摘要
目的:探讨赤凤逢源针刺手法治疗急性踝关节扭伤的临床疗效。方法:收治急性踝关节扭伤患者132例,按就诊顺序随机分为3组,针刺组44例,采用"赤凤逢源"法针刺治疗;教学组44例,参照《针灸学》治疗踝关节扭伤方法;扶他林组44例,采用扶他林乳剂外擦治疗。观察治疗后患者踝关节疼痛、肿胀及功能改善情况,并对3组患者治疗前、后踝关节症状评分进行比较。结果:3组患者治疗前后症状评分差值比较:1疼痛差值:针刺组2.59(0.92),教学组1.86(0.51),扶他林组1.5(0.876),F=21.669,P=0;肿胀差值:针刺组2.09(0.603),教学组2.09(0.96),扶他林组1.45(0.901),F=8.496,P=0;功能障碍:针刺组:2.14(1.091),教学组2.09(0.96),扶他林组1.77(0.642),F=2.053,P=0.133;总分差值:针刺组6.82(1.632),教学组6.18(1.968),扶他林组4.73(1.37),F=18.021,P=0。止痛效果针刺组疗效优于教学组更优于扶他林组(P1*2=0,P1*3=0,P2*3=0),肿胀疗效针刺组与教学组差不多但都优于扶他林组(P1*2=1.000,P1*3=0.001,P2*3=0.001),关节功能障碍疗效三组差别不大(P=0.133)。从总的疗效来看,针刺组与教学组疗效相近(P1*2=0.180),但均优于扶他林组(P1*2=0.18,P1*3=0.000,P2*3=0.000)。结论:赤凤逢源针刺手法治疗踝关节扭伤,能起到良好的活血止痛效果,值得临床推广应用。
Objective:To investigate the clinical curative effect of Chi Feng Feng Yuan acupuncture in the treatment of acute ankle sprain.Methods:132 patients with acute ankle joint sprain were selected.They were randomly divided into 3 groups according to the order of treatment.44 cases in the acupuncture group were given 'Chi Feng Fegn Yuan' acupuncture therapy;the teaching group with 44 cases refered to the methods of 'acupuncture' in the treatment of ankle joint sprain;the voltaren group with44 cases were given votalin emulsion externally wiped treatment.We observed the ankle joint pain,swelling and functional improvement situation of the patients after the treatment,and we compared the ankle joint symptom score of the patients in 3groups before and after the treatment.Results:The comparison of symptom score difference before and after treatment in the patients of 3 groups:pain difference:acupuncture group:2.59(0.92),teaching group:1.86(0.51),diclofenac group:1.5(0.876),F=21.669,P=0;swelling difference:acupuncture group:2.09(0.603),teaching group:2.09(0.96),diclofenac group:1.45(0.901),F=8.496,P=0;dysfunction: acupuncture group:2.14(1.091),teaching group:2.09(0.96),diclofenac group:1.77(0.642),F=2.053,P=0.133;the total score difference:acupuncture group:6.82(1.632),teaching group:6.18(1.968),diclofenac group:4.73(1.37),F=18.021,P=0.The analgesic effect of acupuncture group is better than the teaching group and also is better than the diclofenac group(P1*2=0,P1*3=0,P2*3=0),the swelling effect of the acupuncture group and the teaching group almost but better than the voltaren group(P1*2=1.000,P1*3=0.001,P2*3=0.001),the joint dysfunction of three groups was difference(P=0.133),from the total curative effect,the acupuncture group and the teaching group was similar efficacy(P1*2=0.180),but were better than the voltaren group(P1*2=0.18,P1*3=0.000,P2*3=0.000).Conclusion:The Chi Feng Feng Yuan acupuncture manipulation in the treatment of ankle joint sprain can play a good Huoxue analgesic effect,so it is worthy of the clinical
出处
《中国社区医师》
2015年第7期98-99,101,共3页
Chinese Community Doctors
关键词
赤凤逢源针刺疗法
软组织损伤
踝关节
Chi Feng Feng Yuan acupuncture therapy
Soft tissue injury
Ankle joint
