小节穴针刺配合运动理筋疗法治疗Ⅰ、Ⅱ度急性踝关节扭伤的研究  

Clinnical study on therapeutic effects of Xiaojie point acupuncture and Tendon- soothing exercise for the treatment of gradeⅠand Ⅱ acute ankle sprains

作　　者：张进[1] 刘保新[2] 解娟[1] 

机构地区：[1]湖北省房县人民医院,湖北房县442100 [2]广东省广州市中医医院,广东广州510130

出　　处：《现代中西医结合杂志》2015年第19期2074-2077,共4页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的观察小节穴针刺配合运动理筋疗法治疗Ⅰ、Ⅱ度急性踝关节扭伤的临床疗效。方法将90例Ⅰ、Ⅱ度急性踝关节扭伤患者随机分为治疗组与对照组,每组45例。对照组采用小节穴针刺配合运动理筋疗法治疗,对照组采用跌打膏外敷配合理筋手法推拿治疗。观察2组治疗前后症状、体征积分及Mazur踝关节评分的变化。结果治疗1,3,5,7,14,28 d后,2组症状、体征积分均逐渐下降(P<0.05或P<0.01),且治疗组低于对照组(P<0.05或P<0.01)。治疗后14,28 d,2组Mazur踝关节评分分项与总分均逐渐上升(P<0.05或P<0.01),且治疗组高于对照组(P<0.05或P<0.01)。基于Mazur踝关节评分的疗效比较,治疗组优于对照组(P<0.01或P<0.05)。结论小节穴针刺配合运动理筋疗法能快速改善Ⅰ、Ⅱ度急性踝关节扭伤患者肿胀、疼痛、压痛等症状体征,提高踝关节功能,疗效满意。Objective It is to explore the clinical effects of Xiaojie point acupuncture and tendon-soothing exercise for the treatment of grade Ⅰ and Ⅱ acute ankle sprains. Methods 90 patients with grade Ⅰ and Ⅱ acute ankle sprains were randomly divided into treatment group（45 cases） and control group（45 cases）. The patients in the treatment group were treated with Xiaojie point acupuncture and tendon-soothing exercise, and the patients in the control group were given external application of Dieda ointment and tendon-soothing manipulation. The scores of symptoms and signs, ankle joint function and the therapeutic effects of the two groups before and after the treatment were observed and compared. Results After being treated for lday, 3 days, 5 days, 7days, 2 weeks and 4 weeks, the scores of symptoms and signs of both groups decreased gradually. To the decreased degree, the scores of the patients in treatment group decreased more remarkably than that in control group. After being treated for 2 weeks and 4 weeks, the scores of ankle joint function of both groups increased gradually, and the difference existed in both groups（P 〈 0.01 ） , so did the therapeutic effects basing on Mazur＇ s ankle evaluation rating system 2 weeks and 4 weeks later（P 〈 0.01 or P 〈 0.05 ）. Conclusion Xiaojie point acupuncture and tendon-soothing exercise could fast improve symptoms and signs such as swell, pain and tenderness, and improve function of the ankle joint of the patients with grade Ⅰ and Ⅱ acute ankle sprain, so the curative effect is satisfied.

关 键 词：踝关节扭伤 小节穴 针刺 运动理筋疗法 

分 类 号：R684[医药卫生—骨科学]