Zhang Zhao-Xing, Zhang Bao-Ping, Guo Kui-Kui, Miao Pu, Li Shan-Shan, Wang Rui-Hui
College of Acupuncture-Moxibustion and Tuina, Shaanxi University of Chinese Medicine, Xixianxinqu 712046, Shaanxi Province, China; Department of Acupuncture-Moxibustion Rehabilitation Tuina and Pain, The Second Affiliated Hospital of Shaanxi University of Chinese Medicine,Xixianxinqu 712046, Shaanxi Province.
Department of Acupuncture-Moxibustion Rehabilitation Tuina and Pain, The Second Affiliated Hospital of Shaanxi University of Chinese Medicine,Xixianxinqu 712046, Shaanxi Province.
Zhen Ci Yan Jiu. 2023 Jul 25;48(7):694-8. doi: 10.13702/j.1000-0607.20220250.
To observe the difference in the therapeutic effect on acute ankle sprain treated with the combination of surrounding needling and cold compression in comparison of the conventional cold compression.
The patients with acute ankle sprain were randomly divided into control group (33 cases) and observation group (35 cases). In the first 3 days of treatment, the conventional cold compression was used in the control group, while the surrounding needling technique of acupuncture was combined with cold compression in the observation group. Separately, along the distal-lateral side of the leg, and the lateral sides of the heel and the dorsal part of the foot, 3 or 4 needles were inserted in each part，total 9 to 12 needles, toward the center of swelling and pain site, and distributed in a fan shape. The needles were retained for 30 min and the acupuncture therapy was delivered once daily. Since the 4 day of treatment, the hot compress and the static stretching exercise of the ankle joint were adopted in the two groups, once daily for 1 week. The visual analogue scale (VAS) score for ankle pain and ankle swelling degree were compared between the two groups before and after 3-day treatment, as well as the score of American orthopedic foot and ankle society (AOFAS) ankle-hindfoot scale was evaluated.
After 3-day treatment, VAS score was decreased in both groups (<0.01), and the score in the observation group was lower than that of the control group (<0.01). Ankle swelling degree was relieved in both groups (<0.01), and there was no significant difference between the two groups. After 1 week of treatment, the scores of AOFAS ankle-hindfoot scale were improved in both groups (<0.01), and the score in the observation group was higher than the control group (<0.05).
Either the combined therapy of surrounding needling and cold compression or the conventional cold compression can effectively relieve pain and swelling induced by acute ankle sprain. The therapeutic effect of the combined therapy is superior to the conventional cold compression for the motor function improvement of ankle joint.
观察围刺联合冷疗与传统冷疗对急性踝关节扭伤的治疗效果差异。
将急性踝关节扭伤患者随机分为对照组（33例）和观察组（35例）。治疗前3天，对照组采用传统冷疗，观察组采用针刺围刺技术联合冷疗。分别在小腿远端外侧、足跟外侧及足背外侧各部位针刺3或4针，共9至12针，向肿胀疼痛部位中心呈扇形分布。留针30分钟，每日针刺治疗1次。治疗第4天起，两组均采用热敷及踝关节静态伸展运动，每日1次，共1周。比较两组治疗3天后踝关节疼痛视觉模拟评分（VAS）及踝关节肿胀程度，同时评估美国矫形足踝协会（AOFAS）踝-后足评分。
治疗3天后，两组VAS评分均降低（<0.01），且观察组评分低于对照组（<0.01）。两组踝关节肿胀程度均减轻（<0.01），两组间差异无统计学意义。治疗1周后，两组AOFAS踝-后足评分均提高（<0.01），且观察组评分高于对照组（<0.05）。
围刺联合冷疗与传统冷疗均可有效缓解急性踝关节扭伤所致疼痛与肿胀。围刺联合冷疗在改善踝关节运动功能方面的治疗效果优于传统冷疗。
