[1]江显俊,于留钱.肌内效贴贴扎联合耳穴贴压治疗急性踝关节扭伤的临床研究…[J].中医正骨,2022,34(01):37-40.
　JIANG Xianjun,YU Liuqian.A clinical study of Kinesio taping therapy combined with auricular plaster therapy for treatment of acute ankle sprain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2022,34(01):37-40.
点击复制

肌内效贴贴扎联合耳穴贴压治疗急性踝关节扭伤的临床研究…()
分享到：

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期数:
2022年01期
页码:
37-40
栏目:
临床研究
出版日期:
2022-01-20

文章信息/Info

Title:
A clinical study of Kinesio taping therapy combined with auricular plaster therapy for treatment of acute ankle sprain
作者:
江显俊; 于留钱
(杭州市第九人民医院,浙江 杭州 311225)
Author(s):
JIANG Xianjun; YU Liuqian
Hangzhou Ninth People’s Hospital,Hangzhou 311225,Zhejiang,China
关键词:
踝损伤;  耳穴贴压疗法;  肌内效贴
Keywords:
ankle injuries;  auricular plastertherapy;  kinesio taping
摘要:
目的:探讨肌内效贴贴扎联合耳穴贴压治疗急性踝关节扭伤的临床疗效。方法:纳入急性踝关节扭伤患者80例,随机分为2组,每组40例,分别采用肌内效贴贴扎联合耳穴贴压治疗(肌内效贴联合耳穴组)和单纯肌内效贴贴扎治疗(肌内效贴组)。肌内效贴贴扎每次贴扎后维持24 h,连续贴扎5 d后休息2 d; 耳穴贴压每天按压耳部压豆3～5次,每次持续约3 min; 共治疗2周。分别于治疗前及治疗2周后,采用疼痛视觉模拟量表(visual analogue scale,VAS)评分评价踝关节疼痛情况,采用美国足与踝关节协会(American Orthopedic Foot and Ankle Society,AOFAS)踝与后足功能评分评价踝关节功能。并于治疗2周后,参照《中医病证诊断疗效标准》中踝关节扭伤疗效评定标准评定临床综合疗效。结果:2组患者均完成了2周的治疗。治疗前,2组患者踝关节疼痛VAS评分、AOFAS踝与后足功能评分的组间比较,差异均无统计学意义[(6.875±1.067)分,(7.050±0.986)分,t=-0.762,P=0.448;(55.475±5.639)分,(57.700±7.726)分,t=-1.471,P=0.146]。治疗2周后,2组患者踝关节疼痛VAS评分均较治疗前降低(t=27.735,P=0.000; t=21.165,P=0.000),AOFAS踝与后足功能评分较治疗前升高(t=-27.884,P=0.000; t=-11.759,P=0.000); 且肌内效贴联合耳穴组的踝关节疼痛VAS评分低于肌内效贴组[(1.275±0.877)分,(2.150±0.921)分,t=-4.352,P=0.000],AOFAS踝与后足功能评分高于肌内效贴组[(89.350±5.177)分,(76.850±6.200)分,t=9.788,P=0.000]。治疗2周后,肌内效贴联合耳穴组治愈22例、有效16例、无效2例,肌内效贴组治愈14例、有效18例、无效8例,前者的临床综合疗效优于后者(Z=-2.175,P=0.030)。结论:对于急性踝关节扭伤,采用肌内效贴贴扎联合耳穴贴压治疗和单纯采用肌内效贴贴扎治疗,均可缓解踝关节疼痛、改善踝关节功能,但前者的疗效优于后者。
Abstract:
Objective:To explore the clinical outcome of Kinesio taping therapy combined with auricular plaster therapy for treatment of acute ankle sprain.Methods:Eighty patients with acute ankle sprain were enrolled in the study and were randomly divided into combination therapy group and monotherapy group,40 cases in each group.The patients in combination therapy group were treated with Kinesio taping therapy and auricular plaster therapy,while the ones in monotherapy group with Kinesio taping therapy alone.The Kinesio tape was changed every 24 hours for 2 weeks with a 2-day rest-insertion between the 2 weeks and the auricular point acupressure was performed 3-5 times a day,about 3 minutes at a time for consecutive 2 weeks.The ankle pain were evaluated by using visual analogue scale(VAS)score and the ankle function were evaluated by using American Orthopaedic Foot and Ankle Society(AOFAS)ankle-hindfoot function score before the treatment and after 2-week treatment respectively.The clinical outcome was evaluated after 2-week treatment according to the therapeutic effect evaluation standard of ankle sprain which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes.Results:The treatment was finished in all patients.There was no statistical difference in ankle pain VAS score and AOFAS ankle-hindfoot function score between the 2 groups before the treatment(6.875±1.067 vs 7.050±0.986 points,t=-0.762,P=0.448; 55.475±5.639 vs 57.700±7.726 points,t=-1.471,P=0.146).The ankle pain VAS scores decreased,while the AOFAS ankle-hindfoot function scores increased in the 2 groups after 2-week treatment compared to pre-treatment(t=27.735,P=0.000; t=21.165,P=0.000; t=-27.884,P=0.000; t=-11.759,P=0.000).The ankle pain VAS scores were lower,whereas the AOFAS ankle-hindfoot function scores were higher in combination therapy group compared to monotherapy group(1.275±0.877 vs 2.150±0.921 points,t=-4.352,P=0.000; 89.350±5.177 vs 76.850±6.200 points,t=9.788,P=0.000).After 2-week treatment,22 patients were cured,16 fair and 2 poor in combination therapy group,while 14 cases were cured,18 fair and 8 poor in monotherapy group.The clinical outcome was better in combination therapy group compared to monotherapy group(Z=-2.175,P=0.030).Conclusion:Both combination thearpy of Kinesio taping therapy and auricular plaster therapy and monotherapy of Kinesio taping therapy can relieve ankle pain and improve ankle function in treatment of acute ankle sprain,however,the former surpasses the latter in clinical outcome.

