中医经筋理论指导下针刺触发点治疗急性踝关节扭伤的临床效果  

sprain under the guidance of traditional Chinese medicine meridian theory

作　　者：颜嘉 王德军[1] 王伟[1] 黄玉梅 刘英桃 付磊[1] YAN Jia;WANG Dejun;WANG Wei;HUANG Yumei;LIU Yingtao;FU Lei(Department of Acupuncture and Massage Rehabilitation,Hunan University of Chinese Medicine,Hunan Province,Changsha410208,China)

机构地区：[1]湖南中医药大学针灸推拿康复学院,湖南长沙410208

出　　处：《中国医药导报》2023年第31期133-136,共4页China Medical Herald

基　　金：国家卫生健康委员会能力建设和继续教育中心项目(GWJJ2019100306);湖南省中医药科研计划项目(D2022032);湖南中医药大学校级研究生培养质量工程项目(2021CX40)。

摘　　要：目的研究基于中医经筋理论指导下的针刺触发点治疗急性踝关节扭伤的临床效果。方法选取2021年1月至2022年3月就诊于阳光100社区卫生服务中心的50例单侧急性踝关节扭伤患者,根据随机数字表法将其分为对照组和治疗组,各25例。对照组采用踝三针治疗,治疗组采用针刺触发点治疗。两组治疗均为隔一天治疗1次,共计5次,周期为10 d。比较两组治疗后临床效果及治疗前后视觉模拟评分法(VAS)评分、踝-后足功能评分、踝关节肿胀评分。结果治疗组临床疗效优于对照组(P<0.05)。治疗后,两组患者踝关节VAS、肿胀评分均较治疗前降低,踝-后足功能评分均较治疗前升高,且治疗组踝关节疼痛VAS、肿胀评分低于对照组,踝-后足功能评分高于对照组(P<0.05)。结论采用针刺触发点治疗急性踝关节扭伤效果显著,能有效消除组织肿胀,改善踝关节活动功能。Objective To study the clinical efficacy of acupuncture trigger points in the treatment of acute ankle sprain based on the guidance of traditional Chinese medicine meridian theory.Methods Fifty patients with unilateral acute ankle sprain who visited Yangguang 100 Community Health Service Center from January 2021 to March 2022 were selected and they were divided into control group and treatment group by random number table method,with 25 cases in each group.The control group were treated with ankle triple needle therapy,while the treatment group were treated with acupuncture trigger point therapy.Both groups were treated once every other day,a total of 5 times,with a period of 10 days.The clinical efficacy,visual analogue scale(VAS)score,ankle-hind foot function score,and ankle swelling score were compared between the two groups.Results The clinical effect of the treatment group was better than that of the control group(P<0.05).After treatment,the ankle VAS and swelling scores of both groups were lower than before treatment,and the ankle-hind foot function scores were higher than before treatment,and the ankle pain VAS scores and swelling scores of the treatment group were lower than those of the control group,and the ankle-hind foot function score was higher than that of the control group(P<0.05).Conclusion The use of acupuncture trigger points has a significant therapeutic effect on acute ankle sprain,which can effectively eliminate tissue swelling and improve ankle joint mobility.

关 键 词：踝关节扭伤 针刺 触发点 踝三针 

分 类 号：R245.31[医药卫生—针灸推拿学]