本文選題：扳法 + 急性踝關節(jié)扭傷�。� 參考：《廣州中醫(yī)藥大學》2017年碩士論文

【摘要】：目的:通過觀察踝關節(jié)扳法對急性踝關節(jié)扭傷的VAS評分、腫脹度、AOFAS踝關節(jié)功能評分及踝關節(jié)中醫(yī)癥候療效評定的影響,觀察及分析踝關節(jié)扳法治療急性踝關節(jié)扭傷的臨床療效。方法:把60例符合要求的急性踝關節(jié)扭傷患者分成兩組,觀察組以踝關節(jié)扳法作為主要干預手段,配合常規(guī)推拿治療作為基礎治療,分別于納入治療后的第1天、第2天、第4天及第7天行扳法及常規(guī)手法治療。對照組在常規(guī)推拿治療的基礎上,配合云南白藥氣霧劑外噴作干預手段,于早、午、晚各用藥1次,連續(xù)應用7天,分別于受試的第1天、第2天、第4天及第7天行常規(guī)推拿手法治療。于手法治療前及手法結束治療后1天行靜息及行走VAS評分、腫脹度測量、AOFAS踝關節(jié)功能評分及中醫(yī)癥候療效評定。結果:1.觀察組與對照組在年齡、性別、患足分布及病程的差異無統(tǒng)計學意義(P0.05),均具有可比性。觀察組與對照組治療前靜息及行走VAS評分、腫脹度、AOFAS踝關節(jié)功能評分及中醫(yī)癥候療效評定在手法治療前的差異無統(tǒng)計學意義(P0.05),具有可比性。2.經(jīng)1周治療后,觀察組有效率100%,治愈1例,顯效21例,有效8例,無效0例;對照組有效率100%,治愈0例,顯效7例,有效23例,無效0例。3.經(jīng)1周治療后,兩組手法治療前后對照,在靜息VAS、行走VAS、關節(jié)腫脹度、踝關節(jié)AOFAS關節(jié)功能部分評分及AOFAS關節(jié)功能總評分,差異均有統(tǒng)計學意義,提示兩種治療方法均能改善上述評分。4.經(jīng)1周治療后,在靜息VAS、行走VAS、關節(jié)腫脹度、踝關節(jié)AOFAS關節(jié)功能部分評分及總評分,觀察組與對照組治療前后數(shù)據(jù)評分差值,差異具有統(tǒng)計學意義(P0.05),提示踝關節(jié)扳法配合常規(guī)推拿治療較云南白藥氣霧劑外用配合常規(guī)推拿治療在改善踝關節(jié)疼痛、腫脹及恢復關節(jié)功能的效果更顯著。結論:實驗證明,踝關節(jié)扳法配合常規(guī)推拿治療與云南白藥氣霧劑外用配合常規(guī)推拿療法均能改善急性踝關節(jié)扭傷患者的疼痛、腫脹度及關節(jié)功能,兩治療方案均安全有效,未發(fā)現(xiàn)二次損傷及并發(fā)癥;而踝關節(jié)扳法治療在改善踝關節(jié)癥狀體征的效果更為顯著。
[Abstract]:Objective: to observe and analyze the clinical effect of ankle sprain on acute ankle sprain by observing the VAS score, swelling degree and functional score of ankle joint and evaluation of curative effect of traditional Chinese medicine syndrome of ankle joint. Methods: sixty patients with acute ankle sprain were divided into two groups. The treatment group was treated with ankle sprain as the main intervention method, combined with conventional massage therapy as the basic treatment, respectively on the first day and the second day after the treatment. On the 4th and 7th day, the patients were treated with manipulation and routine manipulation. On the basis of routine massage therapy, the control group was treated with Yunnan Baiyao aerosol for 7 consecutive days in the morning, afternoon and evening, respectively, on the first day and the second day, respectively. On day 4 and day 7, routine massage therapy was performed. VAS scores of rest and walking were performed before and 1 day after manual therapy. The functional score of ankle joint and the curative effect of TCM symptoms were measured by swelling degree. The result is 1: 1. There was no significant difference in age, sex, foot distribution and course of disease between the observation group and the control group (P 0.05). There was no significant difference before manual therapy between observation group and control group in VAS score of rest and walking, swelling degree of AOFAS ankle function score and evaluation of curative effect of TCM symptom before manual therapy. After 1 week treatment, the effective rate was 100%, 1 case was cured, 21 cases were markedly effective, 8 cases were effective and 0 cases were ineffective in the observation group, while in the control group, 100 cases were cured, 0 cases were cured, 7 cases were markedly effective, 23 cases were effective, and 0 case was ineffective. After 1 week of treatment, there were significant differences between the two groups in resting vas, walking vas, joint swelling degree, ankle AOFAS joint function part score and total AOFAS joint function score before and after manual therapy. These results suggest that both methods can improve the above score. 4. 4. After 1 week of treatment, the scores of rest vas, walking vas, joint swelling, ankle AOFAS joint function and total score were measured. The difference of data between the observation group and the control group before and after treatment was analyzed. The difference was statistically significant (P 0.05), which suggested that the ankle joint manipulation combined with conventional massage therapy was more effective than Yunnan Baiyao aerosol combined with routine massage therapy in improving ankle pain, swelling and restoring joint function. Conclusion: the results show that the ankle joint manipulation combined with routine massage therapy and Yunnan Baiyao aerosol combined with routine massage therapy can improve the pain, swelling degree and joint function of the patients with acute ankle sprain, and the two treatment schemes are safe and effective. No secondary injuries and complications were found, but the effect of ankle manipulation was more significant in improving the symptoms and signs of ankle joint.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R244.1
，

本文編號：1831154