84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]陳張,王曉東,寇智君,等.理筋手法聯(lián)合探穴針罐法治療陳舊性踝關(guān)節(jié)扭傷的臨床研究[J].中醫(yī)正骨,2021,33(03):20-25.
　CHEN Zhang,WANG Xiaodong,KOU Zhijun,et al.A clinical study of sinew adjusting manipulation combined with acupuncture-cupping therapy for treatment of old ankle sprain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(03):20-25.
點(diǎn)擊復(fù)制

理筋手法聯(lián)合探穴針罐法治療陳舊性踝關(guān)節(jié)扭傷的臨床研究()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年03期
頁(yè)碼:
20-25
欄目:
臨床研究
出版日期:
2021-03-20

文章信息/Info

Title:
A clinical study of sinew adjusting manipulation combined with acupuncture-cupping therapy for treatment of old ankle sprain
作者:
陳張; 王曉東; 寇智君; 詹強(qiáng)
(1.浙江中醫(yī)藥大學(xué)附屬第三醫(yī)院,浙江 杭州 310005; 2.浙江中醫(yī)藥大學(xué)附屬?gòu)V興醫(yī)院,浙江 杭州 310007; 3.杭州市兒童醫(yī)院,浙江 杭州 310014)
Author(s):
CHEN Zhang; WANG Xiaodong; KOU Zhijun; ZHAN Qiang
1.The Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310005,Zhejiang,China;2.Guangxing Hospital Affiliated to Zhejiang Chinese Medicine University,Hangzhou 310007,Zhejiang,China;3.Hangzhou Children’s Hospital,Hangzhou 310014,Zhejiang,China
關(guān)鍵詞:
踝關(guān)節(jié);  扭傷和勞損;  針刺療法;  拔罐;  肌肉骨骼手法
Keywords:
ankle joint;  sprains and strains;  acupuncture therapy;  cupping therapy;  musculoskeletal manipulations
摘要:
目的:觀察理筋手法聯(lián)合探穴針罐法治療陳舊性踝關(guān)節(jié)扭傷的臨床療效。方法:將符合要求的76例陳舊性踝關(guān)節(jié)扭傷患者隨機(jī)分為2組,每組38例。聯(lián)合治療組采用理筋手法聯(lián)合探穴針罐法治療,理筋手法組單純采用理筋手法治療。理筋手法和探穴針罐法均隔日治療1次,連續(xù)治療6次為1個(gè)療程,共治療1個(gè)療程。分別于治療前及治療結(jié)束后,采用疼痛視覺(jué)模擬量表(visual analogue scale,VAS)評(píng)分評(píng)價(jià)踝部疼痛情況,采用美國(guó)足與踝關(guān)節(jié)協(xié)會(huì)(American Orthopedic Foot and Ankle Society,AOFAS)踝與后足功能評(píng)分評(píng)價(jià)患足功能,計(jì)算踝關(guān)節(jié)活動(dòng)度評(píng)分,并根據(jù)MRI檢查結(jié)果評(píng)估患足韌帶、肌腱及骨損傷情況。結(jié)果:①踝部疼痛VAS評(píng)分。治療前,2組患者踝部疼痛VAS評(píng)分比較,組間差異無(wú)統(tǒng)計(jì)學(xué)意義[(6.42±2.68)分,(6.70±2.22)分,t=-0.865,P=0.643]; 治療結(jié)束后,2組患者踝部疼痛VAS評(píng)分均較治療前降低(t=-8.532,P=0.000; t=-4.235,P=0.007),聯(lián)合治療組的踝部疼痛VAS評(píng)分低于理筋手法組[(1.48±1.24)分,(2.24±1.42)分,t=-3.246,P=0.021]。②AOFAS踝與后足功能評(píng)分。治療前,2組患者AOFAS踝與后足功能評(píng)分比較,組間差異無(wú)統(tǒng)計(jì)學(xué)意義[(48.23±12.46)分,(47.54±13.35)分,t=-1.435,P=0.546]; 治療結(jié)束后,2組患者AOFAS踝與后足功能評(píng)分均高于治療前(t=-36.756,P=0.000; t=-24.146,P=0.012),聯(lián)合治療組的AOFAS踝與后足功能評(píng)分高于理筋手法組[(72.16±18.14)分,(61.33±13.48)分,t=-5.473,P=0.015]。③踝關(guān)節(jié)活動(dòng)度評(píng)分。治療前,2組患者踝關(guān)節(jié)活動(dòng)度評(píng)分比較,組間差異無(wú)統(tǒng)計(jì)學(xué)意義[(3.92±2.45)分,(3.88±2.33)分,t=-0.743,P=0.632]; 治療結(jié)束后,2組患者踝關(guān)節(jié)活動(dòng)度評(píng)分均高于治療前(t=3.945,P=0.011; t=4.586,P=0.021),且2組患者踝關(guān)節(jié)活動(dòng)度評(píng)分的組間差異無(wú)統(tǒng)計(jì)學(xué)意義[(8.33±1.55)分,(7.35±2.03)分,t=0.547,P=0.085]。④患足韌帶、肌腱及骨損傷情況。MRI檢查結(jié)果顯示,治療結(jié)束后聯(lián)合治療組的患足韌帶損傷改善情況優(yōu)于理筋手法組(χ2=4.266,P=0.039),2組患者的肌腱及骨損傷改善情況組間差異均無(wú)統(tǒng)計(jì)學(xué)意義(χ2=2.595,P=0.107; χ2=0.517,P=0.472)。結(jié)論:理筋手法聯(lián)合探穴針罐法治療陳舊性踝關(guān)節(jié)扭傷,在減輕踝部疼痛癥狀、提高患足功能、改善患足韌帶損傷方面的效果優(yōu)于單純理筋手法,但兩者在改善踝關(guān)節(jié)活動(dòng)度及肌腱、骨損傷方面的效果無(wú)明顯差異。
Abstract:
