关键词: 骨折, 中药外敷, 芒硝, 硼砂, 疼痛

Abstract: Objective　To discuss the effect of self-made Mangpeng powders cold compress in the treatment of early pain and swelling among patients with fracture of lower leg.Methods　90 cases with fracture of lower leg who underwent surgery in the Fifth Department of Orthopedics，Jinhua Hospital of Traditional Chinese Medicine form June 2014 to October 2015,were divided into 3 groups equally according to their hospital admission sequence:control group,10% Mangpeng powders group and 40% Mangpeng powders group.All cases received conventional treatment,cases in control group received Xiaoyanzhitong cream cold compress,cases in 10% Mangpeng powders group and 40% Mangpeng powders group received 10% Mangpeng powders cold compress and 40% Mangpeng powders cold compress respectively.The visual analog scale（VAS） score of pain and swelling degree of affected limb were assessed before and 1 hours,24 hours,48 hours and 72 hours after cold compress respectively.The swelling score before and 1 days,2 days,3 days,5 days and 7 days after cold compress and complications were also recorded respectively.Results　For treatment method and time,there were significant interaction among the VAS score of pain,swellingdegree and swelling score（P<0.05）.For treatment method and time,there were significant main effect in the VAS score of pain,swelling degree and swelling score respectively（P<0.05）.24 hours and 48 hours after cold compress,the VAS score of pain in 10% and 40% Mangpeng powders group was significantly lower than that in the control group respectively（both P<0.05）.48 hours after cold compress,the VAS score of pain in 40% Mangpeng powders group was significantly lower than that in 10% Mangpeng powders group（P<0.05）.24 hours and 48 hours after cold compress,the swelling degree in 10% Mangpeng powders group was significantly lower than that in control group（P<0.05）.24 hours,48 hours and 72 hours after cold compress,the swelling degree in 40% Mangpeng powders group was significantly lower than that in control group and 10% Mangpeng powders group（P<0.05）.3 days after cold compress,the swelling score in 40% Mangpeng powders group was significantly lower than that in control group（P<0.05）.5 days and 7 days after cold compress,the swelling score in 40% Mangpeng powders group was significantly lower than that in control group and 10% Mangpeng powders group（P<0.05）.Three groups of patients had no complications such as deep vein thrombosis and osteofascial compartment syndrome.Conclusion　The effect of self-made Mangpeng powders cold compress in the treatment of early pain and swelling among patients with fracture of lower leg is good，and the effect of 40% Mangpeng powders is better than that of 10% Mangpeng powders.

Key words: Fractures,bone, External applications（TCD）, Natrii sulfas, Borax, Pain