摘要
Objective： To observe the clinical efficacy of combining tuina and Chinese herbal fumigation for chronic ankle sprain. Methods： A total of 93 cases were randomly allocated into an observation group（n=47） and a control group（n=46） according to the table of random number. Cases in the observation group received tuina combining with Chinese herbal fumigation, whereas cases in the control group received oral blood-circulating and pain-alleviating capsules combining with Chinese herbal fumigation. Both tuina and Chinese herbal fumigation were done once every other day and 10 times made up a course of treatment. The Baird-Jackson ankle scoring system and clinical efficacy were observed after 1 course of treatment.Results： After treatment, except for radiographic findings, there were significant intra-group differences in individual item scores of Baird-Jackson（P〈0.05, P〈0.01）; except for ankle joint range of motion（ROM）, there were significant betweengroup differences in individual item scores and total score（P〈0.01）. The excellence and good rate was 76.6% in the observation group, versus 54.4% in the control group, showing a statistical significance（P〈0.05）. Conclusion： Combining Chinese herbal fumigation and tuina based on the muscle region theory can obtain better effect than combining oral blood-circulating and pain-alleviating capsules and Chinese herbal fumigation for chronic ankle sprain.
目的:观察推拿配合中药熏蒸治疗陈旧性踝关节扭伤的临床疗效。方法:将纳入的93例患者根据随机数字表随机分为2组,观察组47例,给予经筋理论指导下推拿配合中药熏蒸治疗;对照组46例,予口服活血止痛药物配合中药熏蒸治疗。推拿和中药熏蒸均隔日1次,10次为1个疗程,治疗1个疗程后观察两组踝关节功能评分(Baird-Jackson)及临床疗效。结果:治疗后,除放射线检查结果外,两组治疗前后Baird-Jackson各项评分均有统计学差异(P<0.05,P<0.01);除踝关节活动度量(range of motion,ROM)外,两组间各项评分及总分差异亦有统计学意义(P<0.01)。观察组优良率为76.6%,对照组优良率为54.4%,两组优良率差异有统计学意义(P<0.05)。结论:经筋理论指导下推拿配合中药熏蒸治疗陈旧性踝关节扭伤的临床效果优于口服活血止痛药物配合中药熏蒸治疗。
基金
supported by Shanghai Key Clinical Support Program for Chinse Medicine and Integrated Chinse and Western Medicine
No.ZY3-JSFC-1-1008
Lu’s Acupuncture Inheritance Study of Shanghai Schools of Traditional Chinese Medicine
No.ZYSNXD-CC-HPGC-JD-004~~
