运动机能贴布联合超短波对急性踝内翻扭伤的早期疗效观察

Early clinical effectiveness of kineso taping with heat-free ultrashort wave in the treatment of ankle inversion sprain

目的观察运动机能贴布联合超短波对急性踝内翻扭伤早期的影响。方法纳入2017年6月至2019年12月,因急性踝内翻扭伤伴肿胀来我院就诊的患者72例(72足),采用随机数字表法将患者分为观察组和对照组,各36例(36足),对照组予以无热量超短波,观察组在此基础上联合运动机能贴布进行治疗,两组患者均常规性地采用POLICE原则且支具相对固定3周。分别于治疗前、治疗第3天、第6天以及1个月随访,评估观察组和对照组的踝关节周长、疼痛程度(VAS评分)以及AOFAS踝-后足功能评分。结果由于过敏以及工作、家庭原因,最终观察组35例(97.2%),对照组34例(94.4%)完成研究。治疗前两组患者在疼痛水平、踝关节肿胀以及AOFAS踝-后足评分方面,差异均无统计学意义(P>0.05);治疗第3天、第6天,观察组踝关节的肿胀程度(42.05±2.72)、(39.82±1.39)小于对照组(43.22±2.35)、(41.56±2.77),差异有统计学意义(P<0.05),第6天,两组踝关节的肿胀程度(39.82±1.39)、(41.56±2.77)优于第3天(42.05±2.72)、(43.22±2.35)(P<0.05);治疗第3天、第6天,观察组的VAS评分(3.15±0.55)、(2.07±0.49)较对照组(4.31±0.75)、(2.92±0.86)低(P<0.05),两组在第6天,VAS评分(2.07±0.49)、(2.92±0.86)优于第3天(3.15±0.55)、(4.31±0.75)(P<0.05);治疗第3天,观察组踝关节AOFAS评分与对照组相比,差异无统计学意义(P>0.05),第6天,观察组踝关节AOFAS评分(60.51±6.30)优于对照组(50.67±5.81),差异有统计学意义(P<0.05)。在1个月,观察组的踝关节肿胀程度(37.28±1.56)、疼痛程度(1.02±0.38)以及AOFAS评分(82.75±6.13)均优于对照组(39.53±2.15)、(1.75±0.54)、(74.38±5.48)(P<0.05),且观察组(37.28±1.56)、(1.02±0.38)、(82.75±6.13)和对照组(39.53±2.15)、(1.75±0.54)、(74.38±5.48)的三项评分均优于治疗第6天时的观察组(39.82±1.39)、(2.07±0.49)、(60.51±6.30)和对照组(41.56±2.77)、(2.92±0.86)、(50.67±5.81)(P<0.05)。结论在急性踝关节内翻损伤的医治中,动机能贴布联合无热量超短波能够更快速有效地缓解肿胀,显著降低疼痛,改善受伤踝关节功能。

Objective To observe the early clinical effectiveness of kineso taping(KT)combined with heat-free ultrashort wave in the treatment of ankle inversion sprain.Methods A total of 72 patients(72 feet)with ankle inversion sprain were analyzed from June,2017 to December,2019.All were randomly divided into observation group(n=36,kineso taping with non-heating ultrashort wave)and control group(n=36,non-heating ultrashort wave)according to random number table.POLICE principle was applied routinely,as well as brace immobilization for3 weeks in both groups.The ankle circumference,VAS,and AOFAS of the two groups were evaluated before treatment,on the 3rd and 6th day during treatment,and 1 month in the follow-up.Results Due to allergies,35 patients(97.2%)in the observation group and 34 patients(94.4%)in the control group completed the study.No statistically significant differences in pain,ankle swelling,and AOFAS were observed between the two groups before treatment(P>0.05);less swelling of the ankle joint in the observation group[(42.05±2.72),(39.82±1.39)]was noted than that of the control group[(43.22±2.35),(41.56±2.77)]on the 3rd and 6th day of treatment with statistical significance(P<0.05);less swelling of the ankle joint on the 6th day of treatment[(39.82±1.39),(41.56±2.77)]was noted than that on the 3rd day of treatment[(42.05±2.72),(43.22±2.35)]in both groups with statistical significance(P<0.05);VAS of the observation group[(3.15±0.55),(2.07±0.49)]was lower than that of the control group[(4.31±0.75),(2.92±0.86)]on the 3rd and 6th day of treatment(P<0.05);VAS on the 6th day of treatment[(2.07±0.49),(2.92±0.86)]was lower than that on the 3rd day of treatment[(3.15±0.55),(4.31±0.75)]in both groups with statistical significance(P<0.05);No statistical significance in AOFAS was shown between the two groups on the 3rd day of treatment(P>0.05);AOFAS on the 6th day of treatment in the observation group(60.51±6.30)was higher than that in the control group(50.67±5.81)with statistical significance(P<0.05);The ankle swelling,pain,and AOFAS scores of the observation group[(37.28±1.56),(1.02±0.38),(82.75±6.13)]were better than that of the control group[(39.53±2.15),(1.75±0.54),(74.38±5.48)]in 1 month(P<0.05),and the three indexes on the 3rd day were significantly superior than that on the 6th day(P<0.05).Conclusions Early kineso taping with heat-free ultrashort wave could relieve swelling,reduce pain,and improve ankle functions in the treatment of ankle inversion sprain,which facilitates functional recovery.