中医综合治疗慢性踝关节不稳临床研究

Clinical Study on Chronic Ankle Instability Treated with Comprehensive Traditional Chinese Medicine

目的:通过对慢性踝关节不稳患者的中医综合治疗进行回顾性性研究,了解其疗效。方法:回顾性研究2017年1月~2017年12月在我院门诊收集并完成随访的病例40例。其中男性患者22例,女18例;年龄18~56岁,平均年龄38.6岁;均为单侧踝关节不稳。先后使用我院自制二黄新伤软膏、旧伤活络软膏及郑氏舒活酊外用至疼痛明显减轻。同时行本体感觉训练、胫前肌、腓骨肌肌力训练等主动功能锻炼。治疗持续时间3~5月。结果:治疗后AOFAS评分优6例,良27例,一般3例,差3例,优良率为82.5%。AOFAS评分从治疗前的61.25±11.56提高到78.48±11.34,VAS评分从治疗前的3.25±1.02降至1.02±0.80。疗效较差的6例患者经手术治疗,恢复良好。结论:大部分踝关节不稳的患者通过非手术治疗可得到较好的疗效,对于非手术治疗效果较差的患者应及时手术以恢复踝关节的稳定性。

Objective:To retrospectively study the comprehensive treatment of traditional Chinese medicine(TCM)for patients with chronic ankle instability and to understand its curative effect.Methods:A retrospective study was conducted on 40 cases collected and followed up in our hospital from January 2017 to December 2017.Among them,there were 22 male patients and 18 female patients,aged 18~56 years with an average age of 38.6 years,with unilateral ankle instability.The pain was alleviated by using Self-made Erhuang Xinshang Ointment,Jiushang Huoluo Ointment and Zheng’s Shuhuo Tincture for external use.Meanwhile,active functional exercises such as proprioceptive training,tibialis anterior muscle and fibula muscle strength training were performed.The treatment lasted from 3 to 5 months.Results:After treatment,AOFAS scores were excellent in 6 cases,good in 27 cases,normal in 3 cases and poor in 3 cases,with the excellent and good rate being 82.5%.AOFAS score increased from 61.25±11.56 to 78.48±11.34 before treatment,and VAS score decreased from 3.25±1.02 to 1.02±0.80 before treatment.Six patients with poor curative effect recovered well after surgical treatment.Conclusion:Most patients with ankle instability can get better results by non-surgical treatment.For patients with poor non-surgical treatment effect,timely surgery should be performed to restore ankle stability.