中西医结合治疗陈旧性踝关节扭伤的临床效果  

Efficacy of the integrative medicine on old ankle sprain

作　　者：毛庆友[1] 徐兆勇[2] Mao Qingyou

机构地区：[1]广东省第二人民医院,广东广州510317 [2]湖北省武汉市汉口医院,湖北武汉430000

出　　处：《中医临床研究》2019年第32期85-87,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨运用关节松动术和运动疗法联合中药熏蒸治疗陈旧性踝关节扭伤的临床疗效。方法:将111例符合诊断标准的患者作为研究对象,采用单盲随机分组法分为两组,对照组单用中药熏蒸治疗,治疗组采用中西医结合治疗,即在对照组的基础上加用关节松动术和运动疗法,比较两组患者的改良巴氏指数评分(Modified Barthel Index,MBI)、视觉模拟疼痛评分(Visual Analogue pain Score,VAS)及临床疗效。结果:两组患者治疗后MBI评分均高于治疗前评分,治疗组的患者治疗4周后的MBI评分明显高于对照组(P <0.01);两组患者治疗后VAS评分均低于治疗前评分,治疗组的患者治疗4周后的VAS评分明显低于对照组(P <0.01);治疗后治疗组的临床疗效明显优于对照组,治疗4周后治疗组的总有效率达到98.2%,明显高于对照组的总有效率80%(P <0.05)。结论:中西医结合治疗陈旧性踝关节扭伤疗效显著,优于单纯中药熏蒸治疗。Objective: To investigate the clinical efficacy of joint mobilization, exercise therapy plus the TCM medicine fumigation on old ankle sprain. Methods: 111 patients were enrolled and divided into two groups by single-blind randomization. The control group was treated by the TCM medicine fumigation. The treatment group was given the integrative medicine(joint mobilization, exercise therapy plus the TCM medicine fumigation). The MBI score, VAS score and efficacy between groups were compared. Results: After treatment, the MBI scores were higher than before;and that in the treatment group after 4 weeks of treatment was significantly higher than the control group(P< 0.01). The VAS scores were lower than before treatment, and that in the treatment after 4 weeks of treatment was significantly lower than the control group(P<0.01). The efficacy in the treatment group was significantly better than the control group. After 4 weeks of treatment, the total efficiency in the treatment group was 98.2%, better than 80% in the control group(P<0.05). Conclusion: The integrative medicine shows a significant effect on old ankle sprain, and better than the TCM medicine fumigation.

关 键 词：陈旧性踝关节扭伤 关节松动术 运动疗法 中药熏洗 疗效对照 

分 类 号：R78[医药卫生—口腔医学]