作　　者： (向澍）; (顾健华）;

机构地区： 上海交通大学医学院附属瑞金医院卢湾分院,上海200020

出　　处： 《中医正骨》 2017年第8期33-35,共3页

摘　　要： 目的:探讨青鹏软膏膏摩法治疗陈旧性踝关节扭伤的临床疗效。方法:陈旧性踝关节扭伤患者82例,随机分为膏摩组和消痛贴膏结合功能锻炼组,每组41例。膏摩组采用青鹏软膏膏摩治疗,每周2次,4周为1个疗程。消痛贴膏结合功能锻炼组采用消痛贴膏结合功能锻炼治疗,消痛贴膏每日更换1次,功能锻炼每日1次,4周为1个疗程。分别于治疗前和治疗结束后依据Baird-Jackson踝关节评分标准评价踝关节情况,并做2组间对比。结果:治疗前2组患者Baird-Jackson踝关节评分比较,组间差异无统计学意义[(67.62±9.39)分,(68.65±13.97)分;t=-1.284,P=0.203];治疗结束后,2组患者Baird-Jackson踝关节评分均较治疗前提高[(89.02±10.20)分,(67.62±9.39)分,t=-9.972,P=0.000;(81.24±13.73)分,(68.65±13.97)分;t=-3.680,P=0.000],且膏摩组踝关节评分高于消痛贴膏结合功能锻炼组[(89.02±10.20)分,(81.24±13.73)分;t=2.913,P=0.005]。结论:采用青鹏软膏膏摩法治疗陈旧性踝关节扭伤,可有效缓解疼痛、改善踝关节功能,且疗效优于消痛贴膏结合功能锻炼。 Objective ：To explore the clinical curative effects of rubbing therapy with Qingpeng（青鹏, QP） ointment for treatment of old ankle sprain. Methods ： Eighty-two patients with old ankle sprain were randomly divided into ointment rubbing group and combination of Xi- aotong strapping and functional exercises group ,41 cases in each group. The patients in ointment rubbing group were treated with rubbing therapy with QP ointment,twice a week for 1 course of treatment,4 weeks for each course;while the patients in combination of Xiaotong strapping and functional exercises group were treated with Xiaotong strapping combined with functional exercises for 1 course of treatment, 4 weeks for each course. The Xiaotong strappings were changed once a day and the functional exercises were performed once a day. The con- dition of ankle joints was evaluated according to Baird - Jackson ankle joint scoring standard and compared between the 2 groups before treatment and after the end of the treatment respectively. Results ： There was no statistical difference in Baird - Jackson ankle joint scores between the 2 groups before treatment（67.62 ＋/- 9.39 vs 68.65 ＋/- 13.97 points, t = - 1. 284, P = 0. 203 ）. The Baird - Jackson ankle joint scores increased in the 2 groups after the end of the treatment （ 89.02 ＋/- 10.20 vs 67.62 ＋/- 9.39 points, t = - 9. 972, P = 0.000 ; 81.24 ＋/- 13.73 vs 68.65 ＋/- 13.97 points, t = - 3. 680, P = 0. 000）, and the ankle joint scores were higher in ointment rubbing group compared to combination of Xiaotong strapping and functional exercises group（ 89.02 ＋/- 10.20 vs 81.24 ＋/- 13.73 points ,t = 2. 913 ,P = 0. 005 ）. Conclusion ： The rubbing therapy with QP ointment can effectively relieve pain and improve ankle function in treatment of old an- kle sprain, and its curative effect is better than that of Xiaotong strapping combined with functional exercises.

关 键 词： 扭伤和劳损 踝关节 摩擦疗法 膏药疗法