摘要
目的:探讨针刺治疗急性踝关节扭伤的临床疗效。方法:急性踝关节扭伤患者87例,男28例,女59例;年龄19～46岁,中位数37岁;受伤至就诊时间2～24 h,中位数7 h。按就诊顺序随机分为2组,针刺组43例,采用"赤凤迎源"法针刺治疗;扶他林组44例,采用扶他林乳剂外搽治疗。共治疗2周,然后观察患者踝关节疼痛、肿胀及功能改善情况,并对2组患者治疗前后踝关节症状体征评分进行比较。结果:治疗前,2组患者踝关节疼痛评分[(4.00±1.06)分,(3.96±1.22)分]、肿胀评分[(3.91±1.15)分,(3.86±1.25)分]、功能障碍评分[(4.37±1.32)分,(3.95±1.32)分]及症状体征综合评分[(12.28±3.22)分,(11.82±3.68)分]比较,差异均无统计学意义(t=0.183,P=0.855;t=0.168,P=0.867;t=1.466,P=0.146;t=0.621,P=0.536)。治疗2周后,2组患者踝关节疼痛评分[(1.40±1.27)分,(2.46±1.50)分]、肿胀评分[(1.53±1.22)分,(2.41±1.58)分]、功能障碍评分[(2.09±1.37)分,(2.18±1.54)分]及症状体征综合评分[(5.02±2.87)分,(7.09±4.08)分]均较治疗前降低[(t=18.377,P=0.000;t=11.358,P=0.000);(t=17.276,P=0.000;t=10.708,P=0.000);(t=12.436,P=0.000;t=18.314,P=0.000);(t=24.363,P=0.000;t=22.886,P=0.000)];且治疗后针刺组踝关节疼痛、肿胀、功能障碍评分及症状体征综合评分较治疗前的降低值均大于扶他林组[(2.60±0.92)分,(1.50±0.87)分,t=5.706,P=0.001;(2.37±0.90)分,(1.45±0.90)分,t=4.751,P=0.001;(2.28±1.20)分,(1.77±0.64)分,t=2.443,P=0.017;(7.26±1.95)分,(4.73±1.37)分,t=7.004,P=0.001]。结论:针刺治疗急性踝关节扭伤,可有效缓解疼痛、减轻肿胀,改善踝关节功能,值得临床推广应用。
Objective：To investigate the clinical curative effect of acupuncture therapy for the treatment of acute ankle sprains. Methods ： Eighty-seven patients with acute ankle sprains were studied, male 28 cases, while female 59 cases ; ranging in age from 19 to 46 years with a median of 37 years ; ranging from 2 to 24 hrs with a median of 7 hrs in time intervals from injury to treatment. The patients were randomly divided into 2 groups according to visiting sequence ,43 cases in the acupuncture group were administrated with acupuncture ther-apy of Chifeng Yingyuan, while the others in the voltaren group were administrated with external application of voltaren emulsion. After two-week treatment, the improvements in pain, swelling and function of ankle joint were observed, and the symptoms and signs scores of ankle joint were compared between the 2 groups before the treatment and after the treatment. Results：Before the treatment,there were no statisti-cal differences in ankle pain scores [ （4.00 ± 1.06） points, （ 3.96 ± 1.22） points ], swelling scores E （ 3.91 ± 1.15 ） points, （ 3.86 ± 1.25 ） points], dysfunction scores [ （4.37 ± 1.32 ） points, （ 3.95 ± 1.32 ） points ] and total scores E （ 12.28 ± 3.22 ） points, （ 11.82 ± 3.68 ） points ] between the 2 groups respectively（t =0. 183,P =0. 855;t =0. 168,P =0. 867;t = 1. 466,P =0. 146;t =0. 621,P =0. 536）. After two-week treatment, the ankle pain scores [ （ 1.40 ± 1.27 ） points, （ 2.46 ± 1.50 ） points ], swelling scores [ （ 1.53 ± 1.22 ） points, （ 2.41 ± 1.58 ） points ], dysfunction scores [ （ 2.09± 1.37 ） points, （2.18 ± 1.54） points ] and total scores [ （ 5.02 ± 2.87 ） points （ 7.09 ± 4.08 ） points ] of the 2 groups declined compared with those before the treatment [ （ t = 18. 377,P = 0. 000 ; t = 11. 358,P = 0. 000） ; （ t = 17. 276, P = 0. 000 ; t = 10. 708, P = 0. 000） ; （ t = 12. 436, P = 0. 000 ; t = 18.314, P = 0. 000） ; （ t = 24. 363, P = 0. 000 ; t = 22. 886, P = 0
出处
《中医正骨》
2013年第4期12-14,共3页
The Journal of Traditional Chinese Orthopedics and Traumatology
关键词
针刺疗法
踝损伤
治疗
临床研究性
Acupuncture therapy
Ankle injuries
Therapies, investigational
