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[1]李留鵬,張亦工.踝三針聯(lián)合微波治療急性踝關(guān)節(jié)扭傷的臨床研究[J].中醫(yī)正骨,2022,34(02):15-18.
　LI Liupeng,ZHANG Yigong.A clinical study of Huaisanzhen(踝三針)therapy combined with microwave therapy for treatment of acute ankle sprain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2022,34(02):15-18.
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踝三針聯(lián)合微波治療急性踝關(guān)節(jié)扭傷的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數(shù):
2022年02期
頁碼:
15-18
欄目:
臨床研究
出版日期:
2022-02-20

文章信息/Info

Title:
A clinical study of Huaisanzhen(踝三針)therapy combined with microwave therapy for treatment of acute ankle sprain
作者:
李留鵬; 張亦工
廈門大學(xué)附屬第一醫(yī)院,福建 廈門 361003
Author(s):
LI Liupeng; ZHANG Yigong
The First Affiliated Hospital of Xiamen University,Xiamen 361003,Fujian,China
關(guān)鍵詞:
踝損傷;  針刺;  穴; 解溪;  穴; 太溪;  穴; 昆侖;  微波
Keywords:
ankle injuries;  acupuncture;  point ST41(Jiexi);  point KI3(Taixi);  point BL60(Kunlun);  microwaves
摘要:
目的:探討踝三針聯(lián)合微波治療急性踝關(guān)節(jié)扭傷的臨床療效。方法:納入急性踝關(guān)節(jié)扭傷患者72例,隨機分為2組,每組36例,在抬高患肢、冷敷、制動等常規(guī)治療的基礎(chǔ)上,分別采用踝三針聯(lián)合微波治療(踝三針聯(lián)合微波組)和單純踝三針治療(踝三針組)。踝三針取解溪、太溪、昆侖3穴,每次留針20 min; 微波治療每次照射20 min; 每日1次,共治療10 d。分別于治療前和治療結(jié)束后,采用疼痛視覺模擬量表(visual analogue scale,VAS)評分評價踝關(guān)節(jié)疼痛情況,采用美國足與踝關(guān)節(jié)協(xié)會(American Orthopedic Foot and Ankle Society,AOFAS)踝與后足功能評分評價踝關(guān)節(jié)功能。結(jié)果:治療前,2組患者踝關(guān)節(jié)疼痛VAS評分和AOFAS踝與后足功能評分比較,組間差異均無統(tǒng)計學(xué)意義[(6.23±1.43)分,(6.17±1.39)分,t=0.115,P=0.817;(53.50±5.46)分,(52.83±5.51)分,t=0.301,P=0.732]。治療結(jié)束后,2組患者踝關(guān)節(jié)疼痛VAS評分均較治療前下降(t=25.176,P=0.000; t=41.239,P=0.000),AOFAS踝與后足功能評分均較治療前提高(t=35.216,P=0.000; t=48.817,P=0.000); 且踝三針聯(lián)合微波組踝關(guān)節(jié)疼痛VAS評分低于踝三針組[(1.52±0.95)分,(2.70±0.88)分,t=36.210,P=0.000],AOFAS踝與后足功能評分高于踝三針組[(88.72±7.20)分,(81.12±6.86)分,t=28.846,P=0.000]。結(jié)論:采用踝三針聯(lián)合微波治療急性踝關(guān)節(jié)扭傷,可緩解踝關(guān)節(jié)疼痛、改善踝關(guān)節(jié)功能,療效優(yōu)于單純采用踝三針治療。
Abstract:
Objective:To explore the clinical outcome of Huaisanzhen(踝三針,HSZ)therapy combined with microwave(MW)therapy for treatment of acute ankle sprain.Methods:Seventy-two patients with acute ankle sprain were enrolled in the study and were randomly divided into combination therapy group and HSZ group,36 cases in each group.All patients in the 2 groups were treated with the conventional treatment such as raising the injured limbs,cold compress and braking the injured limbs; furthermore,the patients in combination therapy group were treated with HSZ therapy and MW therapy,while the ones in HSZ group with HSZ therapy alone.The HSZ therapy was performed on patients at Point ST41(Jiexi),Point KI3(Taixi)and Point BL60(Kunlun)and the needles were retained for 20 mintues at a time.The MW irradiation was performed on patients at the affected parts once a day,20 minutes at a time for consecutive 10 days.The ankle pain was evaluated by using visual analogue scale(VAS)score and the ankle function was evaluated by using American Orthopedic Foot and Ankle Society(AOFAS)ankle-hindfoot function score before the treatment and after the end of the treatment respectively.Results:There was no statistical difference in ankle pain VAS score and AOFAS ankle-hindfoot function score between the 2 groups before the treatment(6.23±1.43 vs 6.17±1.39 points,t=0.115,P=0.817; 53.50±5.46 vs 52.83±5.51 points,t=0.301,P=0.732).The ankle pain VAS scores decreased,while the AOFAS ankle-hindfoot function scores increased in the 2 groups after the end of the treatment compared to pre-treatment(t=25.176,P=0.000; t=41.239,P=0.000; t=35.216,P=0.000; t=48.817,P=0.000).The ankle pain VAS scores were lower,whereas the AOFAS ankle-hindfoot function scores were higher in combination therapy group compared to HSZ group(1.52±0.95 vs 2.70±0.88 points,t=36.210,P=0.000; 88.72±7.20 vs 81.12±6.86 points,t=28.846,P=0.000).Conclusion:HSZ therapy combined with MW therapy can relieve ankle pain and improve ankle function in treatment of acute ankle sprain,and its curative outcome is better than that of HSZ therapy alone.

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通訊作者:李留鵬 E-mail:[email protected]
更新日期/Last Update: 2022-02-20