参考文献/References:

[1] 胡亚平,乔松义,孟祥奇.急性踝关节扭伤的研究治疗进展[J].世界最新医学信息文摘,2019,19(80):94-95.
[2] 吴佳瑶,倪静,吴媛媛,等.针灸治疗急性踝关节扭伤的临床研究进展[J].中国中医急症,2018,27(11):2062-2065.
[3] 杨宗宇,刘非,崔亮,等.韧带重建联合骨软骨移植治疗慢性踝关节不稳合并骨软骨损伤25例[J].中国中医骨伤科杂志,2018,26(5):60-62.
[4] 朱仙芬,陈鹏,金崇敏,等.单穴针刺联合肌内效布贴扎治疗急性踝关节扭伤[J].浙江创伤外科,2019,24(4):686-687.
[5] 干益敏,严智敏,许将,等.运动机能贴布贴扎治疗急性踝关节扭伤的疗效[J].宁夏医科大学学报,2018,40(8):945-948.
[6] 余波,王人卫,陈文华,等.肌内效布贴扎辅助理疗治疗急性踝关节扭伤患者肿胀疼痛疗效观察[J].中国运动医学杂志,2012,31(9):772-776.
[7] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:198.
[8] SIMON R R,SHERMEN S C,KOENIGSKNECHT S J.急诊骨科学[M].戴国锋,译.5版.北京:人民军医出版社,2012:327.
[9] 蒋协远,王大伟.骨科临床疗效评价标准[M].北京:人民卫生出版社,2005:231-232.
[10] 黄阿勇,栗国强,曹连波,等.消肿镇痛散外敷治疗Ⅰ,Ⅱ度急性踝关节扭伤的临床研究[J].中国中医骨伤科杂志,2020,28(9):40-43.
[11] 杨佳裕,孙波,刘光明,等.施氏吊伤膏治疗急性踝关节扭伤的近期疗效观察[J].中国中医骨伤科杂志,2019,27(9):15-19.
[12] VUURBERG G,HOORNTJE A,WINK L M,et al.Diag-nosis,treatment and prevention of ankle sprains:update of an evidence-based clinical guideline[J].Br J Sports Med,2018,52(15):956.
[13] 叶志孟,彭琳瑞,郑华江.肌内效贴贴扎联合耳穴贴压治疗肱骨外上髁炎[J].中医正骨,2019,31(8):57-58.
[14] 雍福娟,付婷婷,斯焱,等.肌内效贴贴扎联合运动疗法在全髋关节置换术后康复治疗中的应用[J].中医正骨,2021,33(3):9-13.
[15] 王中原,韦理,谢凯微,等.肌内效贴治疗颈椎病的研究进展[J].中医正骨,2020,32(3):39-41.
[16] 裴子文,汪冕,言功立,等.肌内效贴治疗慢性踝关节不稳的即刻及短期疗效观察[J].中国康复,2020,35(9):463-466.
[17] 游莹乔,潘江,张泓,等.肌内效贴技术结合电针治疗脑卒中后肩手综合征Ⅰ、Ⅱ期的临床疗效观察[J].湖南中医药大学学报,2021,41(3):381-385.
[18] 叶杨,赖庆钟,魏威.耳穴疗法结合颈椎肌肉锻炼器治疗颈型颈椎病疗效观察[J].浙江中西医结合杂志,2020,30(9):762-764.
[19] 胡慧萍,凌华英,徐军梅,等.情志护理联合耳穴压豆对骨科大手术术后疼痛的影响[J].新中医,2019,51(8):284-287.
[20] 林梦岚.肌内效贴贴扎联合耳穴贴压治疗急性腰扭伤[J].中医正骨,2019,31(3):46-47.
[21] 祝震亚,童蕾.针刺三阴交穴配合耳穴压豆在全髋置换术围术期镇痛的临床研究[J].重庆医学,2020,49(12):1938-1942.
[22] 梁丽芬.耳穴压豆联合穴位按摩对骨折疼痛和焦虑的影响[J].世界最新医学信息文摘,2019,19(69):173-174.

