针刺配合关节松动术治疗踝关节功能障碍的临床研究

Acupuncture Combined with Joint Mobilization for the Treatment of Ankle Dysfunction

目的:观察针刺配合关节松动术治疗踝关节功能障碍的临床疗效,并探讨其治疗机制。方法:将符合病例纳入标准的80例患者随机分为治疗组和对照组,各40例,治疗组采用常规针刺法和关节松动技术治疗,对照组仅采用常规针刺疗法。同时用量角器测量踝关节各项生理运动活动度的大小进行踝关节运动功能的治疗效应评定。结果:两组患者在入组时,踝关节各生理运动ROM测量度数比较差异无统计学意义(P>0.05),治疗10天后治疗组四项生理运动ROM测量度数总和增加率为59.65%,对照组为27.43%,两组比较差异有统计学意义(P<0.01)。结论:针刺配合关节松动术在改善踝关节运动功能方面见效时间比针刺疗法快,且疗效明显优于针刺疗法。

Objective：To observe and compare the acupuncture therapy combined with joint mobilization treat- ment for ankle dysfunction in clinical efficacy and to explore its therapeutic mechanism. Methods：Eighty pa- tients meeting the relevant diagnosis were randomly allocated to a treatment group of 40 cases and a control group of 40 cases. The treatment group received routine acupuncture treatment combined with joint mobilization techniques and the control group only received routine acupuncture therapy. Results：There was no statistically significant difference in the physiological movement of the ankle joint ROM measurements degree between the two groups （ P 〉 0.05 ）. There was a statistically significant difference in the total of the four ways of physiologi- cal movement ROM measuring degree between the treatment and control groups after one course of treatment（ 10 days） ,and the rate of increase in the treatment group was 59.65%, in the control group it was 27.43%. There was a significant difference between two groups（ P 〈0. O1 ）. Conclusion：Acupuncture combined with joint mo- bilization to improve the ankle function onset time is faster than acupuncture therapy and significantly better than acupuncture therapy.