监督下功能锻炼治疗Ⅲ度急性踝外侧副韧带损伤  

Supervised Functional Training for Treating Acute Grade Ⅲ Lateral Ligament Injury of Ankle

作　　者：叶恭水[1] 张建中[2] 丁宁[1] 陈晓雄[1] 

机构地区：[1]首都医科大学附属北京同仁医院急诊科,北京100730 [2]首都医科大学附属北京同仁医院骨科,北京100730

出　　处：《医学临床研究》2009年第5期803-806,共4页Journal of Clinical Research

摘　　要：【目的】判断监督下功能锻炼在Ⅲ度急性踝扭伤功能治疗中的作用。[方法]1999年1月至2008年1月来本院急诊就诊的Ⅲ度急性踝扭伤病人88例，随机分为试验组和对照组，恢复期均用功能疗法治疗。试验组在监督下进行；对照组在医生指导下由患者自行在家功能锻炼；均治疗12周。伤后3个月、1年分别用POVACZP评分系统比较：总体效果，两组的治疗时间，对于主、客观不稳定，疼痛、肿胀、再扭伤发病率、用足的外侧缘行走、运动等恢复情况的效果。【结果】治疗3个月后，试验组在用足的外侧缘行走和主观不稳定较对照组为优（P〈0．05）；伤后1年再扭伤发病率少于对照组（P〈0．05），在客观不稳定性、疼痛、肿胀、恢复踝的运动能力方面比较无显著差异（均P〉0．05）。总体POVACZP评分比较，两组之间有显著差异（P〈0．05）。【结论】监督下的功能锻炼可明显提高功能治疗Ⅲ度急性踝扭伤伤后3个月和1年的总体治疗效果。[Objective] To evaluate the clinical outcome of supervised functional training in treating acute grade Ⅲ ruptures of the lateral ankle ligaments. [MethodslFrom January 1999 to January 2008, 88 patients visiting the emergency department of our hospital diagnosed as acute grade Ⅲ lateral ligament injures of the ankle were randomised into control group and training group, 44 patients for each group. All patients were treated with functional treatment. The training group participated in supervised functional training （1 hour, once 3 days） ,while the control group had functional treatment themselves under the doctor＇s instruction. A specific scoring scale developed by POVACZ was used for following up evaluation of injured ankle as an outcome criterion in 3 months and 1 yeair after the injury. The training group was compared with the control in objective stability, subjective stability, pain, swell, frequency of sprains, ability to walk on the lateral edge of the foot and capacity for sports of injury ankle. [Results] Between two groups, there were significant differences in subjective stability, ability to walk on the lateral edge at 3 months （ P 〈0.05）, frequency of sprains at one year（ P〈0. 05） and total curative effects at either 3 months or one year（ P〈0. 05）. There was no apparent difference in objective stability, pain, swelling and capacity for sports. [ConclusionlSupervised functional training can improve the total effect of functional treatment of acute gradeⅢ lateral ligament injures of the ankle at 3 months or 1 year.

关 键 词：侧副韧带/损伤 

分 类 号：R686[医药卫生—骨科学]