腕踝针配合“RICE”对踝关节扭伤急性期疗效的临床研究

Clinical Study on the Efficacy of Wrist-ankle Needle Combined with"RICE"in the Acute Stage of Ankle Spraina

观察腕踝针配合“RICE”治疗踝关节扭伤急性期的临床疗效。方法:将78例患者随机分为试验组和对照组,每组39例。试验组采用腕踝针配合“RICE”治疗;对照组采用“RICE”治疗。评价标准采用疼痛视觉量表评分(VAS)及临床症状及体征分级计分标准。治疗后2天后观察疗效。结果:两组受试者组内比较,在VAS、临床症状及体征分级总计分、总体有效率中均具有统计学意义;组间比较也具有统计学意义,这说明试验组与对照组相比较疗效差异显著。在临床症状的关节肿胀项评分中,两组受试者组内比较均具有统计学意义,而组间比较不具有统计学意义。结论:本研究显示腕踝针配合“RICE”治疗踝关节扭伤急性期疗效优于常规“RICE”治疗,值得在临床上推广。

Objective:To observe the clinical efficacy of wrist-ankle acupuncture combined with"RICE"in the treatment of ankle sprain in the acute stage.Methods:78 patients were randomly divided into treatment group and control group,39 patients in each group.The experimental group was treated with wrist-ankle needle combined with"RICE".The control group was treated with"RICE".Visual pain Scale(VAS)and clinical symptoms and signs were used as evaluation criteria.The curative effect was observed 2 days after treatment.Results:Comparisons between the two groups were statistically significant in VAS,overall score of clinical symptoms and signs,and overall effective rate.The comparison between the two groups was also statistically significant,indicating a significant difference in efficacy between the experimental group and the control group.In the clinical symptom joint swelling score,the intra-group comparison between the two groups was statistically significant,while the inter-group comparison was not.Conclusion:This study shows that the efficacy of wrist-ankle needle combined with"RICE"in the treatment of ankle sprain in the acute stage is superior to that of conventional"RICE"treatment,which is worthy of vigorous promotion in clinical practice.