针灸超短波联合肌内效贴治疗慢性踝关节扭伤临床疗效观察.docVIP

针灸超短波联合肌内效贴治疗慢性踝关节扭伤临床疗效观察 　　[摘要] 目的 探讨针灸、超短波联合肌内效贴治疗慢性踝关节扭伤的疗效，以供临床参考。 方法 80例慢性踝关节扭伤患者随机分为对照组和治疗组，对照组采用针灸、超短波治疗，治疗组在针灸、超短波基础上加入肌内效贴治疗，以7 d为一个疗程，连续治疗2个疗程，共14 d，观察两组患者的临床疗效。治疗前后采用视觉模拟评分法（VAS）、《实用骨伤科手册》进行评定。 结果 两组患者VAS评分和治疗有效率均改善，治疗组较对照组改善更明显（P0.01）。 结论 运用针灸、超短波联合肌内效贴治疗慢性踝关节扭伤能更有效缓解疼痛，改善踝关节功能。 　　[关键词] 针灸；超短波；贴扎；慢性踝关节扭伤 　　[中图分类号] R873 [文献标识码] B [文章编号] 1673-9701（2015）21-0071-03 　　[Abstract] Objective To explore the curative effects of acupuncture， ultrashort wave combined with kinesio taping in the treatment of chronic ankle sprain for clinical references. Methods All 80 patients with chronic ankle sprain were randomly assigned to the control group and the treatment group. The control group was given the treatment of acupuncture and ultrashort wave， and the treatment group was further given the treatment of kinesio taping on the basis of acupuncture and ultrashort wave. One course of treatment lasted for seven days， and the treatment lasted for two courses of 14 days in total. The differences of clinical efficacy were observed between the two groups of patients. VAS and A Modern Practical Handbook of Orthopedics were applied for evaluation before and after the treatment. Results VAS scores and curative effective rate in the two groups all improved， and the improvement in the treatment group was more significant than that in the control group （P0.01）. Conclusion The application of acupuncture， ultrashort wave combined with kinesio taping in the treatment of chronic ankle sprain is effective in alleviating pain and improving ankle function. 　　[Key words] Acupuncture； Ultrashort wave； Taping； Chronic ankle sprain 　　踝关节扭伤是临床常见疾病，发病率较高，尤其在运动损伤中占到首位，急性踝关节扭伤可因处置不当或病情延误而发展为慢性踝关节扭伤，主要表现为局部疼痛、肿胀、功能障碍等，常因遇天气变化或劳累而症状加重，从而影响患者的日常工作和生活质量。中医药在治疗踝关节慢性损伤方面具有良好的治疗效果[1-3]，其中针灸作为传统治疗方法，在踝关节慢性损伤治疗方面取得良好的效果。超短波应用也较为广泛，肌内效贴布作为一种新型贴布，具有操作简便、应用广泛、防水透气、低过敏性等特点，近年来逐渐被临床所重视，越来越多地被应用到骨病康复领域[4，5]。笔者在临床采用针灸、超短波联合肌内效贴治疗慢性踝关节扭伤40例，疗效显著，现报道如下。 　　1 对象与方法 　　1.1 研究对象 　　选择2013年9月～2014年6月在我院康复医学科门诊