针灸推拿联合本体感觉训练治疗踝关节扭伤的临床观察

Clinical Observation of Acupuncture and Massage Combined with Proprioception Training to Treat Therapy on Ankle Sprain

目的:观察针灸推拿联合本体感觉训练治疗踝关节扭伤的临床疗效。方法:120例踝关节扭伤患者按照就诊顺利随机分成治疗组60例,采用针灸推拿配合本体感觉训练治疗;对照组60例,采用单纯针灸推拿治疗。每天1次,1个疗程7d,连续治疗3个疗程。比较两组治疗前后的临床疗效、AOFAS评分及A.T.E+TIME指数的变化,并比较两组治疗后半年随访症状复发率的差异性。结果:治疗组Ⅰ级总有效率是96.55%,优于对照组Ⅰ级83.33%,差异有统计学意义(P<0.05);治疗组Ⅱ级总有效率是90.32%,优于对照组Ⅱ级76.67%,差异有统计学意义(P<0.05);治疗组治疗后AOFAS评分、A.T.E+TIME指数的改善程度优于对照,差异有统计学意义(P<0.05);半年后随访两组患者症状的复发率对比,治疗组优于对照组,差异有统计学意义(P<0.05)。结论:针灸推拿联合本体感觉训练能有效治疗踝关节扭伤,且复发率低。

Objective：To observe the effects of acupuncture and massage combined with proprioception training therapy on ankle sprain.Methods：All 120 patients were divided into treatment groups（n=60）,and control groups（n=60）.Treatment groups were received acupuncture and massage combined with proprioception training therapy.Control groups were received acupuncture and massage therapy.Once a day,seven days a course of treatment,3 courses of continuous treatment.The clinical efficacy,AOFAS score and the change of A.T.E ＋ TIME index before and after treatment were compared between the two groups.The difference in the recurrence rate between the two groups was compared 6 months after treatment.Results：The total effective rate of treatment group I was 96.55%,which was better than that of control group Ⅰ 83.33%（P〈0.05）.The total effective rate of treatment groupⅡ was 90.32%,which was better than 76.67% of control groupⅡ（P〈0.05）;In the aspect of the AOFAS score and the ATE＋TIME index,the treatment group was superior to the controlⅠ（P〈0.05）.After six months follow-up,the recurrence rate of the two groups was compared with that of the control group（P〈0.05）.Conclusion：Acupuncture and massage combined with proprioception training can effectively treat ankle sprain,and the recurrence rate is low.