穴位注射治疗青少年运动员急性踝关节损伤疗效观察

Clinical efficacy observation of acupoint injection on acute ankle sprain in adolescent athletes

目的观察穴位注射治疗青少年运动员急性踝关节损伤的疗效。方法将90例急性踝关节扭伤的青少年运动员随机分为3组各30例。针灸组采用针灸+按摩+功能锻炼,穴位注射组采用穴位注射+按摩+功能锻炼,对照组采用按摩+功能锻炼。比较3组治疗前后踝关节Baird-Jackson评分和疗效。结果治疗前3组Baird-Jackson评分差异无统计学意义(P>0.05);治疗1、3、5个疗程后3组Baird-Jackson评分均升高(P<0.05),且针灸组和穴位注射组明显高于对照组(P<0.05或P<0.01),针灸组与穴位注射组比较差异无统计学意义(P>0.05)。5个疗程后,穴位注射组及针灸组优良率均高于对照组,差异均有统计学意义(P<0.05);穴位注射组与针灸组优良率比较差异无统计学意义(P>0.05)。结论穴位注射法与针灸在治疗急性踝关节扭伤方面均能明显缩短治疗疗程,提高踝关节评分,但穴位注射法治疗频率低,更容易被青少年运动员接受。

Objective To observe clinical efficacy of acupoint injection on acute ankle sprain in adolescent athletes.Methods 90 patients with acute ankle sprain in young athletes were randomly divided into three groups,with 30 cases in each group. Acupuncture group was treated with acupuncture combined with massage and function exercise; acupoint injection group was treated with acupoint injection combined with massage and function exercise; the control group was treated with massage combined with function exercise. The Baird-Jackson score before and after treatment and clinical efficacy between two groups were compared. Results The Baird-Jackson scores of the three groups before treatment had no significant difference（ P〉0. 05）; Baird-Jackson scores of the three groups were all increased after 1,3,5 courses of treatment（ P〈0. 05）,and the BairdJackson scores acupuncture group and acupoint injection group was significantly higher than that of control group（ P〈0. 05 or P〈0. 01）,there was no significant difference between acupuncture group and acupoint injection group（ P〉0. 05）. Conclusion Acupoint injection and acupuncture can significantly shorten the course of treatment in the treatment of acute ankle sprain,and improve their ankle joint score. Moreover,acupoint injection has low treatment frequency,are more likely to be accepted by adolescent athletes.