低温冲击疗法联合活血止痛汤治疗急性踝关节损伤30例

目的 观察低温冲击疗法联合活血止痛汤治疗急性踝关节损伤的临床疗效。方法 选取90例急性踝关节损伤的患者，随机分为观察组、对照组和中药组各30例，中药组予以加压固定配合活血止痛汤内服，对照组在中药组基础上加用间断冰敷法治疗，观察组在中药组基础上加用低温冲击疗法治疗，比较3组患者的临床疗效。结果 治疗后3组患者VAS评分、周径差值均较治疗前明显下降（P<0.05），治疗后观察组、对照组VAS评分、周径差值均明显低于中药组（P<0.05），观察组周径差值明显低于对照组（P<0.05）。结论 低温冲击疗法联合活血止痛汤内服治疗急性踝关节损伤，能快速消肿止痛，比间断冰敷法及口服活血止痛汤疗效更优，值得临床推广应用。

Clinical Efficacy of Cold Shock Therapy Combined with Huoxue Zhitong Decoction in the Treatment of Acute Ankle Injury: A Study of 30 Patients

Objective To observe the clinical efficacy of cold shock therapy combined with Huoxue Zhitong Decoction in the treatment of acute ankle injury. Methods Ninety patients with acute ankle injury were randomly and equally divided into observation group, control group, and traditional Chinese medicine (TCM) group. All the three groups received pressure fixation combined with oral administration of Huoxue Zhitong Decoction. The control group received additional treatment with intermittent ice compress. The observation group received additional cold shock therapy. The clinical outcomes were compared between the three groups. Results After treatment, the Visual Analog Scale (VAS) score and perimeter difference were significantly reduced in all three groups (P<0.05); the observation group and the control group had significantly lower VAS score and perimeter difference than the TCM group (P<0.05); the observation group had a significantly lower perimeter difference than the control group (P<0.05). Conclusion Cold shock therapy combined with oral administration of Huoxue Zhitong Decoction can quickly reduce swelling and pain for acute ankle injury, which is superior to intermittent ice compress or oral administration of Huoxue Zhitong Decoction. The combined treatment holds promise for clinical application.