针刀联合自拟七厘散外敷治疗踝关节损伤的疗效观察  

Observation on the therapeutic effect of needle knife combined with self-designed Qili San external application on ankle joint injury

作　　者：李昌剑 张光友 沈世英 张敦皓 LI Changjian;ZHANG Guangyou;SHEN Shiying;ZHANG Dunhao(Department of Rehabilitation Medicine,People′s Hospital of Nanchuan,Chongqing 408400,China;Department of Traditional Chinese Medicine,People′s Hospital of Nanchuan,Chongqing 408400,China)

机构地区：[1]重庆市南川区人民医院康复医学科,重庆408400 [2]重庆市南川区人民医院中医科,重庆408400

出　　处：《检验医学与临床》2024年第10期1411-1414,1419,共5页Laboratory Medicine and Clinic

基　　金：2022年重庆市卫生健康委员会基金项目(2022WSJK156)。

摘　　要：目的观察针刀联合自拟七厘散外敷治疗气滞血瘀证踝关节损伤的临床疗效。方法将该院2022年1月至2023年8月收治的70例气滞血瘀证踝关节损伤患者按照随机数字表法分为对照组(36例)和观察组(34例)。对照组采用常规电针治疗,观察组采用针刀联合自拟七厘散外敷治疗。分别观察两组治疗1、2周后的视觉模拟评分法(VAS)评分和美国足与踝关节协会(AOFAS)踝-后足评分及治疗2周后的炎症因子C反应蛋白(CRP)、白细胞介素-6(IL-6)水平和临床疗效。结果治疗1周和2周后,两组VAS评分和AOFAS踝-后足评分均较治疗前明显改善,且观察组VAS评分均低于对照组,AOFAS踝-后足评分均高于对照组,差异均有统计学意义(P<0.05)。治疗2周后,观察组有效率明显高于对照组,差异有统计学意义(P<0.05)。治疗2周后两组CRP、IL-6水平比较,差异无统计学意义(P>0.05)。结论针刀联合自拟七厘散外敷治疗气滞血瘀证踝关节损伤疗效明确,在踝关节功能改善方面有明显优势。Objective To observe the clinical effect of acupotomology combined with self-designed Qili powder for the treatment of ankle joint injury of Qi stagnation and blood stasis.Methods A total of 70 patients with ankle injury of Qi stagnation and blood stasis type were divided into a control group(36 cases)and an observation group(34 cases)according to the random number table method.The control group was treated with conventional electroacupuncture,and the observation group was treated with acupotomology combined with external application of self-designed Qili powder.The visual analogue scale(VAS)score and American Foot and Ankle Society(AOFAS)ankle-hindfoot score after 1 week and 2 weeks of treatment,the levels of inflammatory factors C-reactive protein(CRP)and interleukin-6(IL-6)after 2 weeks of treatment,and the clinical efficacy were observed in the two groups.Results After 1 and 2 weeks of treatment,the VAS score and AOFAS ankle-hindfoot score of the two groups were significantly improved when compared with those before treatment.The VAS score of the observation group was lower than that of the control group,and the AOFAS ankle-hindfoot score was higher than that of the control group,the differences were statistically significant(P<0.05).After 2 weeks of treatment,the effective rate of the observation group was significantly better than that of the control group,the difference was statistically significant(P<0.05).After 2 weeks of treatment,there was no significant difference in CRP and IL-6 levels between the two groups(P>0.05).Conclusion Acupotomology combined with self-made Qili powder for external application is effective in the treatment of ankle joint injury of qi stagnation and blood stasis,and has obvious advantages in the improvement of ankle joint function.

关 键 词：踝关节损伤 针刀 七厘散 外敷 气滞血瘀 

分 类 号：R274.9[医药卫生—中西医结合]