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[1]江濤,江林,史俊德,等.動氣針法在踝關(guān)節(jié)骨折術(shù)后中后期康復(fù)中的應(yīng)用[J].中醫(yī)正骨,2015,27(11):20-24.
　JIANG Tao,JIANG Lin,SHI Junde,et al.Application of Dongqi acupuncture(動氣針法)to postoperative rehabilitation in the middle-late period in patients with ankle joint fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(11):20-24.
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動氣針法在踝關(guān)節(jié)骨折術(shù)后中后期康復(fù)中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年11期
頁碼:
20-24
欄目:
臨床研究
出版日期:
2015-11-30

文章信息/Info

Title:
Application of Dongqi acupuncture(動氣針法)to postoperative rehabilitation in the middle-late period in patients with ankle joint fractures
作者:
江濤1; 江林1; 史俊德1; 易李梅2
1.湖南省瀏陽市骨傷科醫(yī)院,湖南 瀏陽 410327;
2.湖南中醫(yī)藥大學(xué),湖南 長沙 410208
Author(s):
JIANG Tao1; JIANG Lin1; SHI Junde1; YI Limei2
1.Orthopedics and traumatology hospital of Liuyang city,Liuyang 410327,Hunan,China
2.Hunan University of Traditional Chinese Medicine,Changsha 410208,Hunan,China
關(guān)鍵詞:
踝關(guān)節(jié);  骨折;  針刺療法;  電刺激療法;  康復(fù)
Keywords:
ankle joint;  fractures; bone;  acupuncture therapy;  electric stimulation therapy;  rehabilitation
摘要:
目的:探討動氣針法在踝關(guān)節(jié)骨折術(shù)后中后期康復(fù)中的應(yīng)用效果。方法:將60例踝關(guān)節(jié)骨折患者隨機(jī)分為2組,每組30例,于術(shù)后中后期分別采用動氣針法和中頻電療法進(jìn)行康復(fù)治療。分別于治療前和治療15 d后記錄并比較2組患者踝關(guān)節(jié)疼痛視覺模擬評分(visual analogue score,VAS)和Mazur踝關(guān)節(jié)功能評分,并于治療15 d后比較2組患者的臨床療效。結(jié)果:治療前2組患者的踝關(guān)節(jié)VAS評分及Mazur踝關(guān)節(jié)功能評分比較,組間差異均無統(tǒng)計(jì)學(xué)意義[(6.83±1.68)分,(6.33±1.53)分,t=-1.201,P=0.235;(4.03±1.07)分,(4.07±1.55)分,t=-0.085,P=0.932]。治療15 d后,2組患者的踝關(guān)節(jié)VAS評分較治療前均降低[(3.90±1.94)分,(6.83±1.68)分,t=-4.853,P=0.000;(2.30±1.44)分,(6.33±1.53)分,t=-4.818,P=0.000],而Mazur踝關(guān)節(jié)功能評分較治療前均升高[(5.50±1.66)分,(4.03±1.07)分,t=-1.981,P=0.048;(6.60±1.23)分,(4.07±1.55)分,t=-2.067,P=0.039]; 動氣針法組踝關(guān)節(jié)VAS評分下降幅度及Mazur踝關(guān)節(jié)功能評分升高幅度均大于中頻電療組[(4.03±1.22)分,(2.93±1.72)分,t=3.561,P=0.001;(2.53±0.78)分,(1.47±0.73)分,t=2.375,P=0.011]。按照Mazur踝關(guān)節(jié)評分系統(tǒng)評價(jià)療效,動氣針法組優(yōu)4例、良11例、可12例、差3例,中頻電療組優(yōu)1例、良6例、可16例、差7例,動氣針法組的臨床療效優(yōu)于中頻電療組(Z=-2.209,P=0.022)。結(jié)論:在踝關(guān)節(jié)骨折術(shù)后中后期采用動氣針法進(jìn)行康復(fù)治療,可以緩解踝關(guān)節(jié)疼痛,改善踝關(guān)節(jié)功能,康復(fù)效果確切,值得臨床推廣應(yīng)用。
Abstract:
Objective:To explore the effect of Dongqi acupuncture(動氣針法)on postoperative rehabilitation in the middle-late period in patients with ankle joint fractures.Methods:Sixty patients with ankle joint fractures were randomly divided into 2 groups,30 cases in each group.The patients were treated with Dongqi acupuncture and medium-frequency electrotherapy respectively for ankle rehabilitation in the middle-late period after surgery.The ankle pain visual analogue score(VAS)and Mazur ankle function score were recorded and compared between the 2 groups before the treatment and after 15-day treatment,and the clinical curative effects was also compared between the 2 groups after 15-day treatment.Results:There was no statistical difference in ankle VAS score and Mazur ankle function score between the 2 groups before the treatment(6.83+/-1.68 vs 6.33+/-1.53 points,t=-1.201,P=0.235; 4.03+/-1.07 vs 4.07+/-1.55 points,t=-0.085,P=0.932).The ankle VAS score decreased while the Mazur ankle function score increased in both of the 2 groups after 15-day treatment(3.90+/-1.94 vs 6.83+/-1.68 points,t=-4.853,P=0.000; 2.30+/-1.44 vs 6.33+/-1.53 points,t=-4.818,P=0.000; 5.50+/-1.66 vs 4.03+/-1.07 points,t=-1.981,P=0.048; 6.60+/-1.23 vs 4.07+/-1.55 points,t=-2.067,P=0.039).The decreased ankle VAS score and the increased Mazur ankle function score were greater in Dongqi acupuncture group than in medium-frequency electrotherapy group(4.03+/-1.22 vs 2.93+/-1.72 points,t=3.561,P=0.001; 2.53+/-0.78 vs 1.47+/-0.73 points,t=2.375,P=0.011).According to Mazur evaluation criteria for ankle function,Four patients obtained an excellent result,11 good,12 fair and 3 poor in the Dongqi acupuncture group; while 1 patients obtained an excellent result,6 good,16 fair and 7 poor in the medium-frequency electrotherapy group.The Dongqi acupuncture group surpassed the medium-frequency electrotherapy group in the total curative effect(Z=-2.209,P=0.022).Conclusion:Dongqi acupuncture can relieve ankle pain and improve ankle function in the middle-late period after the surgery for ankle fractures,and it is worthy of popularizing in clinic for its reliable rehabilitative effect.

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備注/Memo

備注/Memo:
2015-08-19收稿 2015-09-20修回
基金項(xiàng)目:湖南省中醫(yī)藥管理局科研計(jì)劃項(xiàng)目(2015172)
通訊作者:史俊德 E-mail:[email protected]
更新日期/Last Update: 2015-11-30