摘要目的：观察生栀子粉外敷合并芒硝外敷治疗创伤性软组织肿痛的疗效。方法将200例符合标准的创伤后肿痛患者，按入院日期单双数法分为对照组和观察组各100例。对照组采用β-七叶皂甙钠20 mg加入液体中静脉滴注，1日1次。观察组将生栀子粉、面粉按1∶1比例混匀，再加米醋，拌至匀浆糊状，敷于肿痛处，然后用袋装芒硝外敷包扎，每12 h观察皮肤肿胀、疼痛程度，同时24 h更换敷料1次。结果治疗前和治疗12 h后，两组患者在消除肿胀及改善疼痛方面差异无统计学意义（ P ＞0.05）。在治疗24 h、36 h和48 h后，观察组患者的疼痛程度、肿胀程度均低于对照组，差异有统计学意义（ P＜0.05）。结论生栀子粉、面粉、米醋按一定比例配制成匀浆糊状直接外敷配合芒硝装袋外敷对减轻创伤性软组织肿痛早期疗效明显，无明显过敏及毒副反应，值得在临床推广。

abstractsObjective To investigate the effect of external application of raw gardenia powder and mirabilite in the treatment of traumatic soft tissue swelling.Methods 200 patients who met the standard were divided into two groups, with the control group of 100 cases, and the observation group of 100 cases.The control group was treated byβ-Aescinum Natrium 20 mg intravenous drip once a day.The observation group was treated by external application of raw gardenia powder and mirabilite which were mixed by the proportion of 1∶1 with vinegar.We observed the traumatic soft tissue swelling every 12 hours, and changed the dressing every 24 hours.Results There was no significant difference in the traumatic soft tissue swelling between the two groups before and 12 hours after the treatment (P>0.05).24 hours, 36 hours and 48 hours after treatment, the degree of traumatic soft tissue swelling of the observation group were significantly lower than that of the control group (P<0.05).Conclusions The external application of raw gardenia powder and mirabilite has good effect on the treatment of traumatic soft tissue swelling without side effects which should be promoted in clinical practice.