Objective:To observe the clinical curative effects of sinew adjusting manipulation combined with acupuncture-cupping therapy for treatment of old ankle sprain.Methods:Seventy-six patients with old ankle sprain enrolled in the study were randomly divided into combination therapy group and monotherapy group,38 cases in each group.The patients in combination therapy group were treated with sinew adjusting manipulation and acupuncture-cupping therapy,while the patients in monotherapy group were merely treated with sinew adjusting manipulation.The sinew adjusting manipulation and acupuncture-cupping therapy were performed 1 time every other day for 1 course of treatment,consecutive 6 times for each course.The ankle pain and injuried foot function were evaluated by using visual analogue scale(VAS)scores and American Orthopaedic Foot and Ankle Society(AOFAS)ankle-hindfoot function scores respectively.Moreover,the ankle range of motion(ROM)scores were calculated,and the ligament,tendon and bone injuries of injuried foot were evaluated according to the MRI examination results before the treatment and after the end of the treatment respectively.Results:There was no statistical difference in ankle pain VAS scores between the 2 groups before the treatment(6.42±2.68 vs 6.70±2.22 points,t=-0.865,P=0.643).The ankle pain VAS scores were lower after the end of the treatment compared to pre-treatment(t=-8.532,P=0.000; t=-4.235,P=0.007),and the ankle pain VAS scores were lower in combination therapy group compared to monotherapy group(1.48±1.24 vs 2.24±1.42 points,t=-3.246,P=0.021).There was no statistical difference in AOFAS ankle-hindfoot function scores between the 2 groups before the treatment(48.23±12.46 vs 47.54±13.35 points,t=-1.435,P=0.546).The AOFAS ankle-hindfoot function scores were higher after the end of the treatment compared to pre-treatment(t=-36.756,P=0.000; t=-24.146,P=0.012),and the AOFAS ankle-hindfoot function scores were higher in combination therapy group compared to monotherapy group(72.16±18.14 vs 61.33±13.48 points,t=-5.473,P=0.015).There was no statistical difference in ankle ROM scores between the 2 groups before the treatment(3.92±2.45 vs 3.88±2.33 points,t=-0.743,P=0.632).The ankle ROM scores were higher after the end of the treatment compared to pre-treatment(t=3.945,P=0.011; t=4.586,P=0.021),and there was no statistical difference in ankle ROM scores between the 2 groups(8.33±1.55 vs 7.35±2.03 points,t=0.547,P=0.085).The MRI examination results demonstrated that the patients in combination therapy group got better improvement in ligament injury of injuried foot compared to the patients in monotherapy group after the end of the treatment(χ2=4.266,P=0.039),and there was no statistical difference in improvement in tendon and bone injury between the 2 groups(χ2=2.595,P=0.107; χ2=0.517,P=0.472).Conclusion:The combination therapy of sinew adjusting manipulation and acupuncture-cupping therapy surpasses the monotherapy of sinew adjusting manipulation in relieving foot pain,promoting foot function and improving ligament injury of injuried foot in treatment of old ankle sprain.However,there is no obvious difference between the two therapies in improving ankle ROM and injuries of tendon and bone.

