体育运动中踝关节扭伤的防治

Prevention and Treatment of Exercise-induced Ankle Sprain

目的探讨在体育运动中发生踝关节扭伤的治疗方法及相应的预防措施。方法选取广西区田径队60例踝关节扭伤患者,随机分为治疗组和对照组。二组患者均先采用手法治疗,治疗组加用中药外敷,对照组采用云南白药外喷,均以3d为1个疗程,连续用药3个疗程,对二组患者患肢的踝关节疼痛、肿胀程度、活动度、步行能力及受伤部位功能恢复情况进行综合评定。结果二组患者在治疗1～3个疗程后,均有明显好转;治疗组治疗第1、2、3个疗程后,痊愈率均显著高于对照组(P<0.05);治疗组治疗第1、2个疗程后,总有效率均显著高于对照组(P<0.05),第3个疗程后,二组总有效率差异无统计学意义(P>0.05)。结论采用手法结合中药外敷治疗踝关节扭伤,恢复快、疗效满意,同时应加强预防措施,尽量减少运动损伤。

Objective To discuss the treatment and prevention measures for ankle sprain in athletics. Methods Sixty ankle sprain patients selected from Guangxi Regional Track and Field Team were randomly divided into the treatment group and the control group. Both groups were received manual practices first, then the treatment group received topical TOM medicine, and the control group received Yunnan Baiyao spray. Three days＇ treatment was regarded as 1 therapeutic course for both groups and the treatment period lasted for 3 successive therapeutic courses. Comprehensive assessment of ankle pain, swelling, activity extent, walking ability, and functional recovery of injured parts was conducted in these patients. Results After the 3 - course treatment, the patients in both groups were much improved. The cure rate of the treatment group was significantly higher than that of the control group （ P〈 0.05） after the first, second, and third courses. The total efficiency of the treatment group was significantly higher than that of the control group （P〈 0.05） after the first and second courses, while there was no significant difference between the 2 groups （ P 〉 0.05） after the third course. Conclusions Combination treatment of traditional Chinese medicine and manual practices on topical ankle sprain has quicker recovery and satisfactory therapeutic effect. Meanwhile, strengthening preventive measures and reducing athletic injury are also important.