循经透穴针法治疗踝关节扭伤临床疗效的随机对照研究  

RCTs of Clinical Efficacy of Penetration Needling along Meridians in Treating Ankle Sprain

作　　者：于国强 杨添淞[2] 李力恒[3] 石光煜[2] 崔健昆[2] 陈洪琳[2] 魏来[2] 韩威[2] 张迪[2] YU Guoqiang;YANG Tiansong;LI Liheng;SHI Guangyu;CUI Jiankun;CHEN Honglin;WEI Lai;HAN Wei;ZHANG Di(The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China;Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001 [2]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040 [3]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《针灸临床杂志》2020年第11期42-45,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：黑龙江中医药大学校科研基金,编号:2014bs01。

摘　　要：目的:比较循经透穴针法与常规针刺在治疗踝关节扭伤的临床疗效。方法:选择56例门诊踝扭伤患者,随机分为对照组(28例)和治疗组(28例)。对照组采用常规针刺方法,治疗组在对照组选穴基础上,运用循经透刺针法,选择足运感区、患侧瞳子髎穴透曲鬓穴。通过简明麦吉尔疼痛量表(SF-MPQ)、Fugl-Meyer肢体功能评分(FMA)等指标,对两组患者治疗前、治疗后30 min和连续治疗3 d后作系统评价;治疗3 d后,观察整体疗效和患者满意度;采用酶联免疫吸附法(ELISA)检测治疗前与治疗后3 d患者血清中肿瘤坏死因子-α(TNF-α)、白介素-10(IL-10)。结果:两组治疗30 min、治疗3 d与治疗前比较PRI评分、PPI评分、VAS评分和FMA评分差异有统计学意义(P <0.05),说明两组治疗对疼痛的缓解均有效,治疗组较对照组在治疗30 min与治疗3 d时PRI评分、PPI评分、VAS评分和FMA评分更低(P <0.05);治疗3 d后整体疗效与患者满意度治疗组优于对照组(P <0.05);治疗后两组血清TNF-α与IL-10明显低于同组治疗前(P <0.05),治疗组血清TNF-α与IL-10含量明显低于对照组(P <0.05)。结论:循经透穴针法与常规针刺方案治疗踝扭伤均有明显疗效,且循经透穴针法疗效更优。Objective: To compare the clinical efficacy of penetration needling along meridians and conventional acupuncture in the treatment of ankle sprain. Methods: 56 outpatients with ankle sprain were randomly divided into the control group( n = 28) and the treatment group( n = 28). The control group was treated with conventional acupuncture;the treatment group was treated with penetration needling along meridians with points selected as the control group,and with penetration needling foot motor sensory,Tongziliao( GB1) to Qubin( GB7)on the affected side. The scores of simplified McGill Pain Scale( SF-MPQ) and Fugl Meyer assessment( FMA) were used to evaluate the two groups before the treatment,after 30 min and after 3 days of the treatment. After 3 days of the treatment,the overall efficacy and patient satisfaction were compared between the two groups. The serum levels of tumor necrosis factor-α( TNF-α) and interleukin-10( IL-10) were detected by enzyme-linked immunosorbent assay( ELISA) at the end of the treatment. Results: The scores of PRI,PPI,VAS and FMA were significantly decreased after 30 min and after 3 days of the treatment compared to that before the treatment in the two groups( P < 0. 05);the decreases in the treatment group were more significant than those in the control group( P < 0. 05). The overall efficacy and patient satisfaction of the treatment group after 3 days of the treatment were better than those of the control group( P < 0. 05). The serum levels of TNF-α and IL-10 were significantly decreased in the two groups after the treatment than those before the treatment in the two group( P < 0. 05);of which the decreases in the treatment group were more significant( P < 0. 05).Conclusion: Both traditional acupuncture and penetration needling along meridians have obvious curative effect on ankle sprain,and the therapy of penetration needling along meridians is better.

关 键 词：踝关节扭伤 循经透穴针法 简明麦吉尔疼痛量表 血清炎性因子 

分 类 号：R246.2[医药卫生—针灸推拿学]