Yang Yang, Liu Jie, Wang Chengwei, Zhao Yu, Li Ning
Department of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Zhongguo Zhen Jiu. 2018 Jun 12;38(6):585-8. doi: 10.13703/j.0255-2930.2018.06.004.
To compare the clinical efficacy differences between intradermal needling combined with and alone on ankle sprain sequelae.
Ninety patients with chronic ankle sprain were randomly divided into an observation group and a control group, 45 cases in each group. The patients in the control group were treated with conventional . The patients in the observation group were treated with conventional , followed by intradermal needling at point (the most painful tendons node), Shenmai (BL 62)/Zhaohai (KI 6), Jiexi (ST 41)/Zhongfeng (LR 4), Qiuxu (GB 40)/Shangqiu (SP 5) for 24 to 48 hours per treatment; acupoint selection was based on the different side of ankle sprain, and 5 acupoints were selected per treatment, including 2 painful points. The treatment was given twice per week, and totally 8 treatments were given within 4 weeks. The follow-up visit was 12 months. The pain of tendon joints was evaluated by visual analogue scale (VAS); the patient number of severity of ankle pain during walking and running as well as the occurrence and frequency of ankle pain during rest in follow-up visit in the two groups were observed; the satisfaction survey was conducted in the observation group.
Compared before treatment, VAS of tendon joints, the patient number of severity of ankle pain during walking and running were improved after treatment in the two groups (all <0.05), and patient number of the severity of ankle pain during running in the observation group was superior to that in the control group (<0.05). During follow-up visit, compare with the control group, the occurrence and frequency of ankle pain during rest in the observation group was significantly improved (both <0.05); the satisfaction in the observation group was significant.
The intradermal needling combined with could improve the tenderness of tendon joints and pain during walking and running in patients with ankle sprain sequelae; compared with alone, it could reduce the occurrence of ankle pain during rest, which is safe and reliable.
比较皮内针联合[未提及治疗方式]与单纯[未提及治疗方式]治疗踝关节扭伤后遗症的临床疗效差异。
将90例慢性踝关节扭伤患者随机分为观察组和对照组,每组45例。对照组患者采用常规[未提及治疗方式]治疗。观察组患者采用常规[未提及治疗方式]治疗,随后在痛点(最疼痛的肌腱结节)、申脉(BL 62)/照海(KI 6)、解溪(ST 41)/中封(LR 4)、丘墟(GB 40)/商丘(SP 5)进行皮内针治疗,每次治疗24至48小时;穴位选择根据踝关节扭伤的不同侧别,每次治疗选取5个穴位,包括2个痛点。每周治疗2次,4周内共治疗8次。随访12个月。采用视觉模拟评分法(VAS)评估肌腱关节疼痛;观察两组随访期间行走和跑步时踝关节疼痛严重程度的患者人数以及休息时踝关节疼痛的发生情况和频率;对观察组进行满意度调查。
与治疗前比较,两组治疗后肌腱关节VAS、行走和跑步时踝关节疼痛严重程度的患者人数均改善(均P<0.05),且观察组跑步时踝关节疼痛严重程度的患者人数优于对照组(P<0.05)。随访期间,与对照组比较,观察组休息时踝关节疼痛的发生情况和频率均显著改善(均P<0.05);观察组满意度高。
皮内针联合[未提及治疗方式]可改善踝关节扭伤后遗症患者肌腱关节压痛及行走和跑步时的疼痛;与单纯[未提及治疗方式]比较,可减少休息时踝关节疼痛的发生,安全可靠。