作　　者： (李涛）; (郭海玲）; (杨光月）; (商海滨）; (赵咏芳）;

机构地区： 上海中医药大学附属曙光医院,上海市中医药研究院骨伤研究所,上海201203

出　　处： 《中国中医骨伤科杂志》 2017年第9期17-21,共5页

摘　　要： 目的:研究石氏针刺结合复方紫荆消伤膏外用治疗急性踝关节扭伤早期症状改善特点,评价石氏针刺结合外用膏药治疗急性踝关节扭伤、弹力绷带固定治疗和功能锻炼治疗的优效性。方法:对上海市浦东新区6家医院2014年1月至2016年10月收治的300例急性踝关节扭伤患者随机分为针药结合治疗组、弹力绷带固定组和功能锻炼组,三组受试者分别予石氏针刺结合膏药外用治疗,弹力绷带固定结合膏药治疗和功能锻炼处方结合膏药治疗。在入组时(入组)、第7天(第1周、访视一)、第28天(第4周、访视二)和第42天(第6周、访视三)采用美国足踝外科学会AOFAS踝后足评分量表、VAS疼痛评分进行优效性评价。结果:三种治疗方法对急性踝关节扭伤均有疗效(P<0.05)。在第7天,针药结合组AOFAS评分与绷带固定组和功能锻炼组差异有统计学意义(P<0.05),针药结合组AOFAS评分高于绷带固定组和功能锻炼组评分。在第7天、第28天针药结合组VAS疼痛评分变化与绷带固定组和功能锻炼组差异有统计学意义(P<0.05),针药结合组VAS疼痛评分改善大于弹力绷带固定组和功能锻炼组。针药结合组AOFAS疗效评定痊愈率和VAS疼痛疗效评定痊愈率高于绷带固定组和功能锻炼组(P<0.05)。结论:石氏针药结合治疗急性踝关节扭伤临床疗效明确,对损伤早期的疼痛改善和功能恢复疗效优于弹力绷带固定治疗和功能锻炼治疗。 Objective：To study the improvement characteristics of early symptoms of acute ankle sprain treated with the Shi＇s acupuncture therapy combined with compound Zijing plaster,and to evaluate the superiority of the Shi＇s therapy combined with topical plaster,elastic bandage fixation and functional exercise therapy in the treatment of acute ankle sprain.Methods：All 300 cases of acute ankle sprain patients were randomly assigned to groups of Shi＇s therapy,traditional elastic bandage therapy and functional exercise therapy,which from six hospitals of Shanghai Pudong new area from January 2014 to October 2016.The three groups were treated with the combination of Shi＇s acupuncture therapy combined with compound Zijing plaster,elastic bandage fixation combined with plaster therapy and functional exercise prescription combined with plaster treatment.The American Orthopaedic Foot and Ankle Society（AOFAS） ankle hindfoot score,VAS pain score was used to evaluate the superiority at baseline day 0（enrolled）,7th day（the first visit）,28 th day（the second visit）,and 42 th day（the third visit）.Results：The three kinds of treatment methods for acute ankle sprain have curative effect（P〈0.05）.At the 7th day,there was a significant difference in the AOFAS score between the three groups（P〈0.05）.The AOFAS score of the Shi＇s therapy was higher than that of other groups.At the 7th day and the 28 th day,there was significant differences in the VAS score between the three groups（P 0.05）.The VAS score in the group of Shi＇s therapy was improved more than that of other groups.The AOFAS efficacy assessment of cure rate and VAS pain evaluation of the cure rate in the Shi＇s therapy group were higher than those of traditional elastic bandage therapy and functional exercise therapy（P〈0.05）.Conclusion：The effect in the treatment of acute ankle sprain is clear with the Shi＇s acupuncture therapy combined with compound Zijing plaster.It is better than traditional elastic bandage therapy and

关 键 词： 急性踝关节扭伤 针药结合 随机对照