腕踝针联合肌力训练在踝关节创伤后期康复中的应用  

Clinical Study on Wrist-ankle Acupuncture Combined with Muscle Strength Training in Ankle Joint Post-traumatic Recovery

作　　者：吕秉舒 王惠楠 田亚敏 段卫峰 刘骏逸 杜志军 LYU Bingshu;WANG Huinan;TIAN Yamin;DUAN Weifeng;LIU Junyi;DU Zhijun(Orthopedic Trauma,Luoyang Orthopedic Hospital of Henan Province/Henan Province Orthopedic Hospital,Henan Province,Luoyang 471002,China)

机构地区：[1]河南省洛阳正骨医院/河南省骨科医院创伤骨科,河南洛阳471002

出　　处：《光明中医》2021年第4期590-594,共5页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：国家中医药管理局全国名老中医药专家传承工作室建设项目(No.国中医药人教函(2018)134号)。

摘　　要：目的探讨腕踝针联合肌力训练在踝关节创伤后期康复中的应用效果及安全性。方法2016年1月—2019年8月纳入60例踝关节创伤后期患者,随机分为2组,每组30例。对照组采用肌力训练进行治疗,治疗组在对照组的基础上采用腕踝针进行治疗。分别于治疗前及治疗后1周、2周、3周比较2组患者踝关节疼痛视觉模拟量表(VAS)评分及美国足踝外科协会(AOFAS)踝-后足评分;于治疗前及治疗结束后比较2组患者踝关节跖屈、背伸度数、临床疗效。结果所有患者未出现感染、二次损伤等并发症,2组患者疼痛VAS评分组间差异有统计学意义(P<0.05);治疗前后不同时间点踝关节疼痛VAS评分差异有统计学意义(P<0.05);2组患者AOFAS踝-后足评分组间差异有统计学意义(P<0.05),治疗前后不同时间点AOFAS踝-后足评分差异有统计学意义(P<0.05);2组患者治疗前及治疗结束后踝关节跖屈背伸活动度数差异有统计学意义(P<0.05);治疗结束后治疗组的临床疗效优良率(73.3%)高于对照组(33.3%)且差异具有统计学意义(P<0.05)。结论踝关节创伤后期采用腕踝针联合肌力训练进行康复治疗,无创伤易操作改善患者生活质量,其疗效优于单一的肌力训练。Objective The rehabilitation methods of later period of ankle trauma were different,the aim of this research was to observe the clinical effect and safety of wrist-ankle acupuncture and muscle strength training in treatment.Methods From January 2016 to August2019,60 patients of later period of ankle trauma were treated.They were randomly divided into 2 groups,with 30 cases in each group.The control group was treated with muscle strength training,and the treatment group was treated with wrist-ankle acupuncture based on the control group.The ankle pain visual analogue scale(VAS)score and the American Orthopaedic foot and ankle society(AOFAS)were compared between the two groups before and 1 week,2 weeks and 3 weeks after treatment,the ankle flexion and extension degrees were compared before and after treatment,the clinical effect was compared after treatment.Results Complications such as infection,secondary injury were not appeared,the ankle joint pain VAS score between 2 groups showed significant differences(P<0.05).Different time points before and after treatment,the differences in VAS score were significant(P<0.05).AOFAS score between 2 groups showed significant differences(P<0.05).Different time points before and after treatment,the differences between the AOFAS score were significant(P<0.05).The differences between ankle flexion and extension degrees were significant(P<0.05),the clinical effect of treatment group(73.3%)was better than control group(33.3%)after treatment and the differences were significant.Conclusion Wrist-ankle acupuncture and muscle strength training had no invasion and easy to operate ankle joint post-traumatic recovery,which could improve life quality and the curative effect is superior to single muscle strength training.

关 键 词：踝关节 康复 腕踝针 肌力训练 

分 类 号：R246.9[医药卫生—针灸推拿学]