參考文獻(xiàn)/References:

[1] ADAL S A,MACKEY M,POURKAZEMI F,et al.The relationship between pain and associated characteristics of chronic ankle instability:A retrospective study[J].J Sport Health Sci,2020,9(1):96-101.
[2] 郝金林,徐芳華.中藥熏蒸聯(lián)合針刺治療陳舊性踝關(guān)節(jié)扭傷療效觀察[J].新中醫(yī),2018,50(2):119-122.
[3] ALGHADIR A H,IQBAL Z A,IQBAL A,et al.Effect of chronic ankle sprain on pain,range of motion,proprioception,and balance among athletes[J].Int J Environ Res Public Health,2020,17(15):5318.
[4] 徐禮才.踝關(guān)節(jié)扭傷不同階段的康復(fù)治療與訓(xùn)練[J].按摩與康復(fù)醫(yī)學(xué),2020,11(9):20-21.
[5] 李軍.不同針灸療法治療陳舊性踝關(guān)節(jié)扭傷臨床效果研究[J].足踝外科電子雜志,2019,6(4):39-42.
[6] 崔太松,寇智君,申屠嘉俊,等.詹強(qiáng)探穴針?lè)ㄖ委熛ス切躁P(guān)節(jié)炎急性期經(jīng)驗(yàn)介紹[J].新中醫(yī),2018,50(2):193-195.
[7] 劉晨,申屠嘉俊,李小梅,等.探穴針聯(lián)合運(yùn)動(dòng)療法治療氣滯血瘀型肩周炎臨床觀察[J].浙江中西醫(yī)結(jié)合雜志,2020,30(5):401-403.
[8] 詹強(qiáng),陳張,崔太松,等.探穴針罐灌注療法治療急性踝關(guān)節(jié)扭傷療效觀察[J].浙江中西醫(yī)結(jié)合雜志,2017,27(10):869-871.
[9] 國(guó)家中醫(yī)藥管理局.中醫(yī)病證診斷療效標(biāo)準(zhǔn)[M].南京:南京大學(xué)出版社,1994:198.
[10] 宋柏林,于天源.推拿治療學(xué)[M].北京:人民衛(wèi)生出版社,2001:132-133.
[11] 蔣協(xié)遠(yuǎn),王大偉.骨科臨床療效評(píng)價(jià)標(biāo)準(zhǔn)[M].北京:人民衛(wèi)生出版社,2005:123-124.
[12] 王智,孫超,張樹,等.慢性踝關(guān)節(jié)不穩(wěn)的臨床檢查方法與評(píng)分量表系統(tǒng)[J].足踝外科電子雜志,2018,5(2):1-7.
[13] 嚴(yán)廣斌.關(guān)節(jié)活動(dòng)度(Range of motion,ROM)[J].中華關(guān)節(jié)外科雜志(電子版),2014,8(3):409.
