丘墟透照海治疗慢性踝关节不稳的临床研究

Clinical study on acupuncture by penetrating the point from Qiuxu to Zhaohai of chronic ankle instability

目的探讨丘墟透照海对慢性踝关节不稳(chronic ankle instability,CAI)患者的临床效果。方法60例CAI患者在康复训练的基础上分别接受普通针刺(对照组)和丘墟透照海(治疗组),疗程共4周。治疗期间测量患者的踝关节AOFAS评分、内外翻肌力、本体感觉,比较2组患者的临床疗效。结果治疗后,2组患侧踝关节AOFAS评分、内外翻RPT值及内外翻肌群E/I值、位置觉JPSA、JPSP值及运动觉KT值均较治疗前有所改善,且治疗组优于对照组,差异有统计学意义(P<0.05)。治疗组显效率(70.00%)高于对照组(43.33%),差异有统计学意义(χ^(2)=4.344,P=0.037)。结论丘墟透照海结合康复训练能更有效改善慢性踝关节不稳患者患肢的踝关节功能,提高治疗显效率。

Objective To investigate the clinical efficacy of acupuncture by penetrating the point from Qiuxu to Zhaohai on patients with chronic ankle instability(CAI).Methods Sixty patients with CAI received normal acupuncture(control group)and acupuncture by penetrating the point from Qiuxu to Zhaohai(treatment group)in addition to rehabilitation training for a total of four weeks.The patients'ankle AOFAS scores,internal and external rotation muscle strength and proprioception were measured during the treatment period,and the clinical efficacy of the two groups was compared.Results After treatment,the AOFAS score,internal and external rotation RPT value and internal and external rotation muscle group E/I value,positional sensation JPSA,JPSP value and kinesthetic KT value of the affected ankle joint improved in both groups compared with those before treatment.The treatment group was better than the control group.The differences were statistically significant(P<0.05).The effective rate in the treatment group(70.00%)was higher than in the control group(43.33%),with a statistically significant difference(χ2=4.344,P=0.037).Conclusions The combination of acupuncture by penetrating the point from Qiuxu to Zhaohai and rehabilitation training is more effective in improving the ankle function of the affected limbs in patients with chronic ankle instability and has higher treatment efficacy.