小针刀配合运动理筋疗法治疗陈旧性踝关节扭伤的临床研究

Clinical Study on Therapeutic Effects of Small Knife Therapy and Tendon- Soothing Exercises for the Treatment of Obsolete Ankle Sprains

目的：观察小针刀疗法配合运动理筋疗法治疗陈旧性踝关节扭伤的临床疗效。方法：选择符合临床观察要求的陈旧性踝关节扭伤患者70例,随机均分为治疗组与对照组（每组35例）,治疗组采用小针刀＋运动理筋疗法治疗,对照组采用小针刀＋局部推拿理筋治疗,治疗4周后,采用Baird-Jackson踝关节评分系统比较两组的临床疗效。随访3~6月,观察复发情况。结果：治疗前,两组患者踝关节功能评分的各分项与总均分之间无统计学意义（P〉0.05）。治疗4周后,两组患者踝关节功能评分的各分项（除对照踝关节活动范围评分项外）与总均分均优于治疗前（均P〈0.01）。除放射学分项外,治疗组治疗4周后的踝关节功能评分的各分项与总均分优于对照组（P〈0.05或P〈0.01）。基于Baird-Jackson踝关节评分的总疗效比较,治疗组与对照组比较也有统计学意义（均P〈0.01）。随访3~6月,治疗组复发情况及进一步的恢复情况优于对照组。结论：应用小针刀配合运动理筋疗法治疗陈旧性踝关节扭伤,可以取得满意的临床疗效。

Objective ： To explore the clinical effects of small knife therapy and Tendon - soothing exercises for the treatment of obsolete ankle sprains. Methods ：70 patients with obsolete ankle sprains were divided into treatment group（35 cases） and control group （35 cases） randomly. The patients in the treatment group were treated with small knife therapy and tendon - soothing exerci- ses, and the patients in the control group were given small knife therapy and tendon - soothing manipulation. The scores of ankle ioint function and the therapeutic effects of two ~rouDs before and after the treatment were observed and comnared and the recur-rences were observed. Results ： Before treatment, there was no significant difference in every component score and the overall score of ankle joint function between two groups（ P 〉 0.05 ）. After being treated for 4 weeks, every component score （ except the range of motion of the ankle in control group） and the overall score of ankle joint function of the patients in both groups increased com- pared with those treated before（P 〈 0.01 ）. And every component score and the overall score of ankle joint function of the patients in treatment group after 4 weeks＇ treatment were higher than those in control group except the component of radiology（ P 〈 0.05, P 〈 0.01 ）. To the therapeutic effects basing on Baird- Jackson＇s ankle evaluation rating system, the ridit analysis showed there was a significant difference between two groups （ P 〈 0.01 ）. After 3 to 6 months＇ following - up, the recurrence in treatment group was better than the one in control group （P 〈 0. 01 ）. Conclusion：Small knife therapy and tendon - soothing exercises have definite therapeutically effect for obsolete ankle sprains. They can restore ankle joint function earlier.