[14] MARTIN B.Ankle sprain complications:MRI evaluation[J].Clin podiatr Med Surg,2008,25(2):203-247.
[15] 葉宜穎,高景華,王尚全,等.孫樹椿教授治療踝關(guān)節(jié)扭傷的經(jīng)驗(yàn)[J].中醫(yī)正骨,2017,29(3):77-78.
[16] 楊揚(yáng),劉劼,王成偉,等.撳針配合手法治療踝關(guān)節(jié)扭傷后遺癥療效觀察[J].中國(guó)針灸,2018,38(6):585-588.
[17] 俞光榮,洪浩.踝關(guān)節(jié)損傷的治療進(jìn)展與思考[J].中國(guó)骨傷,2016,29(12):1071-1073.
[18] 劉輝,劉波,張?chǎng)?等.傳統(tǒng)關(guān)節(jié)粘連松解術(shù)聯(lián)合沖擊波和肌肉能量技術(shù)治療踝關(guān)節(jié)僵硬[J].中醫(yī)正骨,2019,31(12):59-62.
[19] 郭光昕,孔令軍,朱清廣,等.從推拿角度探討“筋骨評(píng)估”理論淵源及應(yīng)用[J].中華中醫(yī)藥雜志,2019,34(10):4774-4777.
[20] 元唯安,張明才,詹紅生.對(duì)“骨錯(cuò)縫、筋出槽”的認(rèn)識(shí)及臨床診斷[J].中國(guó)骨傷,2013,26(6):502-504.
[21] 楊軍林,張功林.理筋手法聯(lián)合活血止痛散外敷治療陳舊性踝關(guān)節(jié)扭傷氣滯血瘀證臨床觀察[J].新中醫(yī),2018,50(12):221-224.
[22] 梁國(guó)富.理筋正骨手法聯(lián)合針刺治療陳舊性踝關(guān)節(jié)扭傷的療效觀察[J].臨床醫(yī)藥文獻(xiàn)電子雜志,2019,6(58):27-28.
[23] 耿成武,王飛,張繼超,等.天池傷科流派按摩手法結(jié)合消淤膏治療陳舊性踝關(guān)節(jié)損傷的臨床研究[J].臨床醫(yī)藥文獻(xiàn)電子雜志,2019,6(65):26-27.
[24] 寇智君,詹強(qiáng),王睿,等.探穴針?lè)ㄖ委熽惻f性踝關(guān)節(jié)扭傷30例[J].中華中醫(yī)藥雜志,2020,35(6):3258-3261.
[25] 朱敏,任遠(yuǎn)方,吳節(jié).蒼龜探穴針?lè)ǖ呐R床應(yīng)用進(jìn)展[J].世界最新醫(yī)學(xué)信息文摘,2019,19(92):71-72.
[26] 陳勇,陳波,李牧洋,等.刺絡(luò)拔罐療法的機(jī)制與臨床研究進(jìn)展[J].中國(guó)民間療法,2020,28(4):106-109.
[27] 段遠(yuǎn)芳,安月,陳靜霞.刺絡(luò)拔罐聯(lián)合超聲藥物透入治療絕經(jīng)后骨質(zhì)疏松性腰背痛臨床觀察[J].上海針灸雜志,2020,39(8):1047-1052.(收稿日期:2020-10-30 本文編輯:郭毅曼)

