针刺放血联合药物罐治疗慢性踝关节病疗效观察  

Curative Effects of Bloodletting Combined with Medicated Cupping in the Treatment of Chronic Ankle Joint Disease

作　　者：王彦斐[1] 杨长草 王娟霞 WANG Yanfei;YANG Changcao;WANG Juanxia(Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China)

机构地区：[1]甘肃省中医院,甘肃兰州730050

出　　处：《西部中医药》2025年第1期158-160,共3页Western Journal of Traditional Chinese Medicine

基　　金：甘肃省自然科学基金科技计划(创新基地和人才计划)项目(20JR5RA161)。

摘　　要：目的:观察针刺放血联合药物罐治疗慢性踝关节病的临床疗效。方法:将60例非骨折慢性踝关节病患者随机分为治疗组和对照组,每组30例。对照组予冲击波联合中药塌渍进行治疗,治疗组同时予针刺放血联合药物罐治疗,以7天为1个疗程,共治疗3个疗程。比较两组患者治疗前及每个疗程结束时疼痛视觉模拟量表(visual analogue scale,VAS)评分、美国足与踝关节协会(American foot and ankle association,AOFAS)踝-后足评分变化情况及患者满意度。结果:治疗1、2、3个疗程后与治疗前同组内比较,差异均有统计学意义(P<0.05),且治疗后相同时间点组间比较,差异也有统计学意义(P<0.05)。患者满意度治疗组[90.0%(27/30)]高于对照组[73.3%(22/30)](P<0.05)。结论:针刺放血联合药物罐治疗慢性踝关节病,可减轻踝关节疼痛程度,改善踝关节功能,提高患者满意度。Objective:To observe clinical effects of bloodletting joined with medicated cupping in the treatment of chronic ankle joint disease.Methods:Sixty patients with non-fracture chronic ankle joint disease were randomized into the treatment group and the control group with 30 cases in each group.The control group was treated with shockwave and herbal compression,and the treatment group accepted bloodletting and medicated cupping,seven days was one course,and the two groups were treated for three courses.To compare VAS scores,AOFAS ankle-posterior foot score and patient satisfaction scores before the treatment and by the end of the treatment between the two groups.Results:the difference had statistical meaning when the scores after one course,two courses and three courses of the treatment were compared with these before treatment within the same group(P<0.05),and the difference was statistically significant at the same time point after the treatment(P<0.05).The patient satisfaction in the treatment group was[90.0%(27/30)],higher than[73.3%(22/30)]of the control group(P<0.05).Conclusion:Bloodletting combined with medicated cupping in the treatment of chronic ankle joint disease could alleviated pain degrees of ankle,improve ankle function and raise patients satisfaction.

关 键 词：慢性踝关节病 放血疗法 药物罐 疼痛 

分 类 号：R274.9[医药卫生—中西医结合]