摘要
Objective： To observe the clinical therapeutic effects of acupuncture at the bony clefts in combination with tuina therapy in the treatment of sprains and strains of minor joints at the four extremities. Methods： Ninety cases of sprains and strains of minor joints at four extremities [including metacarpophalangeal （metatarsophalangeal） joints] were divided randomly into three groups by the consulting order. Acupuncture group, in which 30 cases were treated by acupuncture at the bony clefts; tuina group, in which 30 cases were treated by tuina therapy; and observation group, in which 30 cases were treated by acupuncture at the bony clefts and tuina therapy. The treatment was given 6 times a week as one course of treatments, and the therapeutic effects were observed after 2 courses of treatments. Results： The cure rates of the observation group, the acupuncture group and the tuina group reached 50.0%, 20.0% and 16.7% respectively, and the total effective rates reached 93.4%, 70.0% and 73.3% respectively. There were statistical significance between the observation group and the acupuncture and tuina groups （P〈0.05）; while there was not a statistical difference between the acupuncture group and the tuina group. It was indicated that the therapeutic effect of the observation group was better than that of the acupuncture group and the tuina group. Conclusion： Acupuncture at the bony clefts in combination with tuina therapy is quite effective in the treatment of sprains and strains of metacarpophalangeal （metatarsophalangeal） joints.
目的:观察针刺骨缝配合推拿治疗四肢小关节扭挫伤的临床疗效。方法:将90例四肢小关节[包括掌(跖)指(趾)关节]扭挫伤患者按就诊顺序随机分为针刺组30例,采用单纯针刺骨缝治疗;推拿组30例,采用推拿治疗;观察组30例,采用针刺骨缝结合推拿治疗。每星期治疗6次,为1疗程,治疗2个疗程后观察疗效。结果:观察组、针刺组、推拿组的治愈率分别为50.0%、20.0%、16.7%;总有效率为93.4%、70.0%、73.3%,观察组与针刺组、推拿组相比,差异有统计学意义(P<0.05),针刺组与推拿组差异无统计学意义,提示观察组疗效优于针刺组和推拿组。结论:针刺骨缝配合推拿治疗掌(跖)指(趾)关节扭挫伤有较好的治疗效果。
