踝三针联合微波治疗急性踝关节扭伤的临床研究  

A clinical study of Huaisanzhen(踝三针)therapy combined with microwave therapy for treatment of acute anklesprain

作　　者：李留鹏 张亦工[1] LI Liupeng;ZHANG Yigong(The First Affiliated Hospital of Xiamen University,Xiamen 361003,Fujian,China)

机构地区：[1]厦门大学附属第一医院,福建厦门361003

出　　处：《中医正骨》2022年第2期15-18,共4页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:探讨踝三针联合微波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72例,随机分为2组,每组36例,在抬高患肢、冷敷、制动等常规治疗的基础上,分别采用踝三针联合微波治疗(踝三针联合微波组)和单纯踝三针治疗(踝三针组)。踝三针取解溪、太溪、昆仑3穴,每次留针20min;微波治疗每次照射20min;每日1次,共治疗10d。分别于治疗前和治疗结束后,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。结果:治疗前,2组患者踝关节疼痛VAS评分和AOFAS踝与后足功能评分比较,组间差异均无统计学意义[(6.23±1.43)分,(6.17±1.39)分,t=0.115,P=0.817;(53.50±5.46)分,(52.83±5.51)分,t=0.301,P=0.732]。治疗结束后,2组患者踝关节疼痛VAS评分均较治疗前下降(t=25.176,P=0.000;t=41.239,P=0.000),AOFAS踝与后足功能评分均较治疗前提高(t=35.216,P=0.000;t=48.817,P=0.000);且踝三针联合微波组踝关节疼痛VAS评分低于踝三针组[(1.52±0.95)分,(2.70±0.88)分,t=36.210,P=0.000],AOFAS踝与后足功能评分高于踝三针组[(88.72±7.20)分,(81.12±6.86)分,t=28.846,P=0.000]。结论:采用踝三针联合微波治疗急性踝关节扭伤,可缓解踝关节疼痛、改善踝关节功能,疗效优于单纯采用踝三针治疗。Objective:To explore the clinical outcome of Huaisanzhen(踝三针,HSZ)therapy combined with microwave(MW)therapy for treatment of acute ankle sprain.Methods:Seventy-two patients with acute ankle sprain were enrolled in the study and were randomly divided into combination therapy group and HSZ group,36 cases in each group.All patients in the 2 groups were treated with the conventional treatment such as raising the injured limbs,cold compress and braking the injured limbs;furthermore,the patients in combination therapy group were treated with HSZ therapy and MW therapy,while the ones in HSZ group with HSZ therapy alone.The HSZ therapy was.performed on patients at Point ST41(Jiexi),Point KI3(Taixi)and Point BL60(Kunlun)and the needles were retained for 20 mintues at a time.The MW irradiation was performed on patients at the affected parts once a day,20 minutes at a time for consecutive 10 days.The ankle pain was evaluated by using visual analogue scale(VAS)score and the ankle function was evaluated by using American Orthopedic Foot and Ankle Society(AOFAS)ankle-hindfoot function score before the treatment and after the end of the treatment respectively.Results:There was no statistical difference in ankle pain VAS score and AOFAS ankle-hindfoot function score between the 2 groups before the treatment(6.23±1.43 vs 6.17±1.39 points,t=0.115,P=0.817;53.50±5.46 vs 52.83±5.51 points,t=0.301,P=0.732).The ankle pain VAS scores decreased,while the AOFAS ankle-hindfoot function scores increased in the 2 groups after the end of the treatment compared to pre-treatment(t=25.176,P=0.000;t=41.239,P=0.000;t=35.216,P=0.000;t=48.817,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 HSZ group(1.52±0.95 vs 2.70±0.88 points,t=36.210,P=0.000;88.72±7.20 vs 81.12±6.86 points,t=28.846,P=0.000).Conclusion:HSZ therapy combined with MW therapy can relieve ankle pain and improve ankle function in treatment of acute ankle sprain,and its cura

关 键 词：踝损伤 针刺 穴 解溪 穴 太溪 穴 昆仑 微波 

分 类 号：R246.9[医药卫生—针灸推拿学]