正骨手法与中药熏洗治疗陈旧性踝关节扭伤的病例对照研究

Case-control study on therapeutic effects between bone-setting and herbal fumigation for the treatment of the obsolete malleolus joint sprains

目的:比较正骨手法与中药熏洗治疗陈旧性踝关节扭伤的临床效果。方法:2008年3月至2011年5月,将76例患者分为治疗组39例和对照组37例。治疗组:男15例,女24例;年龄20～59岁,平均(42.97±9.21)岁;病程1～60个月;踝关节功能评分平均(71.27±4.50)分。对照组:男11例,女26例;年龄25～57岁,平均(41.29±8.77)岁;病程1～36个月,平均(8.47±7.37)个月;踝关节功能评分平均(71.45±4.61)分。治疗组采用正骨手法治疗,每周2次;对照组采用中药熏洗治疗,每日1次。采用Baird-Jackson踝关节功能评分,3周后比较2组患者的踝关节功能评分及其治疗效果。结果:治疗3周后,治疗组踝关节评分为(93.44±4.91)分,对照组踝关节评分为(85.81±6.57)分,差异有统计学意义(P<0.05),治疗组评分优于对照组。治疗组治疗前后的踝关节平均分差异有统计学意义(P<0.05),对照组治疗前后的踝关节平均分差异有统计学意义(P<0.05)。治疗组优16例,良18例,可3例,差2例;对照组优9例,良14例,可5例,差9例,治疗组疗效优于对照组。结论:正骨手法与中药熏洗治疗陈旧性踝关节扭伤均有一定的疗效,且前者优于后者。

Objective：To compare the clinical effects of bone-setting technique and herbal fumigation for the treatment of the obsolete malleolus joint sprains. Methods：From March 2008 to May 2011,76 patients were divided into treatment group（39 cases） and control group（37 cases）. In the treatment group：15 males and 24 females;the age ranged from 20 to 59 years with an average of（42.97±9.21）years;the course of disease ranged from 1 to 60 months;the average score of ankle joint function was（71.27±4.50）. In the control group：11 males and 26 females;the age ranged from 25 to 57 years with an average of（41.29±8.77）years;the course of disease ranged from 1 to 36 months with an average of （8.47±7.37） months;the average score of ankle joint function was（71.45±4.61）. The patients in the treatment group were treated with bone-setting technique two times a week,and the patients in the control group were treated with herbal fumigation once a day. The ankle joint function scores and treatment effects of the two groups were compared after 3 weeks by using Baird-Jackson ankle function score. Results：After 3 weeks of the treatment,the average score of ankle joint function of the treatment group was（93.44±4.91）,and in the control group was（85.81±6.57）,the difference has statistical significance. The treatment group score was better than that of the control group. Before and after treatment,the average ankle score of the treatment group was （71.27±4.50） and （93.44±4.91）,the difference has statistical significance. Before and after treatment,the average ankle score of the control group was（71.45±4.61） and（85.81±6.57）,the difference has statistical significance. In the treatment group,16 cases got an excellent result,18 good,3 fair,2 poor;in the control group,9 cases got an excellent result,14 good,5 fair,9 poor. The difference has statistical significance. Conclusion：The bone-setting techniques and herbal fumigation treatment of obsolete malleolus joint sprains both have a certain effect,and the former is better than the latter.