摘要
Objective To explore the treatment effect of sticking-needle acupuncture plus tendon-regulating manipulation on pain,swelling and joint dysfunction due to acute ankle sprain.Methods A total of 80 patients with acute ankle sprain were recruited and divided into a control group and a treatment group according to the random number table method,with 40 patients in each group.Both groups received the same conventional interventions.The control group was treated with additional tendon-regulating manipulation,and the treatment group was treated with tendon-regulating manipulation plus sticking-needle acupuncture.The pain,swelling and joint dysfunction of the ankle were observed in both groups before and after 3 d,7 d and 14 d of treatment.Results Before treatment,there was no statistically significant difference in the visual analog scale(VAS)score of pain between the two groups(P>0.05).After treatment,the VAS scores of both groups showed a decreasing trend over time,and the differences within the groups were statistically significant(P<0.05).After 3 d,7 d and 14 d of treatment,the VAS scores in the treatment group were lower than those in the control group,with statistically significant differences(P<0.05).Before treatment,there was no statistically significant difference in the degree of swelling between the two groups(P>0.05).After treatment,the degrees of swelling in both groups showed a decreasing trend over time,and the differences within the groups were statistically significant(P<0.05).After 3 d and 7 d of treatment,the degrees of swelling in the treatment group were lower than those in the control group,with statistically significant differences(P<0.05).There was no statistical difference in the degree of swelling between the two groups after 14 d of treatment(P>0.05).Before treatment,there was no statistically significant difference in the American Orthopedic Foot Ankle Society(AOFAS)ankle-hindfoot scale score between the two groups(P>0.05).After treatment,the AOFAS ankle-hindfoot scale scores of both groups showed an increasing trend over time,and all the differences within the groups were statistically significant(P<0.05).After 3 d,7 d and 14 d of treatment,the AOFAS ankle-hindfoot scale scores in the treatment group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion Based on the routine intervention,the addition of sticking-needle acupuncture and tendon-regulating manipulation was better in alleviating pain and swelling and improving joint function in patients with acute ankle sprain than the addition of tendon-regulating manipulation alone.
目的探索针刺滞针术配合理筋手法对急性踝关节扭伤所致的疼痛、肿胀及关节功能障碍的改善作用。方法收集急性踝关节扭伤患者共80例,按随机数字表法分为对照组与治疗组,每组40例。两组均接受相同的常规干预。对照组加用理筋手法治疗,治疗组在对照组基础上加用针刺滞针术操作。观察两组患者治疗前和治疗3 d、7 d和14 d后踝关节的疼痛、肿胀及踝关节功能障碍情况。结果治疗前,两组疼痛视觉模拟量表(VAS)评分差异无统计学意义(P>0.05)。治疗后,两组患者VAS评分均随时间呈下降趋势,组内差异均具有统计学意义(P<0.05)。治疗3 d、7 d和14 d,治疗组VAS评分低于对照组,差异具有统计学意义(P<0.05)。两组患者治疗前肿胀程度差异无统计学意义(P>0.05)。治疗后,两组患者肿胀程度均随时间呈下降趋势,组内差异均具有统计学意义(均P<0.05)。治疗3 d和7 d后,治疗组肿胀程度较对照组轻微,组间差异具有统计学意义(P<0.05),治疗14 d后两组肿胀程度无统计学差异(P>0.05)。两组患者治疗前美国足与踝关节协会(AOFAS)踝与后足功能评分差异无统计学意义(P>0.05)。治疗后,两组患者AOFAS踝与后足功能评分均随时间呈上升趋势,组内差异均具有统计学意义(P<0.05)。治疗3 d、7 d和14 d后,治疗组AOFAS踝与后足功能评分均高于对照组,组间差异均具有统计学意义(P<0.05)。结论以常规干预为基础,加用针刺滞针术和理筋手法在减轻急性踝关节扭伤患者的疼痛和肿胀,提高踝关节功能方面优于加用理筋手法。
作者
Zhao Yan
Zhao Yun-zhen
Yu Sheng-dong
赵岩;赵云珍;余晟东(Jinhua Hospital of Traditional Chinese Medicine,Zhejiang Province,Jinhua,321017,China;Panhuo Community Health Service Centre in Yinzhou District of Ningbo City,Zhejiang Province,Ningbo,315000,China)
基金
浙江省中医药科技计划,No.2019ZB135.
