摘要
踝关节扭伤是临床上最常见的运动损伤之一。急性扭伤的处理至关重要,如果处理不当容易遗留慢性疼痛、踝关节不稳、习惯性扭伤。临床治疗上,中医总结出“筋骨并重,内外兼治”的治疗原则;确立了“活血化瘀,行气通络”的辨证思路,有“手法、固定、药物、针灸、练功”等。西医遵循的“RICE”原则是美国骨科医师协会(AAOS)倡导的治疗急性踝关节扭伤(AAS)标准策略,包括“休息(rest)、冰敷(ice)、加压包扎(compression)和抬高患肢(elevation)”。治疗手段丰富多样,但缺乏系统性。本文综述AAS的中医、西医治疗方案,并探讨中西合璧多学科、多手段综合治疗AAS的前沿知识,为临床诊疗和康复提供有价值的参考。
Ankle sprain is one of the most common sports injury in clinic.The treatment of acute sprain is very important.If it is not handled properly,it is easy to leave chronic pain,ankle instability and habitual sprain.In clinical treatment,traditional Chinese medicine has summarized the treatment principle of"emphasizing both muscles and bones,and treating both internal and external diseases",established a dialectical approach of"promoting blood circulation and resolving stasis,promoting qi circulation and unblocking collaterals",including"manipulation,fixation,medicine,acupuncture and moxibustion,practice",etc.Western medicine follows the"RICE"principle,which is the standard strategy for the treatment of acute ankle sprain(AAS)advocated by the American Academy of Orthopaedic Surgeons(AAOS),including"rest,ice,compression and elevation".The treatment methods are rich and diverse,but lack systematicity.This article reviews the traditional Chinese and western medicine treatment plans for acute ankle sprain,and explores the cutting-edge knowledge of the multidisciplinary and multi means comprehensive treatment of AAS by combining Chinese and western medicine,providing valuable reference for clinical diagnosis,treatment and rehabilitation.
作者
曾荣铭
张向前
ZENG Rongming;ZHANG Xiangqian(Department of Orthopedics and Traumatology,Jinjiang Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Traditional Chinese Medicine,Fujian Province,Jinjiang362200,China)
出处
《中国当代医药》
CAS
2023年第20期29-32,共4页
China Modern Medicine
基金
福建中医药大学校管课题临床专项(XB2021079)。
关键词
急性踝关节扭伤
传统中医
现代医学
治疗
Acute ankle sprain
Traditional Chinese medicine
Modern medicine
Therapy
作者简介
曾荣铭(1986-),男,福建晋江人,硕士,研究方向:中西医结合治疗筋骨关节痹痛,关节镜微创治疗膝肩踝关节损伤和疾病,保髋、保膝和髋膝关节置换治疗。
