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推拿联合中药熏洗治疗陈旧性踝关节扭伤随机平行对照研究 被引量:11

Fumigation with Massage Therapy Old Ankle Sprain Randomized Parallel Study
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摘要 [目的]观察推拿联合中药熏洗治疗陈旧性踝关节扭伤疗效。[方法]使用随机平行对照方法,将84例门诊患者按入院先后顺序简单随机分为两组。对照组42例局部痛点封闭:确定踝关节周围痛点后,抽取2%利多卡因1mL,醋酸曲安奈德1mL,维生素B12 1mL,复方当归注射液1mL,局部常规消毒后进针局部注射,用创可贴保护创口,症状改善不佳者7d后再次封闭1次;药物口服:舒筋活血片3片,3次/d。致康胶囊2粒,2次/d。布洛芬缓释胶囊0.3g,2次/d;超短波:DLC-A超短波治疗仪,30min/次,2次/d。治疗组42例推拿,患者取仰卧位,术者用拇指与四指配合,先揉捏弹拔伤侧小腿后侧肌群3∽4min,然后用拇指以柔和深达的方法按揉踝关节周围3∽4min,重点按揉下胫腓联合韧带、外踝前下方及跟腱两侧,然后用一手拇指与食指轻用力挟持踝关节两侧,另一手持握患肢前足部,在稍用力拔伸下做踝关节屈伸,内外翻及环转运动2∽3min。进行时宜平稳和缓,各方向均做5∽10次,2次/d。中药熏蒸:伸筋草50g,延胡索、白芷各30g,威灵仙、当归、鸡血藤、丹参各50g,乳香、没药、透骨草、木瓜各30g,放入自动恒温熏蒸器,加水3000mL,煮沸后病人卧于专用熏蒸床上,置于熏蒸孔处,每次熏蒸20min后把熏蒸器的药液过滤去渣倒入盆内,待冷却至40℃∽50℃时用毛巾淋洗患踝,20min/次,2次/d,每剂药可用3d。连续治疗15d为1疗程。观测临床症状、踝关节功能、不良反应。治疗1疗程,判定疗效。[结果]治疗组治愈27例,显效8例,有效5例,无效2例,总有效率96.32%。对照组治愈18例,显效10例,有效6例,无效8例,总有效率33.25%。治疗组疗效优于对照组(P〈0.05)。[结论]推拿联合中药熏洗治疗陈旧性踝关节扭伤疗效显著,值得推广。 [ Objective ] To observe the therapeutic massage with Fumigation old ankle sprain efficacy. [ Method ] Random parallel control method, 84 cases of outpatients were randomized into two groups. A control group of 42 patients with local pain point closure: OK around the ankle pain points, extract 2% lidoeaine lmL, triamcinolone acetonide lmL, vitamin BIz lmL, Compound Angelica Injection lmL, local routine disinfection backward local injection needle with a Band-Aid to protect wound, symptoms improved in poor closed once again after 7d;oral drugs:medicinal tablets 3, 3 times / d. lqev. Kang Capsule 2, 2 times / d. Ibuprofen 0.3g, 2 times / d;FM:DL-CA FM treatment, 30min / times, 2 times / d. Massage therapy group 42 cases, the patient supine, the surgeon with the thumb and four fingers with the first kneading plucking the injured side posterior leg muscles 3 ~ 4min, then use your thumb to gentle rubbing deep way around the ankle 3 4min, focusing rubbing syndesmosis ligament and lateral sides of the Achilles tendon before the bottom, and then use a light hand thumb and index finger pinching force on both sides of the ankle joint, and the other hand holding the limb front foot, pulling in a little harder done under ankle flexion and extension, and varus rotation movement of the ring 2 ~ 3min. When should be smooth gentle, all directions are doing 5 ~ 10 times, 2 times/d. Chinese fumigation:lycopodii 50g, fumaric, Angelica 30g, Clematis, Angelica, Millettia, Salvia 50g, frankincense, myrrh, Speranskia, papaya each 30g, into the automatic thermostat fumigation, add water 3000mL after boiling the patient Woyu special fumigation bed, placed fumigation hole, every 20rain after the fumigation fumigation of liquid filter to slag into the basin, after cooling to 40~C ~ 50~C with a towel when rinsing suffering ankle, 20min / times, 2 times / d, each dose of drugs available 3d. 15d is a continuous course of treatment. Observing clinical symptoms of adverse reactions. A course of treatment to determine efficacy. [ Results ] 27 cases were cured, 8 cases were markedly effective in 5 cases, 2 cases, the total efficiency of 96.32%. In the control group were cured 18 cases, 10 cases markedly effective in 6 cases, 8 cases, the total efficiency of 33.25%. Treatment group than the control group ( P〈0.05 ) . [ Conclusion ] Massage with fumigation treatment of old ankle sprain significant effect, worthy of promotion.
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出处 《实用中医内科杂志》 2014年第8期25-27,共3页 Journal of Practical Traditional Chinese Internal Medicine
关键词 踝关节扭伤 陈旧性 推拿 中药熏洗 中医药疗法 随机平行对照研究 Ankle sprain Massage Old herbal fumigation Traditional Chinese medicine Randomizedparallel study
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