摇拔戳手法治疗急性外踝关节扭伤的临床研究

Clinical Study on the Treatment of Acute Lateral Ankle Sprain by Technique of Shaking,Drawing and Stabbing

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,20min/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（1h/d,3d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。

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 fol- low- up period had significant difference ：ompared with prior treatment （P〈0.01）. The total score of ankle function ac- tivities 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 popu- larization.