摘要
目的:探讨赤凤迎源针法对踝关节骨折患者术后功能恢复的影响。方法:选取2020年1月~2022年1月在我院进行治疗的130例踝关节骨折患者,按照随机数字表法分为对照组与观察组,各65例,两组均取穴阿是穴、申脉穴、丘墟穴、解溪穴,对照组使用平补平泻法,观察组采用赤凤迎源针法。分析两组临床疗效,记录两组临床指标(下床活动时间、骨折愈合时间、住院时间);比较两组术后当日、术后4周及术后12周踝关节功能[Biard-jackson评分系统、美国足踝外科协会(AOFAS)评分系统得分]、关节肿胀程度及背伸、跖屈时踝关节活动范围;记录两组并发症发生率。结果:观察组临床疗效高于对照组,下床活动时间、骨折愈合时间及住院时间均短于对照组,并发症发生率低于对照组,差异具有统计学意义(P<0.05)。术后当日,两组踝关节功能、关节肿胀程度及背伸、跖屈角度差异比较不具有统计学意义(P>0.05);术后4、12周,两组Biard-jackson、AOFAS得分及背伸、跖屈角度均上升,关节肿胀程度均降低,但观察组较对照组变化幅度较大,差异具有统计学意义(P<0.05)。结论:对踝关节骨折术后患者使用赤凤迎源针法具有较好临床疗效,可减轻患肢肿胀程度,促进术后踝关节功能恢复,改善踝关节活动度,减少并发症发生,可在临床推广应用。
Objective:To investigate the effect of Chifeng Yingyuan acupuncture on postoperative functional recovery in patients with ankle fracture.Methods:A total of 130 patients with ankle fracture who were treated in the hospital from January 2020 to January 2022 were selected,and assigned to a control group and an observation group according to the random number table method,with 65 cases in each group.Ashi,Shenmai,Qiuxu,Jiexi point were selected in both groups.The control group was treated with mild reinforcing-reducing acupuncture,while the observation group was treated with Chifeng Yingyuan acupuncture.The clinical efficacy in the two groups were analyzed,and the clinical indicators(ambulation time,fracture healing time and length of hospital stay)were recorded.The two groups were compared in terms of ankle function[Biard-Jackson score and the American Orthopedic Foot and Ankle Society(AOFAS)score].The degree of joint swelling and the range of motion of ankle joint in dorsiflexion and plantar flexion were recorded at 4 weeks and 12 weeks after operation.The incidence rates of complications in the two groups were recorded.Results:The clinical effect in the observation group was better than that in the control group.The ambulation time,fracture healing time and hospital stay of the observation group were shorter than those of the control group,and the incidence of complications was lower than that in the control group(P<0.05).There was no statistically significant difference in ankle function,joint swelling degree or the ranges of dorsal extension and plantar flexion between the two groups on the day of operation(P>0.05).At 4 weeks and 12 weeks after operation,Biard-Jackson scores,AOFAS scores,and the ranges of dorsal extension and plantar flexion increased.Joint swelling degree decreased.The changes in the observation group were greater than those in the control group(P<0.05).Conclusion:Chifeng Yingyuan acupuncture is effective in the treatment of patients after ankle fracture surgery,which can relieve limb swelling,promote the recovery of ankle function,improve the range of motion,andreduce the occurrence of complications.It can be popularized and applied in the clinic.
作者
韩新宇
任晖
江小鸽
冯爽
HAN Xinyu;Ren Hui;JIANG Xiaoge(Department of Rehabilitation Medicine of Nantong Second People's Hospital,Nantong Jiangsu 226000,China;Traditional Chinese Medicine Department of Nantong Second People's Hospital,Nantong Jiangsu 226000,China)
出处
《四川中医》
2023年第8期173-176,共4页
Journal of Sichuan of Traditional Chinese Medicine
基金
南通市卫生健康委员会科研课题(编号:QA2021034)。
关键词
赤凤迎源针法
踝关节
骨折
术后功能
术后恢复
Chifeng Yingyuan acupuncture
Ankle joint
Fracture
Postoperative function
Postoperative recovery