相似文献/References:

[1]韦健,容安,周建飞,等.腓骨延长术治疗外踝开放性骨缺损[J].中医正骨,2016,28(10):62.
[2]董秀珍.腓骨头复合组织瓣移植治疗儿童内踝骨及皮肤软组织缺损[J].中医正骨,2017,29(06):59.
[3]杨宗宇,刘非,崔亮,等.踝关节镜手术联合改良Bromstrm术治疗慢性踝关节不稳合并骨软骨损伤[J].中医正骨,2017,29(08):72.
[4]张鑫,刘辉,刘波.郑氏形意拳配合中药薰洗治疗慢性踝关节不稳[J].中医正骨,2018,30(12):50.
[5]俞益火,谢嫚花,周文军,等.中医理筋正骨手法治疗慢性踝关节损伤的临床研究[J].中医正骨,2019,31(03):20.
　YU Yihuo,XIE Manhua,ZHOU Wenjun,et al.A clinical study of TCM sinew-adjusting and bone-setting manipulation for treatment of chronic ankle injury[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(01):20.
[6]康永奇,李豪,李华兵.切开复位钢板内固定治疗Pilon骨折[J].中医正骨,2019,31(06):60.
[7]邓刚,蔡幸健,王一海,等.踝关节镜下清理联合自体肌腱移植治疗慢性踝关节外侧不稳[J].中医正骨,2020,32(06):69.
[8]赵洪洲,范桐顺,刘丽民.非单纯性下胫腓联合损伤评估的研究进展[J].中医正骨,2020,32(09):54.
[9]赵品益,陈红卫,李军.后内侧入路联合后外侧入路切开复位内固定治疗后Pilon骨折[J].中医正骨,2021,33(01):72.
[10]李琦,尚林,马富强,等.第三腓骨肌肌腱解剖重建距腓前韧带治疗陈旧性距腓前韧带损伤[J].中医正骨,2021,33(04):71.
　LI Qi,SHANG Lin,MA Fuqiang,et al.Anatomical reconstruction of anterior talofibular ligaments with peroneus tertius tendon for treatment of old anterior talofibular ligament injuries[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(01):71.

备注/Memo

备注/Memo:
通讯作者:江显俊 E-mail:772121361@qq.com
更新日期/Last Update: 1900-01-01