[1]江涛,江林,史俊德,等.动气针法在踝关节骨折术后中后期康复中的应用[J].中医正骨,2015,27(11):20-24.
 JIANG Tao,JIANG Lin,SHI Junde,et al.Application of Dongqi acupuncture(动气针法)to postoperative rehabilitation in the middle-late period in patients with ankle joint fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(11):20-24.
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动气针法在踝关节骨折术后中后期康复中的应用()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年11期
页码:
20-24
栏目:
临床研究
出版日期:
2015-11-30

文章信息/Info

Title:
Application of Dongqi acupuncture(动气针法)to postoperative rehabilitation in the middle-late period in patients with ankle joint fractures
作者:
江涛1江林1史俊德1易李梅2
1.湖南省浏阳市骨伤科医院,湖南 浏阳 410327;
2.湖南中医药大学,湖南 长沙 410208
Author(s):
JIANG Tao1JIANG Lin1SHI Junde1YI Limei2
1.Orthopedics and traumatology hospital of Liuyang city,Liuyang 410327,Hunan,China
2.Hunan University of Traditional Chinese Medicine,Changsha 410208,Hunan,China
关键词:
踝关节 骨折 针刺疗法 电刺激疗法 康复
Keywords:
ankle joint fracturesbone acupuncture therapy electric stimulation therapy rehabilitation
摘要:
目的:探讨动气针法在踝关节骨折术后中后期康复中的应用效果。方法:将60例踝关节骨折患者随机分为2组,每组30例,于术后中后期分别采用动气针法和中频电疗法进行康复治疗。分别于治疗前和治疗15 d后记录并比较2组患者踝关节疼痛视觉模拟评分(visual analogue score,VAS)和Mazur踝关节功能评分,并于治疗15 d后比较2组患者的临床疗效。结果:治疗前2组患者的踝关节VAS评分及Mazur踝关节功能评分比较,组间差异均无统计学意义[(6.83±1.68)分,(6.33±1.53)分,t=-1.201,P=0.235;(4.03±1.07)分,(4.07±1.55)分,t=-0.085,P=0.932]。治疗15 d后,2组患者的踝关节VAS评分较治疗前均降低[(3.90±1.94)分,(6.83±1.68)分,t=-4.853,P=0.000;(2.30±1.44)分,(6.33±1.53)分,t=-4.818,P=0.000],而Mazur踝关节功能评分较治疗前均升高[(5.50±1.66)分,(4.03±1.07)分,t=-1.981,P=0.048;(6.60±1.23)分,(4.07±1.55)分,t=-2.067,P=0.039]; 动气针法组踝关节VAS评分下降幅度及Mazur踝关节功能评分升高幅度均大于中频电疗组[(4.03±1.22)分,(2.93±1.72)分,t=3.561,P=0.001;(2.53±0.78)分,(1.47±0.73)分,t=2.375,P=0.011]。按照Mazur踝关节评分系统评价疗效,动气针法组优4例、良11例、可12例、差3例,中频电疗组优1例、良6例、可16例、差7例,动气针法组的临床疗效优于中频电疗组(Z=-2.209,P=0.022)。结论:在踝关节骨折术后中后期采用动气针法进行康复治疗,可以缓解踝关节疼痛,改善踝关节功能,康复效果确切,值得临床推广应用。
Abstract:
Objective:To explore the effect of Dongqi acupuncture(动气针法)on postoperative rehabilitation in the middle-late period in patients with ankle joint fractures.Methods:Sixty patients with ankle joint fractures were randomly divided into 2 groups,30 cases in each group.The patients were treated with Dongqi acupuncture and medium-frequency electrotherapy respectively for ankle rehabilitation in the middle-late period after surgery.The ankle pain visual analogue score(VAS)and Mazur ankle function score were recorded and compared between the 2 groups before the treatment and after 15-day treatment,and the clinical curative effects was also compared between the 2 groups after 15-day treatment.Results:There was no statistical difference in ankle VAS score and Mazur ankle function score between the 2 groups before the treatment(6.83+/-1.68 vs 6.33+/-1.53 points,t=-1.201,P=0.235; 4.03+/-1.07 vs 4.07+/-1.55 points,t=-0.085,P=0.932).The ankle VAS score decreased while the Mazur ankle function score increased in both of the 2 groups after 15-day treatment(3.90+/-1.94 vs 6.83+/-1.68 points,t=-4.853,P=0.000; 2.30+/-1.44 vs 6.33+/-1.53 points,t=-4.818,P=0.000; 5.50+/-1.66 vs 4.03+/-1.07 points,t=-1.981,P=0.048; 6.60+/-1.23 vs 4.07+/-1.55 points,t=-2.067,P=0.039).The decreased ankle VAS score and the increased Mazur ankle function score were greater in Dongqi acupuncture group than in medium-frequency electrotherapy group(4.03+/-1.22 vs 2.93+/-1.72 points,t=3.561,P=0.001; 2.53+/-0.78 vs 1.47+/-0.73 points,t=2.375,P=0.011).According to Mazur evaluation criteria for ankle function,Four patients obtained an excellent result,11 good,12 fair and 3 poor in the Dongqi acupuncture group; while 1 patients obtained an excellent result,6 good,16 fair and 7 poor in the medium-frequency electrotherapy group.The Dongqi acupuncture group surpassed the medium-frequency electrotherapy group in the total curative effect(Z=-2.209,P=0.022).Conclusion:Dongqi acupuncture can relieve ankle pain and improve ankle function in the middle-late period after the surgery for ankle fractures,and it is worthy of popularizing in clinic for its reliable rehabilitative effect.

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备注/Memo

备注/Memo:
2015-08-19收稿 2015-09-20修回
基金项目:湖南省中医药管理局科研计划项目(2015172)
通讯作者:史俊德 E-mail:1024136122@qq.com
更新日期/Last Update: 2015-11-30