运用扳法治疗急性踝关节扭伤的临床疗效观察

发布时间：2018-05-01 21:45

  本文选题：扳法 + 急性踝关节扭伤　； 参考：《广州中医药大学》2017年硕士论文

【摘要】：目的:通过观察踝关节扳法对急性踝关节扭伤的VAS评分、肿胀度、AOFAS踝关节功能评分及踝关节中医症候疗效评定的影响,观察及分析踝关节扳法治疗急性踝关节扭伤的临床疗效。方法:把60例符合要求的急性踝关节扭伤患者分成两组,观察组以踝关节扳法作为主要干预手段,配合常规推拿治疗作为基础治疗,分别于纳入治疗后的第1天、第2天、第4天及第7天行扳法及常规手法治疗。对照组在常规推拿治疗的基础上,配合云南白药气雾剂外喷作干预手段,于早、午、晚各用药1次,连续应用7天,分别于受试的第1天、第2天、第4天及第7天行常规推拿手法治疗。于手法治疗前及手法结束治疗后1天行静息及行走VAS评分、肿胀度测量、AOFAS踝关节功能评分及中医症候疗效评定。结果:1.观察组与对照组在年龄、性别、患足分布及病程的差异无统计学意义(P0.05),均具有可比性。观察组与对照组治疗前静息及行走VAS评分、肿胀度、AOFAS踝关节功能评分及中医症候疗效评定在手法治疗前的差异无统计学意义(P0.05),具有可比性。2.经1周治疗后,观察组有效率100%,治愈1例,显效21例,有效8例,无效0例;对照组有效率100%,治愈0例,显效7例,有效23例,无效0例。3.经1周治疗后,两组手法治疗前后对照,在静息VAS、行走VAS、关节肿胀度、踝关节AOFAS关节功能部分评分及AOFAS关节功能总评分,差异均有统计学意义,提示两种治疗方法均能改善上述评分。4.经1周治疗后,在静息VAS、行走VAS、关节肿胀度、踝关节AOFAS关节功能部分评分及总评分,观察组与对照组治疗前后数据评分差值,差异具有统计学意义(P0.05),提示踝关节扳法配合常规推拿治疗较云南白药气雾剂外用配合常规推拿治疗在改善踝关节疼痛、肿胀及恢复关节功能的效果更显著。结论:实验证明,踝关节扳法配合常规推拿治疗与云南白药气雾剂外用配合常规推拿疗法均能改善急性踝关节扭伤患者的疼痛、肿胀度及关节功能,两治疗方案均安全有效,未发现二次损伤及并发症;而踝关节扳法治疗在改善踝关节症状体征的效果更为显著。
[Abstract]:Objective: to observe and analyze the clinical effect of ankle sprain on acute ankle sprain by observing the VAS score, swelling degree and functional score of ankle joint and evaluation of curative effect of traditional Chinese medicine syndrome of ankle joint. Methods: sixty patients with acute ankle sprain were divided into two groups. The treatment group was treated with ankle sprain as the main intervention method, combined with conventional massage therapy as the basic treatment, respectively on the first day and the second day after the treatment. On the 4th and 7th day, the patients were treated with manipulation and routine manipulation. On the basis of routine massage therapy, the control group was treated with Yunnan Baiyao aerosol for 7 consecutive days in the morning, afternoon and evening, respectively, on the first day and the second day, respectively. On day 4 and day 7, routine massage therapy was performed. VAS scores of rest and walking were performed before and 1 day after manual therapy. The functional score of ankle joint and the curative effect of TCM symptoms were measured by swelling degree. The result is 1: 1. There was no significant difference in age, sex, foot distribution and course of disease between the observation group and the control group (P 0.05). There was no significant difference before manual therapy between observation group and control group in VAS score of rest and walking, swelling degree of AOFAS ankle function score and evaluation of curative effect of TCM symptom before manual therapy. After 1 week treatment, the effective rate was 100%, 1 case was cured, 21 cases were markedly effective, 8 cases were effective and 0 cases were ineffective in the observation group, while in the control group, 100 cases were cured, 0 cases were cured, 7 cases were markedly effective, 23 cases were effective, and 0 case was ineffective. After 1 week of treatment, there were significant differences between the two groups in resting vas, walking vas, joint swelling degree, ankle AOFAS joint function part score and total AOFAS joint function score before and after manual therapy. These results suggest that both methods can improve the above score. 4. 4. After 1 week of treatment, the scores of rest vas, walking vas, joint swelling, ankle AOFAS joint function and total score were measured. The difference of data between the observation group and the control group before and after treatment was analyzed. The difference was statistically significant (P 0.05), which suggested that the ankle joint manipulation combined with conventional massage therapy was more effective than Yunnan Baiyao aerosol combined with routine massage therapy in improving ankle pain, swelling and restoring joint function. Conclusion: the results show that the ankle joint manipulation combined with routine massage therapy and Yunnan Baiyao aerosol combined with routine massage therapy can improve the pain, swelling degree and joint function of the patients with acute ankle sprain, and the two treatment schemes are safe and effective. No secondary injuries and complications were found, but the effect of ankle manipulation was more significant in improving the symptoms and signs of ankle joint.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R244.1
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本文编号：1831154