中药熏蒸联合针刺治疗陈旧性踝关节扭伤疗效观察
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R684.7

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Clinical Observation of Herbal Fumigation Combined with Acupuncture for Old Ankle Sprain
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    摘要:

    目的:观察中药熏蒸联合针刺治疗陈旧性踝关节扭伤的临床疗效。方法:选取在本院治疗110例的陈旧性踝关节扭伤患者为研究对象,按随机数字表法分为观察组和对照组,每组55例。对照组采用针刺治疗,观察组在对照组治疗基础上加用中药熏蒸疗法,2组均连续治疗3疗程。治疗后对2组患者患侧踝关节疼痛、肿胀及踝关节功能的改善情况及治疗安全性进行综合评价。结果:观察组治疗总有效率90.91%,对照组治疗总有效率76.36%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组视觉模拟评分法(VAS) 评分、踝-后足评分系统(AOFAS) 评分及关节活动度(ROM) 评分比较,差异均无统计学意义(P>0.05)。治疗后,2组VAS评分均较治疗前降低(P<0.05),AOFAS及ROM评分均较治疗前升高(P<0.05);观察组的VAS评分低于对照组(P<0.05),AOFAS及ROM评分均高于对照组(P<0.05)。观察组不良反应发生率为10.91%(6/55),对照组不良反应发生率为5.45%(3/55),2组比较,差异无统计学意义(P>0.05)。结论:中药熏蒸联合针刺治疗陈旧性踝关节扭伤临床疗效显著,能够减轻患者的疼痛感,改善患者的关节活动度,且治疗安全性好,有较高的临床应用价值,值得推广。

    Abstract:

    Objective:To observe the clinical effect of herbal fumigation combined with acupuncture for old ankle sprain.MethodsSelected 110 cases of patients with old ankle sprain as study subjects,and divided them into the observation group and the control group according to the random number table method,55 cases in each group.The control group receivedacupuncture therapy,while the observation group additionally received herbal fumigation based on treatment of the control group.Both groups received continuous treatment for three courses.After treatment,comprehensively evaluated the improvement of pain of affected side,swelling and function of ankle and therapeutic safety of both groups.ResultsThe totaleffective rate was 90.91%in the observation group and was 76.36%in the control group,the difference being significant(P<0.05).Before treatment, no significant difference was found in the comparisons of visual analogue scales(VAS), American orthopedic foot and ankle scores(AOFAS)and range of motion(ROM)between two groups(P > 0.05).After treatment,scores of VAS in both groups were decreased in comparison with those before treatment(P < 0.05),while the scores of AOFAS and ROM were all increased(P<0.05).The scores of VAS in the observation group were lower than those in the control group(P<0.05),while the scores of AOFAS and ROM were higher(P < 0.05).Incidence of adverse reaction was 10.91%(6/55)in the observation group and was 5.45%(3/55)in the control group,there being no significant difference(P > 0.05).ConclusionThe therapy of herbal fumigation combined with acupuncture has significant clinical effects in treating old ankle sprain.It can alleviate the pain,improve the range of motion and has good therapeutic safety and higher clinical value,which is worthy of further promotion and application.

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郝金林,徐芳华.中药熏蒸联合针刺治疗陈旧性踝关节扭伤疗效观察[J].新中医,2018,50(2):119-122

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  • 在线发布日期: 2018-02-08
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