| 摘要: |
| 目的：探讨理筋手法联合传统膏药治疗踝关节扭伤的疗效。方法：选取踝关节扭伤患者 128 例，依据随机数字表法分为理膏组和膏药组各 64 例，膏药组给予传统膏药治疗，理膏组在此基础上给予理筋手法治疗，比较两组疼痛（VAS 评分）、肿胀、美国矫形外科足踝协会足功能评分（AOFAS）、治疗疗效、不良反应。结果：治疗 7 d、14 d 后，理膏组 VAS 评分分别为（1.65±0.18）分、（1.05±0.12）分，肿胀评分分别为（1.06±0.12）分、（0.62±0.08）分，膏药组 VAS 评分分别为（2.18±0.26）分、（1.58±0.17）分，肿胀评分分别为（1.32±0.15）分、（0.96±0.11）分，两组治疗后评分明显低于治疗前，且理膏组明显低于膏药组（P<0.01）；治疗7 d、14 d 后，理膏组 AOFAS 得分分别为（75.12±7.68）分、92.34±9.66）分，膏药组 AOFAS 得分分别为（68.47±7.12）分、（80.76±8.45）分，两组治疗后得分明显高于治疗前，且理膏组明显高于膏药组（P<0.001）；理膏组有效率为 97%，明显高于膏药组的 84%（P<0.05）；两组治疗期间均无不良反应发生。结论：理筋手法联合传统膏药治疗踝关节扭伤，可有效改善患者疼痛、肿胀和足功能，有利于提高疗效，且具有良好的安全性。 |
| 关键词: 理筋手法 传统膏药 踝关节扭伤 疗效 |
| DOI：10.3969/j.issn.1007-6948.2019.02.012 |
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| 基金项目: |
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| Treatment of Ankle Sprain with Shishi Injury Manipulative Therapy Combined with Traditional Plaster Therapy |
| LEI Liang |
| Department of Orthopedics, Baoji City Hospital of Traditional Chinese Medicine, Baoji (721000), China |
| Abstract: |
| Objective To discuss the curative effect of Shishi injury manipulative therapy combined with traditional plaster therapy on ankle sprain. Methods Totally 128 patients with ankle sprain were selected, according to the random number table method, and they were divided into manipulative plaster group and plaster group. The patients in plaster group were given traditional plaster therapy, and the patients in manipulative plaster group were given Shishi injury manipulative therapy on basis of the plaster group. The pain [visual analogue score (VAS)], swelling, American Orthopaedic Foot and Ankle Society foot function score (AOFAS), therapeutic effect and adverse reaction were compared between the two groups. Results After treatment of 7 d and 14 d, the VAS scores in the manipulative plaster group were (1.65±0.18) and (1.05±0.12), the swelling scores were (1.06±0.12) and (0.62±0.08), the VAS scores in the plaster group were (2.18±0.26) and (1.58±0.17), the swelling scores were ( 1 . 32± 0 . 15) and ( 0 . 96± 0 . 11 ), the after treatment scores in the two groups were signi?cantly lower than those before treatment, and the manipulative plaster group was signi?cantly lower than plaster group (P <0.001). After treatment of 7 d and 14 d, the AOFAS scores in the manipulative plaster group were ( 75 . 12 ± 7 . 68 ) and ( 92 . 34 ± 9 . 66 ), the AOFAS scores in the plaster group were ( 68 . 47± 7 . 12 ) and (80.76±8.45), the scores after treatment in the two groups were signi?cantly lower than those before treatment, and the manipulative plaster group was signi?cantly lower than plaster group (P<0.001). The therapeutic effect rate in the manipulative plaster group was 97 %, it was significantly higher than that in plaster group ( 84 %, P<0.05). There was no adverse reaction in the manipulative plaster group and plaster group during the treatment. Conclusion Shishi injury manipulative therapy combined with traditional plaster therapy can improve the pain, swelling, foot function of the patients with ankle sprain, and it is bene?cial to improve the therapeutic effect, and it has good safety, it is worth further clinical promotion. |
| Key words: Shishi injury manipulative therapy traditional plaster ankle sprain curative effect |
