刺络拔罐加药物导入治疗急性踝关节扭伤疗效观察

踝关节扭伤是指踝关节遭受内、外翻和扭转牵拉外力而引起踝部筋肉的损伤，为骨外科常见病，可发生于任何年龄。青少年及学龄期儿童活动量较大，发病较多。其临床表现为伤后踝部即出现肿胀、瘀斑、疼痛、跛行或不能行走，局部有明显压痛。笔者于2004—2010年对本证用刺络拨罐加药物离子导入治疗58例，并与电针组对照观察，发现其效果尤为显著，现报道如下。

生姜泥疗联合绷带外固定治疗大学生急性踝关节扭伤30例

目的:观察生姜泥疗联合绷带外固定治疗大学生急性踝关节扭伤的临床疗效。方法:将60例急性踝关节扭伤大学生患者采用随机数字表法随机分为治疗组和对照组各30例,治疗组采用生姜泥疗联合绷带稍加压包扎固定受伤关节方法治疗;对照组采用绷带稍加压包扎固定受伤关节,伤后48 h内采用冰袋冷敷患处,48 h后在受伤处适量涂擦双氯芬酸二乙铵乳胶剂。两组均嘱予避免负重,并在非负重情况下积极活动足趾及行小腿肌肉的等长收缩。两组均以2周为1个疗程,并于治疗前、治疗1周、2周后分别进行量化评分对比。结果:治疗组痊愈19例,显效8例,有效2例,无效1例,有效率为96.67%;对照组痊愈13例,显效6例,有效9例,无效2例,有效率为93.33%。两组疗效对比,差别有统计学意义(P<0.05)。结论:生姜泥疗联合绷带外固定治疗大学生急性踝关节扭伤疗效较好。

踝关节扭伤封闭治疗临床探索

踝关节扭伤临床上较多见为外侧三束韧带,其次是内侧三角韧带、胫腓横韧带及踝关节关节囊损伤。韧带的损伤一般发生在骨附着点,致局部毛细血管破损、出血,产生血肿及水肿,组织液渗出刺激神经末梢而疼痛。采用封闭、有限制动的方法局部注射麻醉药物可以起到缓解疼痛、松解痉挛、改善血液循环等作用,确炎舒松具有抗炎、减少炎性物渗出、消除细胞间质水肿及抑制粘连、增生的作用,两药合用直达病所,不但能消除炎症、疼痛。

THERAPEUTIC EFFECTS OF ELECTROACUPUNCTURE PLUS POINT-PENETRATION FOR CHRONIC ANKLE JOINT SPRAIN

Objective: To observe clinical therapeutic effects of electroacupuncture plus point-penetration for chronic ankle joint sprain. Methods: 76 patients were randomly divided into treatment group (n=43) and control group (n=33).In teatment group, penetration needling from Qiuxu (丘墟 GB 40) to Zhaohai (照海 KI 6) was performed, combined with electrical stimulation for 30 min. Patients of control group were ordered to take Antinfan (50 mg,b.i.d.),supplemented with local external application of Votalin cream (b.i.d.).After 14 treatments (two courses), the therapeutic effect was assessed. Results: Following two courses of treatment, of the 43 cases and 33 cases in treatment and control groups,33 (76.7%) and 15 (45.5%) were cured, 4 (9.3%) and 7 (21.2%) had marked improvement in their symptoms, 3 (7.0%) and 2 (6.1%) had improvement, and 3 (7.0%) and 9(27.3%) failed, with the effective rates being 93.0% and 72.7% respectively. The therapeutic effect of treatment group was significantly superior to that of control group (P<0.05). Conclusion: Penetrative needling plus EA is significantly superior to medication in relieving chronic ankle spain patient’s clinical symptoms and signs.

蔬菜治病风行德国

用草药或蔬菜治病,在德国民间有悠久的历史。现在,德国人慢慢意识到化工制造的药品具有副作用,回归自然成了大潮流。古老的治疗方法又被广泛介绍出来了。 圆白菜被认为是菜药之王。白菜叶在开水中泡软后敷患处,可治疗湿疹、痤疮、斑疹、烧伤、血肿、刀伤、关节炎、神经痛和偏头痛。饮用白菜汁可治感冒、头痛、支气管炎、咽喉炎。如果饮酒过量导致剧烈头痛,可用白水煮圆白菜,用蒸汽薰头部作深呼吸,能明显减轻症状。