摘要
目的:观察摩伸揉手法联合探穴针罐法治疗陈旧性踝关节扭伤的临床疗效。方法:选取符合陈旧性踝关节扭伤患者30例,采用摩伸揉手法联合探穴针罐法治疗,分别于治疗前、治疗结束后及治疗后1个月随访,根据疼痛视觉模拟量表(VAS)、美国足踝外科协会踝-后足评分(AOFAS-AHS)、关节活动度(ROM)评估患者踝关节功能改善情况。结果:摩伸揉手法联合探穴针罐法治疗陈旧性踝关节扭伤的总有效率为93.33%;与治疗前比较,治疗结束后的VAS评分显著降低(t=3.653,P=0.012),AOFAS-AHS评分(t=12.782,P<0.001)和ROM评分(t=2.395,P=0.009)均显著升高,差异均有统计学意义;与治疗前比较,治疗后1个月随访的踝关节VAS评分显著降低(t=5.836,P<0.001),AOFAS-AHS评分(t=20.926,P<0.001)和ROM评分(t=4.582,P<0.001)均显著升高,差异均有统计学意义。结论:摩伸揉手法联合探穴针罐法对陈旧性踝关节扭伤具有较好的治疗作用,并有效改善患者踝关节活动度,疗效确切,值得临床推广应用。
Objective:To observe the clinical efficacy on rubbing-traction-kneading manipulation combined with acupuncture and cupping infusion in the treatment of chronic ankle sprain.Methods:Thirty patients with chronic ankle sprain were selected and treated with rubbing-traction-kneading manipulation combined with acupuncture and cupping infusion.Patients were followed up before treatment, after treatment and one month after treatment.The visual analogue scale(VAS),American orthopedic foot & ankle society ankle hind-foot scale(AOFAS-AHS) and range of motion(ROM) were used to evaluate the improvement of ankle function.Results:The total effective rate of rubbing-traction-kneading manipulation combined with acupuncture and cupping infusion for chronic ankle sprain was 93.33%.Compared with those before treatment, VAS score was significantly decreased(t=3.653,P=0.012).AOFAS-AHS score(t=12.782,P<0.001) and ROM score(t=2.395,P=0.009) were significantly increased after the treatment.Compared with those before treatment, the ankle VAS score was significantly decreased(t=5.836,P<0.001).AOFAS-AHS score(t=20.926,P<0.001) and ROM score(t=4.582,P<0.001) were significantly increased at 1 month’s follow-up after treatment.Conclusion:Rubbing-traction-kneading manipulation combined with acupuncture and cupping infusion method has a good efficacy on the treatment of chronic ankle sprain, and effectively improve the patient’s ankle joint range of motion.The efficacy is definite and it is worthy of clinical promotion.
作者
陈张
孙佳蕾
王晓东
寇智君
詹强
CHEN Zhang;SUN Jialei;WANG Xiaodong;KOU Zhijun;ZHAN Qiang(The Third Affiliated Hospital of Zhejiang Chinese Medicine University,Hangzhou 310012,China;Guangxing Hospital of Zhejiang Chinese Medicine University,Hangzhou 310007,China;Hangzhou Children’s Hospital,Hangzhou 310012,China)
出处
《中国中医骨伤科杂志》
CAS
2021年第5期59-61,65,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
浙江省中医药科技计划项目(2017ZA150)
浙江中医药大学校级科研基金项目(2019ZY15)。
关键词
手法
探穴针罐法
陈旧性
踝关节扭伤
manipulation
acupuncture and cupping infusion
chronic
ankle sprain
