| 引用本文: |
张泽松,孙琳,徐宏,李志平,邱天明.针刺联合中药外敷治疗急性踝关节损伤的临床疗效观察[J].湖南中医药大学学报,2018,38(8):939-942[点击复制] |
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| 针刺联合中药外敷治疗急性踝关节损伤的临床疗效观察 |
| 张泽松,孙琳,徐宏,李志平,邱天明 |
| (东莞市清溪医院中医科, 广东 东莞 523660) |
| 摘要: |
| 目的 探讨针刺联合中药外敷治疗急性踝关节损伤的临床疗效。方法 选用2016年4月至2017年6月本院收治的急性踝关节损伤患者90例，随机分为针药联合组（针刺联合中药外敷治疗组）和单纯针刺组，每组45例。观察治疗前后两组患者的踝关节疼痛程度[采用视觉模拟评分法（VAS）]、踝关节功能（采用Kofoed评分标准）、踝关节肿胀情况，以及对比两组患者治疗后的临床疗效。结果 （1）针药联合组总有效率为95.56%，高于单纯针刺组的84.44%，差异有统计学意义（P<0.05）；（2）两组VAS评分均较治疗前降低，Kofoed评分均较治疗前升高（P<0.01）；且针药联合组VAS评分低于单纯针刺组，Kofoed评分高于单纯针刺组（P<0.01）；（3）两组踝关节肿胀值均显著低于治疗前（P<0.01），且针药联合组低于单纯针刺组（P<0.05）。结论 针刺联合中药外敷治疗急性踝关节损伤临床疗效显著，且优于单纯针刺治疗，值得临床推广。 |
| 关键词: 踝关节损伤 急性期 针刺 中药外敷 |
| DOI：10.3969/j.issn.1674-070X.2018.08.023 |
| 投稿时间：2018-04-13 |
| 基金项目:广东省科技计划项目（2014B031801524）。 |
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| Clinical Effect of Acupuncture Combined with External Application of Traditional Chinese Medicine in Treatment of Acute Ankle Joint Injury |
| ZHANG Zesong,SUN Lin,XU Hong,LI Zhiping,QIU Tianming |
| (Department of Traditional Chinese Medicine, Dongguan Qingxi Hospital, Dongguan, Guangdong 523660, China) |
| Abstract: |
| Objective To investigatethe clinical effect of acupuncture combined with external application of traditional Chinese medicine in the treatment ofacute ankle joint injury. Methods A total of 90 patients with acute ankle joint injury who were admitted to our hospital from April 2016 to June 2017 were enrolled and randomly divided into acupuncture-medicine group (treated with acupuncture combined with external application of traditional Chinese medicine) and acupuncture group (treated with acupuncture alone), with 45 patientsin each group. Ankle joint pain[assessed byVisual Analogue Score (VAS) score], ankle joint function (assessed by Kofoed score), and swelling of the ankle joint was observed before and after treatment, and the clinical outcome after treatment was compared between the two groups. Results The acupuncture-medicine group had a significantly higher overall response rate than the acupuncture group (95.56% vs 84.44%, P<0.05). Both groups had a significant reduction in VAS score and a significant increase in Kofoed score after treatment(P<0.01), and compared with the acupuncture group, the acupuncture-medicine group had a significantly lower VAS score and a significantly higher Kofoed score (P<0.01). Both groups had a significant reduction in the swelling of the ankle joint after treatment (P<0.01), and the acupuncture-medicine group had a significantly lower degree of swelling than the acupuncture group (P<0.05). Conclusion Acupuncture combined with external application of traditional Chinese medicine has a marked clinical effect in the treatment of acute ankle joint injuryand is superior to acupuncture alone. Therefore, it holds promise for clinical application. |
| Key words: ankle joint injury acute stage acupuncture external application of traditional Chinese medicine |
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