|
|
Clinical effect of acupuncture trigger point treatment for acute ankle sprain under the guidance of traditional Chinese medicine meridian theory |
YAN Jia WANG Dejun WANG Wei HUANG Yumei LIU Yingtao FU Lei |
Department of Acupuncture and Massage Rehabilitation, Hunan University of Chinese Medicine, Hunan Province, Changsha 410208, China |
|
|
Abstract Objective To study the clinical efficacy of acupuncture trigger points in the treatment of acute ankle sprain based on the guidance of traditional Chinese medicine meridian theory. Methods Fifty patients with unilateral acute ankle sprain who visited Yangguang 100 Community Health Service Center from January 2021 to March 2022 were selected and they were divided into control group and treatment group by random number table method, with 25 cases in each group. The control group were treated with ankle triple needle therapy, while the treatment group were treated with acupuncture trigger point therapy. Both groups were treated once every other day, a total of 5 times, with a period of 10 days. The clinical efficacy, visual analogue scale (VAS) score, ankle-hind foot function score, and ankle swelling score were compared between the two groups. Results The clinical effect of the treatment group was better than that of the control group (P<0.05). After treatment, the ankle VAS and swelling scores of both groups were lower than before treatment, and the ankle-hind foot function scores were higher than before treatment, and the ankle pain VAS scores and swelling scores of the treatment group were lower than those of the control group, and the ankle-hind foot function score was higher than that of the control group (P<0.05). Conclusion The use of acupuncture trigger points has a significant therapeutic effect on acute ankle sprain, which can effectively eliminate tissue swelling and improve ankle joint mobility.
|
|
|
|
|
[1] 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. [2] 袁春兰,黄振会,孔方方,等.针刺肌筋膜触发点技术联合替扎尼定治疗颈源性头痛的临床研究[J].现代医药卫生,2023,39(10):1675-1678,1684. [3] 黄春华,刘汉顺,崔竞成,等.针刺肌筋膜疼痛触发点治疗神经根型颈椎病临床疗效观察[J].安徽中医药大学学报,2023,42(6):1-8. [4] 吴雪莲,张志新,彭余悦,等.针刺肌筋膜疼痛触发点治疗慢性踝关节不稳的研究进展[J].现代医药卫生,2023, 39(6):1029-1035. [5] 孙树椿、孙之镐.临床骨伤科学[M]. 2版.北京:人民卫生出版社,2014. [6] 许怀来,雷仲民,刘义辉,等.近十年中西医治疗急性踝关节扭伤的研究进展[J].现代中西医结合杂志,2021,30(31):3516-3520. [7] 宣蛰人.宣蛰人软组织外科学[M].上海:上海文汇出版社,2009. [8] 王震生.压痛点密集型银质针疗法诊断思路与布针设计[M].天津:天津科学技术出版社,2013. [9] 袁志刚,王维.踝三针配合活血止痛熏洗剂治疗急性踝关节损伤疗效观察[J].现代中西医结合杂志,2019,28(4):420-423. [10] 王强,刘志杨,巨少华,等.伤科止痛膏肌内效贴治疗踝关节扭伤疗效观察[J].康复学报,2023,33(2):160-166. [11] 潘建涛,丁琪,王培霞.急性外侧踝关节扭伤“马镫”式固定配合通络祛痛膏的疗效[J].河南医学研究,2023, 32(7):1292-1296. [12] 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. [13] 徐英杰,赵希曦,庄汝杰.中医外治法治疗急性踝关节扭伤研究进展[J].新中医,2020,52(8):21-24. [14] 热波特·肉孜,陈平波.急性踝关节扭伤的研究进展[J].世界最新医学信息文摘,2019,19(80):67-68. [15] 王柏清,田静,蒋焱杰,等.肌内效贴治疗踝关节扭伤的研究现状[J].中国医学创新,2023,20(3):148-152. [16] 余翔,金志超,梁德,等.急性踝关节扭伤的中医药治疗进展[J].中国中医急症,2017,26(12):2169-2172,2177. [17] 蒋婉妮,滕玲红,熊小春,等.理筋手法联合外敷对急性踝关节扭伤患者踝关节功能的影响[J].浙江中医杂志,2023,58(2):110-111. [18] 李留鹏,张亦工.踝三针联合微波治疗急性踝关节扭伤的临床研究[J].中医正骨,2022,34(2):15-18. [19] 金志超,郑晓辉,刘芳芳,等.“踝三针”联合超激光治疗陈旧性踝关节扭伤的疗效观察[J].中医药导报,2018, 24(18):79-80,85. [20] 梁欢,马玉峰,祁印泽,等.基于数据挖掘技术探析针灸治疗急性踝关节扭伤临床取穴规律[J].中国医药导报,2022,19(23):13-17. [21] 王均玉,宋梦歌,何海军,等.基于经筋理论针刀松解对股骨头坏死患者关节功能的影响[J].中国医药导报,2022,19(36):153-156,169. [22] 原林,焦培峰,唐雷,等.中医经络理论的物质基础——结缔组织、筋膜和自体监控系统[J].中国基础科学,2005, 7(3):44-47,65. [23] 杨果,刘转儿,李瑞娥,等.基于经筋理论挑治配合芪虫通络汤治疗膝关节骨性关节炎的临床研究[J].中国医药科学,2021,11(19):89-91,126. [24] 曹坤燕,郭珈宜,李峰,等.经筋刺法在骨关节病中的临床研究进展[J].中国疗养医学,2023,32(2):148-151. [25] 刘洋,孙奎,朱俊琛.从“经筋理论”探析非创伤性股骨头坏死[J].现代中医药,2022,42(6):86-89. [26] 齐丹丹,李殿宁,李开平,等.针刀干预下小白鼠正常骨骼肌及筋膜微观结构变化的实验研究[J].针灸临床杂志,2011,27(10):59-61. [27] 王琢.长圆针经筋病灶点解结法治疗膝骨关节炎的临床效果[J].中国当代医药,2022,29(26):142-144. [28] 李佳茹,曹韵茗,杨郁鹏,等.针刀干预对膝骨关节炎兔韧带组织中TGF-β1/Smads信号通路的影响[J].针灸临床杂志,2021,37(12):70-75. [29] 李萌萌.“V”字型针刀松解术治疗早中期膝骨性关节炎的临床研究[D].长沙:湖北中医药大学,2021. |
|
|
|