理筋手法联合活血止痛散外敷治疗陈旧性踝关节扭伤气滞血瘀证临床观察
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R684; R247.9

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Clinical Observation of Old Ankle Sprain with Qi Stagnation and Blood Stasis Syndrome Treated by Tendon-regulating Manipulation Combined with External Application of Huoxue Zhitong Powder
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    摘要:

    目的:观察理筋手法联合活血止痛散外敷治疗陈旧性踝关节扭伤气滞血瘀证的临床疗效。方法:将陈旧性踝关节扭伤患者102例按数字表法随机分为2组各51例。对照组采取理筋手法治疗。治疗组在对照组基础上采取活血止痛散外敷治疗。2组连续治疗2周。比较2组踝关节功能评分、视觉模拟评分法(VAS)评分及气滞血瘀证症状(疼痛、肿胀、瘀斑、口渴、便秘、尿赤)评分。比较2组临床疗效。结果:治疗组总有效率为100%,明显高于对照组的88.24%(P<0.05)。与治疗前比较,2组治疗后踝关节功能评分升高,VAS评分降低(P<0.01)。与对照组比较,治疗组患者的踝关节功能评分升高,VAS评分降低(P<0.01)。与治疗前比较,2组治疗后气滞血瘀证症状(疼痛、肿胀、瘀斑、口渴、便秘、尿赤)评分减少(P<0.01)。与对照组比较,治疗后治疗组患者的气滞血瘀证症状评分少于对照组(P<0.01)。结论:理筋手法联合活血止痛散外敷治疗陈旧性踝关节扭伤可明显改善气滞血瘀证症状,提高临床疗效。

    Abstract:

    Objective:To observe the clinical effect of tendon-regulating manipulation combined with external application of Huoxue Zhitong powder for old ankle sprain with qi stagnation and blood stasis syndrome.Methods:Divided 102 cases of patients with old ankle sprain into two groups according to the random number table method,51 cases in each group.The control group received tendon-regulating manipulation,while the treatment group was additionally treated with external application of Huoxue Zhitong powder.The two groups were treated for two weeks continuously.Compared the scores of ankle function, scores of visual analogue scale(VAS)and symptoms of qi stagnation and blood stasis(pain, swelling,bruising,thirst,constipation,dark urine)in the two groups,and compared the clinical effect.Results:The total effective rate in the treatment group was 100%,significantly higher than that of 88.24%in the control group(P<0.05).Compared with those before treatment,the scores of ankle function were increased and the VAS scores were decreased in the two groups after treatment(P<0.01).Compared with the control group after treatment,the score of ankle function in the treatment group was higher and the VAS score was lower(P<0.01).Compared with those before treatment,the scores of qi stagnation and blood stasis syndrome(pain,swelling,bruising,thirst,constipation,dark urine)were decreased after treatment in the two groups(P<0.01).Compared with that in the control group after treatment,the score of symptoms of qi stagnation and blood stasis was lower in the treatment group(P<0.01).Conclusion:The therapy of tendon-regulating manipulation combined with external application of Huoxue Zhitong powder for old ankle sprain can obviously improve symptoms of qi stagnation and blood stasis,and improve the clinical effect.

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杨军林,张功林.理筋手法联合活血止痛散外敷治疗陈旧性踝关节扭伤气滞血瘀证临床观察[J].新中医,2018,50(12):221-224

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  • 在线发布日期: 2018-12-09
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