经筋恢刺法治疗陈旧性踝关节扭伤的临床疗效观察  

Clinical Observation of Curative Effect of Lateral Needling Technique for Meridian Sinew in Treatment of Old Ankle Sprain

作　　者：田帼 刘悦 TIAN Guo;LIU Yue(Clinical Medical School of Acupuncture,Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510006

出　　处：《广州中医药大学学报》2021年第10期2158-2162,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医药局科研基金项目(编号:20203001)。

摘　　要：【目的】观察经筋恢刺法治疗陈旧性踝关节扭伤的临床疗效。【方法】将60例陈旧性踝关节扭伤患者随机分为观察组和对照组,每组各30例,观察组给予经筋结点恢刺法治疗,对照组给予传统针刺法治疗。治疗5 d为1个疗程,休息2 d进入下一个疗程,连续治疗2个疗程;若未达到2个疗程但已治愈者,则终止治疗。治疗后,评价2组患者的临床疗效,观察2组患者治疗前后美国矫形外科足踝协会踝-后足(AOFAS)评分及视觉模拟量表(VAS)评分的变化情况,比较2组患者接受治疗后的起效时间。【结果】(1)治疗后,2组患者的AOFAS评分明显改善(P<0.05),且观察组在改善AOFAS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的VAS评分明显改善(P<0.05),且观察组在改善VAS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)观察组总有效率为96.67%(29/30),对照组为86.67%(26/30)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,观察组的起效时间为(2.17±1.05)d,对照组为(6.30±1.82)d,观察组的起效时间明显优于对照组,差异有统计学意义(P<0.05)。【结论】经筋恢刺法治疗陈旧性踝关节扭伤,能够明显地减轻患者肿胀、疼痛等临床症状,显著改善患者的关节活动度,临床疗效显著。Objective To observe the clinical effect of lateral needling technique for meridian sinew in the treatment of old ankle sprain.Methods Sixty patients with old ankle sprain were randomly divided into observation group and control group,30 cases in each group.The observation group was treated with lateral needling technique for meridian sinew,while the control group was treated with the traditional acupuncture.Five days as a course,the next course of treatment performed 2 days after the first course.The treatment lasted for 2 consecutive courses.The patient who had been cured yet did not reached 2 courses,the treatment would be terminated.After treatment,the clinical efficacy of the two groups was evaluated,the changes of the American Orthopaedic Foot and Anchor Society(AOFAS)ankle-hindfoot scale scores and visual analogue scale(VAS)scores in the two groups were observed before and after treatment.The onset time after treatment in the two groups was compared.Results(1)After treatment,AOFAS scores in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving AOFAS scores,the difference being statistically significant(P<0.05).(2)After treatment,VAS scores in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving VAS scores,the difference being statistically significant(P<0.05).(3)The total effective rate was 86.67%(26/30)in the observation group and 96.67%(29/30)in the control group.The curative effect of the observation group was superior to that of the control group,and the difference was statistically significant(P<0.05).(4)After treatment,the onset time of the observation group was(2.17±1.05)d,and that of the control group was(6.30±1.82)d.The onset time of the observation group was significantly superior to that of the control group,the difference being statistically significant(P<0.05).Conclusion The lateral needling technique for meridian sinew in th

关 键 词：陈旧性踝关节扭伤 经筋 经筋结点 恢刺 临床疗效 

分 类 号：R246.9[医药卫生—针灸推拿学]