摘要
目的 观察艾灸阿是穴时长对急性踝关节扭伤(AAS)患者韧带形态的影响。方法 将我院80例AAS患者随机分为对照组与治疗组各40例。对照组采用短时间(20~30 min)艾灸阿是穴,治疗组采用长时间(1 h)艾灸阿是穴。治疗3 d,比较两组临床疗效,踝关节周径,距前韧带厚度,跟腓韧带厚度,疼痛数字评分法(NRS)评分,美国矫形足踝协会(AOFAS)踝-后足评分,疼痛、肿胀消失时间,踝关节活动度。结果治疗后,治疗组总有效率高于对照组( P<0.05);两组踝关节周径、距前韧带厚度、跟腓韧带厚度均小于治疗前,治疗组踝关节周径、距前韧带厚度、跟腓韧带厚度小于对照组( P<0.05);两组NRS评分低于治疗前,AOFAS踝-后足评分高于治疗前;NRS评分低于对照组,AOFAS踝-后足评分高于对照组( P<0.05);治疗组疼痛、肿胀消失时间短于对照组( P<0.05);两组踝关节活动度大于治疗前,治疗组踝关节活动度大于对照组(P <0.05)。结论 AAS患者采用长时间艾灸阿是穴治疗疗效优于短时间艾灸阿是穴,能显著缓解踝关节疼痛,促进功能恢复,恢复韧带结构,增加踝关节活动度。
Objective To observe the effect of moxibustion duration on the ligament morphology in patients with acute ankle sprain(AAS)at Ashi Point.Methods Eighty AAS patients were randomly divided into control group and treatment group,with 40 cases in each group.Control group received short-term(20~30 min)moxibustion at Ashi Point,while treatment group received long-term 1 h moxibustion at Ashi Point.After 3 days of treatment,the clinical efficacy,ankle circumference,thickness of the anterior talus ligament,thickness of the calcaneus peroneal ligament,NRS score,AOFAS ankle posterior foot score,the disappearance time of pain and swelling,and ankle range of motion were compared between the two groups.Results After treatment,the total effective rate of treatment group was higher than that of control group( P<0.05);the circumference of the ankle joint,thickness of the anterior talus ligament,and thickness of the calcaneus peroneal ligament were smaller in both groups than before treatment,and were smaller in treatment group than those in control group( P<0.05);the NRS score was lower in both groups than before treatment,and was lower in treatment group than that of control group;while the AOFAS ankle posterior foot score were higher in both groups than before treatment,and was higher in treatment group than that in control group( P<0.05);the disappearance time of pain and swelling was shorter in treatment group than that in control group( P<0.05);the ranges of motion around the ankle joint were greater in both groups than before treatment,and was greater in treatment group than that in control group( P<0.05).Conclusion Long term moxibustion at Ashi Point has a better therapeutic effect on AAS patients than short term moxibustion at Ashi Point.It significantly alleviates ankle joint pain,promotes functional recovery,restores ligament structure,and increases ankle joint mobility.
作者
刘成
陈瑞
刘金志
黄再明
LIU Cheng;CHEN Rui;LIU Jin-zhi;HUANG Zai-ming(Chest Hospital of Guangxi Zhuang Autonomous Region,Liuzhou 545005;The First Affiliated Hospital of Guangxi University of Science and Technology,Liuzhou 545000;Beiliu People's Hospital of Guangxi Zhuang Autonomous Region,Yulin 537400)
出处
《湖北中医药大学学报》
2023年第4期85-88,共4页
Journal of Hubei University of Chinese Medicine
基金
广西壮族自治区中医药局自筹经费科研项目(项目编号:GZZC2019242)。
关键词
急性踝关节扭伤
艾灸
阿是穴
韧带形态
时长
Acute ankle sprain
Moxibustion
Ashi Point
Ligament morphology
Duration
作者简介
刘成(1974-),男,广西壮族自治区胸科医院急诊科副主任医师,研究方向:急诊医学;通信作者:陈瑞(1982-),男,广西科技大学第一附属医院耳鼻喉头颈外科副主任医师,研究方向:耳鼻咽喉等疾病的诊治,E-mail:402855235qq.com。
