理筋手法联合中药外洗治疗急性踝关节扭伤临床研究  

Clinical Study on Therapy of Therapeutic Manipulation for Tendon Injury Combined with External Washing with Chinese Herbal Medicine in the Treatment of Acute Ankle Sprain

作　　者：刘富林 李伟利 邓娟 LIU Fulin;LI Weili;DENG Juan

机构地区：[1]广州市东升医院

出　　处：《新中医》2019年第9期247-249,共3页New Chinese Medicine

摘　　要：目的:观察在常规疗法基础上运用理筋手法联合中药外洗治疗急性踝关节扭伤的临床效果。方法:将72例急性踝关节扭伤患者随机分为2组各36例,2组均给予常规RICE法和复方紫荆消伤膏治疗,观察组加用理筋手法联合中药外洗配合治疗,2组均持续治疗2周。采用疼痛视觉模拟评分法(VAS)和踝关节评分(Kofoed评分)评价踝关节的疼痛及功能改善情况,评估2组的临床治疗效果。结果:治疗1周、2周时,2组VAS评分均较治疗前下降(P<0.05),Kofoed评分均较治疗前升高(P<0.05)。观察组治疗1周、2周时的VAS评分均低于对照组(P<0.05),Kofoed评分均高于对照组(P<0.05)。治疗2周后,观察组总有效率94.44%,略高于对照组86.11%,差异无统计学意义(P>0.05)。2组患者在治疗过程中均未出现不良反应。结论:在常规疗法基础上采用理筋手法联合中药外洗治疗急性踝关节扭伤,可有效缓解疼痛、利于关节功能恢复,且无不良反应。Objective: To observe the clinical effect of the therapy of therapeutic manipulation for tendon injury combined with external washing with Chinese herbal medicine in the treatment of acute ankle sprain. Methods: A total of 72 cases of patients with acute ankle sprain were randomly divided into two groups,36 cases in each group. Both groups were treated with routine RICE method(Rest,Ice,Compression and Elevation) and Compound Zijing Xiaoshang Ointment,and the observation group was additionally treated with therapeutic manipulation for tendon injury combined with external washing with Chinese herbal medicine. Both groups were treated for two weeks. Scores of visual Analogue Scale for pain(VAS) and Kofoed Scale were used to evaluate the pain and improvement of ankle function in patients,and the clinical effect in the two groups was evaluated. Results:One week and two weeks after treatment,VAS scores in both groups were decreased when compared with those before treatment(P < 0.05),and Kofoed scores were increased(P <0.05). VAS scores of one week and two weeks after treatment in the observation group were lower than those in the control group,and Kofoed scores were higher(P < 0.05). After two weeks of treatment, the total effective rate was 94.44% in the observation group,slightly higher than that of 86.11% in the control group,the difference being not statistically significant(P > 0.05). No adverse reactions occurred in the two groups during the treatment. Conclusion:The additional application of the therapy of therapeutic manipulation for tendon injury combined with external washing with Chinese herbal medicine in the treatment of acute ankle sprain, can effectively relieve pain and facilitate the recovery of ankle function without adverse reactions.

关 键 词：急性踝关节扭伤 理筋手法 中药外洗 复方紫荆消伤膏 疼痛程度 踝关节功能 

分 类 号：R244[医药卫生—针灸推拿学] R684.7[医药卫生—中医临床基础]