RICE原则联合手法淋巴引流技术治疗急性期踝关节扭伤的临床效果

The Curative Effect of RICE Principle Combined with the Manual Lymphatic Drainage Technique in the Treatment of Acute Ankle Sprain

目的探讨RICE原则联合手法淋巴引流技术治疗急性期踝关节扭伤的临床效果.方法选取2019年3月—2021年12月于甘肃省中医院康复医学科就诊的92例急性期踝关节扭伤患者为研究对象,采用随机数字表法将其分为对照组和试验组,每组46例.对照组患者采用RICE原则治疗,试验组患者在对照组基础上采用手法淋巴引流技术治疗.比较两组患者的双侧踝关节周径差、视觉模拟评分(VAS)及美国足踝外科医师协会(AOFAS)踝-后足评分.结果治疗前,两组双侧踝关节周径差、VAS评分及AOFAS踝-后足评分比较,组间差异无统计学意义(P>0.05);治疗3、10 d,试验组双侧踝关节周径差均低于对照组,组间差异有统计学意义(P<0.05);治疗3 d,两组VAS评分比较,差异无统计学意义(P>0.05);治疗10 d,试验组VAS评分低于对照组,差异有统计学意义(P<0.05);治疗3、10 d,试验组AOFAS评分均高于对照组,组间差异有统计学意义(P<0.05).结论RICE原则联合手法淋巴引流技术相比单纯的RICE原则在治疗急性期踝关节扭伤的水肿、功能障碍方面效果更佳,在疼痛方面的短期治疗效果不佳,但随着治疗时间的延长治疗效果更明显.

Objective To explore the clinical effect of RICE principle combined with the Manual Lymphatic Drainage technique in the treatment of acute ankle sprain.Methods 92 patients with acute ankle sprain attending the Department of Rehabilitation Medicine of Gansu Provincial Hospital of TCM from March 2019 to December 2021 were selected as the study subjects,and they were divided into a control group and an experimental group using the random number table method,with 46 numbers of cases in each group.The patients in the control group were treated with RICE principles,and the patients in the experimental group were treated with the Manual Lymphatic Drainage technique on the basis of the control group.The bilateral ankle circumference difference,visualanalogue scale(VAS)score and American Orthopaedic Foot and Ankle Society(AOFAS)ankle-foot score were compared between the two groups.Results Before treatment,there were no statistically significant differences in bilateral ankle circumference difference,VAS score and AOFAS ankle-foot score between the two groups(P>0.05);at 3 and 10 days of treatment,the bilateral ankle circumference difference of the experimental group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05);at 3 days of treatment,there was no statistically significant difference in the VAS score between the two group(P>0.05);at 10 days of treatment,the VAS score of the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.05);at 3 and 10 days of treatment,the AOFAS scores of the experimental group were higher thanthose of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion TheRICE principle combined with manual lymphatic drainage technique is more effective in the treatment of local swelling andpain caused by acute ankle sprain than the RICE principle alone.But it is less effective in treating pain in the short term.However,the treatment effect is more pronounced with longer treatment time.