目的：观察小节穴针刺配合运动理筋疗法治疗Ⅰ、Ⅱ度急性踝关节扭伤的临床疗效。方法将90例Ⅰ、Ⅱ度急性踝关节扭伤患者随机分为治疗组与对照组，每组45例。对照组采用小节穴针刺配合运动理筋疗法治疗，对照组采用跌打膏外敷配合理筋手法推拿治疗。观察2组治疗前后症状、体征积分及Mazur踝关节评分的变化。结果治疗1，3，5，7，14，28 d后，2组症状、体征积分均逐渐下降（P＜0．05或P＜0．01），且治疗组低于对照组（P＜0．05或P＜0．01）。治疗后14，28 d，2组Mazur踝关节评分分项与总分均逐渐上升（ P＜0．05或P＜0．01），且治疗组高于对照组（P＜0．05或P＜0．01）。基于Mazur踝关节评分的疗效比较，治疗组优于对照组（P＜0．01或P＜0．05）。结论小节穴针刺配合运动理筋疗法能快速改善Ⅰ、Ⅱ度急性踝关节扭伤患者肿胀、疼痛、压痛等症状体征，提高踝关节功能，疗效满意。%Objective It is to explore the clinical effects of Xiaojie point acupuncture and tendon -soothing exercise for the treatment of gradeⅠandⅡacute ankle sprains .Methods 90 patients with gradeⅠandⅡacute ankle sprains were random-ly divided into treatment group(45 cases) and control group(45 cases).The patients in the treatment group were treated with Xiaojie point acupuncture and tendon -soothing exercise , and the patients in the control group were given external application of Dieda ointment and tendon -soothing manipulation .The scores of symptoms and signs , ankle joint function and the thera-peutic effects of the two groups before and after the treatment were observed and compared .Results After being treated for 1day, 3 days, 5 days, 7days, 2 weeks and 4 weeks, the scores of symptoms and signs of both groups decreased gradually .To the decreased degree , the scores of the patients in treatment group decreased more remarkably than that in control group .After being treated for 2 weeks and 4 weeks, the scores of ankle joint function of both groups increased gradually , and the difference existed in both groups(P<0.01), so did the therapeutic effects basing on Mazur's ankle evaluation rating system 2 weeks and 4 weeks later(P<0.01 or P<0.05).Conclusion Xiaojie point acupuncture and tendon -soothing exercise could fast im-prove symptoms and signs such as swell , pain and tenderness , and improve function of the ankle joint of the patients with gradeⅠand Ⅱacute ankle sprain , so the curative effect is satisfied .
展开▼
