动筋针法联合栀黄消瘀止痛膏治疗急性踝关节扭伤的疗效研究OA
A study on the effectiveness of dongjin acupuncture therapy combined with zhihuang stasis-pain relief ointment in treatment of acute ankle sprain
目的:探究动筋针法联合栀黄消瘀止痛膏治疗急性踝关节扭伤的临床疗效.方法:急性踝关节扭伤患者依据随机数字表法分为观察组和对照组,每组62例.对照组接受栀黄消瘀止痛膏治疗,每日1次,共治疗2周;观察组在对照组基础上联合动筋针法治疗,在痛点附近选择 3个治疗靶点,每次20 min,每天1次,每周针刺 3次,共治疗 2周.观察两组患者治疗前后视觉模拟量尺(VAS)评分、美国足踝外科协会(AOFAS)踝-后足评分、踝关节跖屈活动度、背伸活动度、中医证候积分,并评定两组临床疗效.结果:治疗后,两组患者VAS评分、中医症状积分均较治疗前降低(P<0.05),观察组低于对照组(P<0.05).两组患者AOFAS评分、踝关节跖屈活动度与背伸活动度均较治疗前上升(P<0.05),观察组高于对照组(P<0.05).观察组治疗总有效率为96.77%(60/62),高于对照组的82.26%(51/62,P<0.05).结论:动筋针法联合栀黄消瘀止痛膏可显著减轻急性踝关节扭伤患者疼痛等症状,改善患者踝关节功能.
Objective To explore the therapeutic effect of dongjin acupuncture therapy in combination of zhihuang stasis-pain relief ointment for acute ankle sprain.Methods The patients with acute ankle sprain were divided into an observation group and a control group according the random number table,62 cases in each group.In the control group,the patients were treated with external application of zhihuang stasis-pain relief ointment,once a day and for 2 weeks.In the observation group,in addition to the treatment as the control group,dongjin acupuncture therapy was operated at 3 target sites near the tender points,20 min each time,once a day,3 times a week and for 2 weeks.Before and after treatment,the score of visual analog scale(VAS),the score of American orthopaedic foot and ankle society ankle-hindfoot scale(AOFAS),the range of motion(ROM)in plantar flexion and dorsiflexion,and the score of traditional Chinese medicine(TCM)symptoms were observed in the two groups.The clinical effect of each group was assessed.Results After treatment,VAS score and TCM symptom score were reduced in comparison with those before treatment in either group(P<0.05),and the scores in the observation group were lower than those in the control group after treatment(P<0.05).AOFAS score and ROM of plantar flexion and dorsiflexion were increased after treatment in the two groups(P<0.05),and those outcomes in the observation group were superior to the control group(P<0.05).The total effective rate was 96.77%(60/62)in the observation group,which was higher than the control group(82.26%,51/62,P<0.05).Conclusion Dongjin acupuncture therapy combined with zhihuang stasis-pain relief ointment significantly alleviates the symptoms such as pain,and improve ankle joint function in patients with acute ankle sprain.
姚若愚;范赵翔;邬学群;封彦齐;陆巍;肖玙;许金海;莫文
上海中医药大学附属龙华医院骨伤科,上海 200032上海中医药大学附属龙华医院骨伤科,上海 200032上海中医药大学附属龙华医院骨伤科,上海 200032上海中医药大学附属龙华医院骨伤科,上海 200032上海中医药大学附属龙华医院护理部,上海 200032上海中医药大学研究生院,上海 201203上海中医药大学附属龙华医院骨伤科,上海 200032上海中医药大学附属龙华医院骨伤科,上海 200032
急性踝关节扭伤动筋针法栀黄消瘀止痛膏
Acute ankle sprainDongjin acupunctureZhihuang stasis-pain relief ointment
《针刺研究》 2026 (5)
639-645,7
国家中医药管理局高水平中医药重点学科建设项目-中医骨伤科学(No.ZYYZDXK-2023059)上海申康医院发展中心临床科技创新项目(No.SHDC22021308)上海市卫生健康委员会科研项目(No.202440011)
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