (P<0.01); Comparing the swelling degree of ankle joint, there was no significant difference between the two groups of type I patients (P>0.05). The type II and III patients of the treatment group was better than the control group (P<0.01, P<0.05). Conclusion The self-made Jianpi Yiqi Decoction can effectively improve the late swelling of ankle sprain.