[1]高春雨,高景华△,王庆甫,等.摇拔戳手法治疗急性外踝关节扭伤的临床研究[J].中国中医骨伤科杂志,2015,23(01):10-13.
　GAO Chunyu,GAO Jinghua,WANG QingFu,et al.Clinical Study on the Treatment of Acute Lateral Ankle Sprain byTechnique of Shaking, Drawing and Stabbing[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(01):10-13.
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摇拔戳手法治疗急性外踝关节扭伤的临床研究
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年01期
页码:
10-13
栏目:
临床研究
出版日期:
2015-01-15

文章信息/Info

Title:
Clinical Study on the Treatment of Acute Lateral Ankle Sprain byTechnique of Shaking, Drawing and Stabbing
文章编号:
1005-0205(2015)01-0010-04
作者:
高春雨1; 高景华1△; 王庆甫2; 程灏1; 宋华3; 闻程炜1; 丁洪磊4;
1.中国中医科学院望京医院脊柱二科(北京,100102)
2.北京中医药大学第三附属医院
3.北京中医药大学东直门医院东区
4.北京电力医院
△.通讯作者 E-mail:gaojinghua64@sina.com Tel:13552136871
Author(s):
GAO Chunyu1; GAO Jinghua1; WANG QingFu2; CHENG Hao1;SONG Hua3; WEN Chengwei1; DING Honglei4;
1.Department of the Second Spinal Orthopedics, Wangjing Hospital of China Academy of Traditional Chinese Medicine Sciences, Beijing 100102, China
2.The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China
3.Dongzhimen Hospital Eastern Affiliated to Beijing University of Chinese Medicine, Beijing 101100, China
4.Beijing Electric Power Hospital, Beijing 100073, China
关键词:
摇拔戳手法;  急性外侧踝关节扭伤;  临床研究
Keywords:
technique of shaking;  drawing and stabbing;  acute lateral ankle sprain;  clinical study
分类号:
R684.7
文献标志码:
A
摘要:
目的:客观评价摇拔戳手法治疗急性外踝关节扭伤的临床疗效,为今后的推广奠定基础。方法:从2012年1月-2014年1月,将106例急性外踝关节扭伤患者(男54例,女52例; 年龄22岁～37岁,平均31.7岁)按照多中心中央随机方法分为A,B两组:A组54例,B组52例。A组采用手法治疗(3次/周,20 min/次,2周为1个疗程)、弹力绷带外固定(持续包扎,2周为1个疗程),与B组冰敷(1 h/d,3 d为1个疗程)、弹力绷带外固定(持续包扎,2周为1个疗程)治疗相对比,两组均治疗1个疗程,治疗结束3个月后观察疗效。结果:所有患者均获得随访,时间为3个月。两组患者3次治疗与随访期的踝部功能活动总分与治疗前相比,差异有统计学意义(P<0.01); 手法组患者第一次治疗后的踝部功能活动总分改善情况与冰敷组相比,差异有统计学意义(P<0.05); 手法组患者第6次治疗后的临床疗效与冰敷组相比,差异有统计学意义(P<0.05)。结论:摇拔戳手法治疗急性外踝关节扭伤疗效确切,且早期疗效要优于冰敷,具有推广意义。
Abstract:
Objective: To evaluate the curative effect of technique of shaking, drawing and stabbing in the treatment of acute lateral ankle sprain. Methods: All 106 patients(male 54 cases, female 52 cases, mean age 31.7 years)with acute lateral ankle sprain were randomly divided into group A and group B from January 2012 to January 2014. The patients in group A(n=54)were given the technique(20 minutes once, 3 times a week, 2 weeks for a course of treatment)and elastic bandage external fixation(2 weeks for a course of treatment); while the patients in group B(n=52)were given ice compress(1 hour once a day, 3 days for a course of treatment,)and elastic bandage external fixation(2 weeks for a course of treatment). The curative effect of the two groups was observed at 3 months after the treatment. Results: All patients were followed up for 3 months. The total score of ankle function activities after 2 weeks treatment and in the follow-up period had significant difference compared with prior treatment(P<0.01). The total score of ankle function activities of the technique group had significant difference in the first treatment compared with the ice compress group(P<0.05). The clinical curative effect of the technique group had significant difference in the first treatment compared with the ice compress group(P<0.05). Conclusion: The technique of shaking, drawing and stabbing in the treatment of acute lateral ankle sprain are effective, and its early curative effect is better than ice compress. It is valuable for extensive popularization.

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备注/Memo

备注/Memo:
收稿日期:2014-06-10
基金项目:本文为北京市中医药科技发展基金课题编号:JJ2011-76
更新日期/Last Update: 2015-02-20