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[1]史瑩?dān)L.針刺治療急性踝關(guān)節(jié)扭傷[J].中醫(yī)正骨,2013,25(04):12-14.
　SHI Ying-ying*.*.Curative effect of acupuncture therapy for the treatment of acute ankle sprains[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(04):12-14.
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針刺治療急性踝關(guān)節(jié)扭傷 ()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年04期
頁碼:
12-14
欄目:
足踝損傷
出版日期:
2013-04-30

文章信息/Info

Title:
Curative effect of acupuncture therapy for the treatment of acute ankle sprains
作者:
史瑩?dān)L
浙江省杭州市下城區(qū)中西醫(yī)結(jié)合醫(yī)院,浙江 杭州 310030
Author(s):
SHI Ying-ying*.*
Hospital of Integrated Traditional Chinese Medicine with Western Medicine in Xiacheng District of Hangzhou City,Hangzhou 310030,Zhejiang,China
關(guān)鍵詞:
針刺療法 踝損傷 治療; 臨床研究性
Keywords:
Acupuncture therapy;  Ankle injuries;  Therapies; investigational
摘要:
目的:探討針刺治療急性踝關(guān)節(jié)扭傷的臨床療效。方法:急性踝關(guān)節(jié)扭傷患者87例,男28例,女59例; 年齡19～46歲,中位數(shù)37歲; 受傷至就診時間2～24 h,中位數(shù)7 h。按就診順序隨機分為2組,針刺組43例,采用“赤鳳迎源”法針刺治療; 扶他林組44例,采用扶他林乳劑外搽治療。共治療2周,然后觀察患者踝關(guān)節(jié)疼痛、腫脹及功能改善情況,并對2組患者治療前后踝關(guān)節(jié)癥狀體征評分進行比較。結(jié)果:治療前,2組患者踝關(guān)節(jié)疼痛評分[(4.00±1.06)分,(3.96±1.22)分]、腫脹評分[(3.91±1.15)分,(3.86±1.25)分]、功能障礙評分[(4.37±1.32)分,(3.95±1.32)分]及癥狀體征綜合評分[(12.28±3.22)分,(11.82±3.68)分]比較,差異均無統(tǒng)計學(xué)意義(t=0.183,P=0.855; t=0.168,P=0.867; t=1.466,P=0.146; t=0.621,P=0.536)。治療2周后,2組患者踝關(guān)節(jié)疼痛評分[(1.40±1.27)分,(2.46±1.50)分]、腫脹評分[(1.53±1.22)分,(2.41±1.58)分]、功能障礙評分[(2.09±1.37)分,(2.18±1.54)分]及癥狀體征綜合評分[(5.02±2.87)分,(7.09±4.08)分]均較治療前降低[(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)]; 且治療后針刺組踝關(guān)節(jié)疼痛、腫脹、功能障礙評分及癥狀體征綜合評分較治療前的降低值均大于扶他林組[(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]。結(jié)論:針刺治療急性踝關(guān)節(jié)扭傷,可有效緩解疼痛、減輕腫脹,改善踝關(guān)節(jié)功能,值得臨床推廣應(yīng)用。
Abstract:
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 therapy 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 statistical differences in ankle pain scores[(4.00±1.06)points,(3.96±1.22)points],swelling scores[(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[(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=0.000)].Furthermore,there was a bigger decline in pain scores,swelling scores,dysfunction scores and total scores in acupuncture group compared to voltaren group[(2.60±0.92)points,(1.50±0.87)points,t=5.706,P=0.001;(2.37±0.90)points,(1.45±0.90)points,t=4.751,P=0.001;(2.28±1.20)points,(1.77±0.64)points,t=2.443,P=0.017;(7.26±1.95)points,(4.73±1.37)points,t=7.004,P=0.001].Conclusion:Acupuncture therapy can effectively relieve the pain,reduce swelling and improve ankle functions in the treatment of acute ankle sprains,so it is worthy of popularizing in clinic.

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備注/Memo

備注/Memo:
2012-12-02收稿 2013-01-03修回
更新日期/Last Update: 2013-04-30