消肿止痛膏治疗运动所致急性软组织损伤40例

目的： 探讨自拟消肿止痛膏治疗运动所致急性软组织损伤的临床疗效及对血液流变学指标的影响。 方法： 80例运动所致急性软组织损伤患者随机分为对照组和观察组各40例。对照组采用扶他林乳胶剂，观察组采用自拟消肿止痛膏，疗程均为5 d。观察治疗前后疼痛、肿胀、压痛、瘀斑、功能障碍等症状、体征积分，检测治疗前后血液流变学指标、血沉和c-反应蛋白水。 结果： 治疗后观察组疼痛、压痛、肿胀、淤斑和功能障碍评分均明显低于对照组（P<0.01）；观察组愈显率为87.5%优于对照组的42.5%（P<0.01）；观察组全血黏度、血浆黏度、纤维蛋白原、红细胞压积等血液流变指标的改善均优于对照组（P<0.01）；观察组血沉和c-反应蛋白水平均低于对照组（P<0.01）。 结论： 消肿止痛膏具有较好的活血化瘀功能，能明显减轻运动所致急性软组织损伤的临床症状及体征，有一定的临床疗效。

Xiaozhong Zhitong Cream in 40 Cases Acute Soft Tissue Injury Caused by Campaign

Objective: To study the clinical curative effect of Xiaozhong Zhitong cream in the treatment of acute soft tissue injury caused by campaign and impact on hemorheology. Method: Eighty cases with acute soft tissue injury induced by sports were randomly divided into control group and observation group, 40 cases in each. Control group adopted Votalin emulgel, observation group received treatment of Xiaozhong Zhitong cream, the course last for 5 days. Clinical symptoms and signs such as pain, swelling, tenderness, ecchymosis, integral function obstacle were observed, before and after treatment, hemorheology indexes, blood sedimentation and c-reactive protein were detected before and after treatment. Result: Pain, tenderness, swelling, ecchymosis and dysfunction scores of observation group were significantly lower compared with that of control group after treatment (P<0.01). The effective rate of observation group was 87.5%, which was higher than 42.5% in control group (P<0.01). Hemorheology indexes such as whole blood viscosity, plasma viscosity, fibrinogen, erythrocyte deposited of observation group were significantly improved than control group (P<0.01). Blood sedimentation and c-reactive protein levels of observation group were lower than that of control group (P<0.01). Conclusion: Xiaozhong Zhitong cream can promote blood circulation and remove blood stasis, and obviously reduce acute soft tissue injury caused by movement.