肌内效贴贴扎联合耳穴贴压治疗急性踝关节扭伤的临床研究  

A clinical study of Kinesio taping therapy combined with auricular plaster therapy for treatment of acute ankle sprain

作　　者：江显俊 于留钱 JIANG Xianjun;YU Liuqian(Hangzhou Ninth People's Hospital,Hangzhou 311225,Zhejiang,China)

机构地区：[1]杭州市第九人民医院,浙江杭州311225

出　　处：《中医正骨》2022年第1期37-40,共4页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:探讨肌内效贴贴扎联合耳穴贴压治疗急性踝关节扭伤的临床疗效。方法:纳入急性踝关节扭伤患者80例,随机分为2组,每组40例,分别采用肌内效贴贴扎联合耳穴贴压治疗(肌内效贴联合耳穴组)和单纯肌内效贴贴扎治疗(肌内效贴组)。肌内效贴贴扎每次贴扎后维持24h,连续贴扎5d后休息2d;耳穴贴压每天按压耳部压豆3~5次,每次持续约3min;共治疗2周。分别于治疗前及治疗2周后,采用疼痛视觉模拟量表(visual analogue scale,VAS)评分评价踝关节疼痛情况,采用美国足与踝关节协会(American Orthopedic Foot and Ankle Society,AOFAS)踝与后足功能评分评价踝关节功能。并于治疗2周后,参照《中医病证诊断疗效标准》中踝关节扭伤疗效评定标准评定临床综合疗效。结果:2组患者均完成了2周的治疗。治疗前,2组患者踝关节疼痛VAS评分、AOFAS踝与后足功能评分的组间比较,差异均无统计学意义[(6.875±1.067)分,(7.050±0.986)分,t=-0.762,P=0.448;(55.475±5.639)分,(57.700±7.726)分,t=-1.471,P=0.146]。治疗2周后,2组患者踝关节疼痛VAS评分均较治疗前降低(t=27.735,P=0.000;t=21.165,P=0.000),AOFAS踝与后足功能评分较治疗前升高(t=-27.884,P=0.000;t=-11.759,P=0.000);且肌内效贴联合耳穴组的踝关节疼痛VAS评分低于肌内效贴组[(1.275±0.877)分,(2.150±0.921)分,t=-4.352,P=0.000],AOFAS踝与后足功能评分高于肌内效贴组[(89.350±5.177)分,(76.850±6.200)分,t=9.788,P=0.000]。治疗2周后,肌内效贴联合耳穴组治愈22例、有效16例、无效2例,肌内效贴组治愈14例、有效18例、无效8例,前者的临床综合疗效优于后者(Z=-2.175,P=0.030)。结论:对于急性踝关节扭伤,采用肌内效贴贴扎联合耳穴贴压治疗和单纯采用肌内效贴贴扎治疗,均可缓解踝关节疼痛、改善踝关节功能,但前者的疗效优于后者。Objective:To explore the clinical outcome of Kinesio taping therapy combined with auricular plaster therapy for treatment of acute ankle sprain.Methods:Eighty patients with acute ankle sprain were enrolled in the study and were randomly divided into combination therapy group and monotherapy group, 40 cases in each group.The patients in combination therapy group were treated with Kinesio taping therapy and auricular plaster therapy, while the ones in monotherapy group with Kinesio taping therapy alone.The Kinesio tape was changed every 24 hours for 2 weeks with a 2-day rest-insertion between the 2 weeks and the auricular point acupressure was performed 3-5 times a day, about 3 minutes at a time for consecutive 2 weeks.The ankle pain were evaluated by using visual analogue scale(VAS)score and the ankle function were evaluated by using American Orthopaedic Foot and Ankle Society(AOFAS)ankle-hindfoot function score before the treatment and after 2-week treatment respectively.The clinical outcome was evaluated after 2-week treatment according to the therapeutic effect evaluation standard of ankle sprain which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes.Results:The treatment was finished in all patients.There was no statistical difference in ankle pain VAS score and AOFAS ankle-hindfoot function score between the 2 groups before the treatment(6.875±1.067 vs 7.050±0.986 points, t=-0.762,P=0.448;55.475±5.639 vs 57.700±7.726 points, t=-1.471,P=0.146).The ankle pain VAS scores decreased, while the AOFAS ankle-hindfoot function scores increased in the 2 groups after 2-week treatment compared to pre-treatment(t=27.735,P=0.000;t=21.165,P=0.000;t=-27.884,P=0.000;t=-11.759,P=0.000).The ankle pain VAS scores were lower, whereas the AOFAS ankle-hindfoot function scores were higher in combination therapy group compared to monotherapy group(1.275±0.877 vs 2.150±0.921 points, t=-4.352,P=0.000;89.350±5.177 vs 76.850±6.200 points, t=9.788,P=0.000)

关 键 词：踝损伤 耳穴贴压疗法 肌内效贴 

分 类 号：R274.9[医药卫生—中西医结合]