不同针灸疗法治疗陈旧性踝关节扭伤临床效果研究  

Clinical Observation on Treatment of Old Ankle Sprain with Different Acupuncture Therapy

作　　者：李军[1] LI Jun(Orthopedics,Jianyang people’s Hospital,Chengdu 641400,China)

机构地区：[1]简阳市人民医院中医骨科

出　　处：《足踝外科电子杂志》2019年第4期39-42,共4页Electronic Journal of Foot and Ankle Surgery

基　　金：2017年四川省简阳市人民医院院内科研立项项目(编号：201724)

摘　　要：目的探究不同针灸疗法治疗陈旧性踝关节扭伤临床效果。方法选取2018—2019年120例陈旧性踝关节扭伤患者为研究对象,采用抽签法将研究对象随机分为A组、B组、C组,每组各40例。给予A组常规针灸治疗,给予B组电针灸治疗,给予C组温针灸治疗,对比三组患者的治疗效果、疼痛程度、SF-36评分和Karlsson-perterson评分。结果三组治疗有效率比较,差异具有统计学意义(x2=5.042,P=0.021);进一步两两比较显示,B、C组治疗有效率均高于A组,差异具有统计学意义(P<0.05)。B组、C组患者疼痛评分明显低于A组,差异有统计学意义(P<0.05)。B组、C组患者SF-36评分明显高于A组,差异有统计学意义(P<0.05)。B组、C组患者Karlsson-perterson评分明显低于A组,差异有统计学意义(P<0.05);B组Karlsson-perterson评分高于C组,差异有统计学意义(P<0.05)。结论陈旧性踝关节扭伤患者使用电针灸与温针灸治疗,可有效缓解疼痛、改善症状,治疗效果显著,其中温针灸治疗时关节活动度改善更加明显。Objective To investigate the clinical effects of different acupuncture treatments on old ankle sprains.Methods From 2018 to 2019,120 patients with old ankle sprain were selected as the research objects.The research objects were randomly divided into group A,group B and group C with 40 cases in each group.Routine acupuncture treatment was given to group A,electric acupuncture treatment was given to group B and warm acupuncture treatment was given to group C.the treatment effect,pain degree,SF-36 score and Karlsson person score of the three groups were compared.Results The difference between the three groups was statistically significant(x2=5.042,P=0.021);further comparison between the two groups showed that the effective rate of group B and C was higher than that of group A,the difference was statistically significant(P<0.05).The pain score of group B and group C was significantly lower than that of group A(P<0.05).SF-36 scores of group B and group C were significantly higher than that of group A(P<0.05).The Karlsson person score of group B and group C was significantly lower than that of group A(P<0.05);the Karlsson person score of group B was significantly higher than that of group C(P<0.05).Conclusion The use of electroacupuncture and warm acupuncture in patients with old ankle sprain can effectively relieve pain,improve symptoms and treat the treatment significantly.The improvement of joint mobility is more obvious in warm acupuncture treatment.

关 键 词：温针灸 电针灸 常规针灸 陈旧性踝关节扭伤 

分 类 号：R246[医药卫生—针灸推拿学]