相似文獻(xiàn)/References:

[1]江濤,江林,史俊德,等.動(dòng)氣針?lè)ㄔ邗钻P(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.
　JIANG Tao,JIANG Lin,SHI Junde,et al.Application of Dongqi acupuncture(動(dòng)氣針?lè)?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(03):20.
[2]方華宴,李興華,王愛(ài)國(guó).手術(shù)治療踝關(guān)節(jié)骨折手術(shù)失敗導(dǎo)致的復(fù)雜陳舊性踝關(guān)節(jié)脫位[J].中醫(yī)正骨,2015,27(11):45.
[3]朱彥昭,申成春,蔣麗娜,等.早期手術(shù)修復(fù)踝關(guān)節(jié)骨折合并的三角韌帶完全斷裂[J].中醫(yī)正骨,2015,27(08):46.
[4]戴國(guó)鋼,劉劍偉,黃雷,等.第一跗跖關(guān)節(jié)滑膜嵌頓10例報(bào)告[J].中醫(yī)正骨,2015,27(07):75.
[5]劉輝,劉波,伍薩,等.踝關(guān)節(jié)不穩(wěn)患者踝關(guān)節(jié)等速肌力和動(dòng)態(tài)平衡能力的臨床研究[J].中醫(yī)正骨,2015,27(02):7.
　LIU Hui,LIU Bo,WU Sa,et al.Clinical study on ankle isokinetic muscle strength and dynamic balance ability of patients with ankle joint instability[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(03):7.
[6]劉 超.續(xù)骨活血湯和接骨紫金丹在三踝骨折治療中的應(yīng)用[J].中醫(yī)正骨,2015,27(06):57.
[7]李光陽(yáng),吳祥宗,陶志東,等.改良外側(cè)入路在三踝骨折切開復(fù)位內(nèi)固定術(shù)中的應(yīng)用[J].中醫(yī)正骨,2015,27(05):48.
[8]陳誠(chéng),成永忠,程灝,等.旋后-外旋型三踝骨折的筋骨結(jié)構(gòu)關(guān)系研究[J].中醫(yī)正骨,2016,28(01):6.
　CHEN Cheng,CHENG Yongzhong,CHENG Hao,et al.Study on the structural relationship of supination-extorsion-type trimalleolar fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(03):6.
[9]徐善強(qiáng),巫宗德,徐強(qiáng),等.經(jīng)皮微創(chuàng)內(nèi)固定術(shù)治療C型Danis-Weber踝關(guān)節(jié)骨折[J].中醫(yī)正骨,2016,28(02):49.
[10]翁祝承,陳金洪.切開復(fù)位內(nèi)固定結(jié)合韌帶修復(fù)重建治療旋前-外旋型踝關(guān)節(jié)骨折[J].中醫(yī)正骨,2017,29(02):55.
[11]田正強(qiáng).消腫止痛散外敷聯(lián)合繃帶固定治療急性踝關(guān)節(jié)扭傷[J].中醫(yī)正骨,2015,27(10):28.
[12]張海林,吳越.中醫(yī)藥綜合療法治療急性踝關(guān)節(jié)扭傷150例[J].中醫(yī)正骨,2015,27(04):44.
[13]鄔博來(lái),辛景義.距腓前韌帶和跟腓韌帶解剖重建治療習(xí)慣性踝關(guān)節(jié)扭傷[J].中醫(yī)正骨,2017,29(03):60.
[14]葉宜穎,高景華,王尚全,等.孫樹椿教授治療踝關(guān)節(jié)扭傷的經(jīng)驗(yàn)[J].中醫(yī)正骨,2017,29(03):77.
[15]孫洪林.手法聯(lián)合中藥外敷治療急性踝關(guān)節(jié)扭傷[J].中醫(yī)正骨,2017,29(06):65.
[16]龔志兵,莊至坤,張煥堂,等.骨散外敷治療急性踝關(guān)節(jié)扭傷氣滯血瘀證的臨床研究[J].中醫(yī)正骨,2018,30(12):13.
　GONG Zhibing,ZHUANG Zhikun,ZHANG Huantang,et al.A clinical study of external application of Gusan(骨散)for treatment of qi-stagnation-blood-stasis-type acute ankle sprain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(03):13.
[17]周杰,熊小明,何本祥,等.納米微針透皮技術(shù)聯(lián)合鄭氏新傷軟膏貼敷治療急性踝關(guān)節(jié)扭傷的臨床研究[J].中醫(yī)正骨,2021,33(02):20.
　ZHOU Jie,XIONG Xiaoming,HE Benxiang,et al.A clinical study of nano-microneedles-assisted transdermal technology combined with external application of Zheng’s Xinshang(鄭氏新傷)ointments for treatment of acute ankle sprain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(03):20.

備注/Memo

備注/Memo:
基金項(xiàng)目:浙江省中醫(yī)藥科技計(jì)劃項(xiàng)目(2017ZA150); 浙江中醫(yī)藥大學(xué)校級(jí)科研基金項(xiàng)目(2019ZY15)
通訊作者:詹強(qiáng) E-mail:[email protected]
更新日期/Last Update: 1900-01-01