摘要
目的观察艾灸治疗高寒地区军事训练所致的踝关节韧带损伤的疗效。方法选取2019-01/2019-05月某部队在青海格尔木驻训期间,军事训练引起踝关节韧带损伤的伤病员共60例,按照随机数字表法分为空白组,药物对照组和艾灸观察组,每组各20例。空白组卧床休息,对照组以双氯芬酸钠缓释胶囊(50 mg/次,2次/d)口服,观察组以艾灸阿是穴(30 min/次,1次/d),10天为1疗程。治疗前后分别采用视觉模拟评分(visual analogue scale,VAS)和美国矫形足踝协会(American orthopaedic foot and ankle society,AOFAS)踝-后足评分评定患者踝关节疼痛缓解程度及踝关节功能改善程度。结果治疗10天后,艾灸观察组患者踝关节疼痛评分显著低于治疗前,也低于空白组及药物对照组,差异具有统计学意义(P<0.05);艾灸观察组患者AOFAS踝-后足评分明显高于治疗前,也优于空白组及药物观察组,差异具有统计学意义(P<0.05)。结论艾灸阿是穴可以有效缓解高寒地区军事训练所致的踝关节韧带损伤后疼痛症状,改善踝关节功能,且安全便捷。
Objective To observe the effect of moxibustion on the treatment of ankle ligament injury caused by military training in alpine region.Methods A total of 60 wounded and sick patients with ankle ligament injury caused by military training in Qinghai Golmud from January 2019 to May 2019 were selected.According to the random number table method,the patients were divided into blank group,drug control group and moxibustion observation group,with 20 cases in each group.The blank group rested in bed,the control group was given diclofenac sodium sustained-release capsule(50 mg/time,2 times/day)orally,and the moxibustion observation group was treated with moxibustion at ashi point(30 min/time,1 time/day)with 10 days for one course of treatmenat.Visual analogue scale(VAS)and ankle-posterior foot score in American orthopaedic foot and ankle society(AOFAS)were used to assess the degree of ankle pain relief and ankle function improvement before and after treatment.Results After 10 days of treatment,the ankle pain scores of the moxibustion observation group were significantly lower than those before treatment,and also lower than the blank group and the drug control group,and the difference was statistically significant(P<0.05).Ankle-posterior foot score in AOFAS of patients in moxibustion observation group were significantly higher than those before treatment,and also better than those in blank group and drug observation group(P<0.05).Conclusion Moxibustion at ashi point can effectively alleviate the pain symptoms of ankle ligament injury caused by military training in alpine region,and can improve the function of ankle joint.It is safe and convenient.
作者
张蕊
邓银栓
杨玉兴
燕忠生
魏千程
ZHANG Rui;DENG Yinshuan;YANG Yuxing;YAN Zhongsheng;WEI Qiancheng(Department of Chinese Medicine Rehabilitation,No.940 Hospital of Joint Logistics Support Force of People's Liberation Army,Lanzhou Gansu 730050,China)
出处
《华南国防医学杂志》
CAS
2021年第8期574-577,共4页
Military Medical Journal of South China
关键词
高寒地区
军事人员
踝关节韧带损伤
艾灸治疗
Alpine region
Military personnel
Ankle ligament injury
Moxibustion treatment
