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理筋牵旋顺踝手法联合骆芡愈酊剂治疗陈旧性踝关节扭伤的临床观察
Clinical observation on tendon⁃regulation traction⁃rotation ankle manipulation combined with Luoqianyu Tincture for the treatment of old ankle sprain

广西医学 页码:393-397

作者机构:曾禹铭,硕士,住院医师,研究方向为脊柱与四肢退行性疾病的中医防治研究。

基金信息:中医正骨学自治区区级一流本科课程建设项目(0502300512022)

DOI:10.11675/j.issn.0253⁃4304.2025.03.11

  • 中文简介
  • 英文简介
  • 参考文献

目的 探讨理筋牵旋顺踝手法联合骆芡愈酊剂治疗陈旧性踝关节扭伤的效果。方法 选取34例陈旧性踝关节扭伤患者作为研究对象,均采用理筋牵旋顺踝手法联合骆芡愈酊剂治疗,理筋牵旋顺踝手法每隔2 d治疗1次,共治疗5次,每次手法治疗前与治疗后分别采用骆芡愈酊剂喷擦,其余时间每天喷擦1次,14 d为1个疗程。比较治疗前后患者的踝关节肿胀程度、疼痛视觉模拟量表(VAS)评分、美国足踝外科协会(AOFAS)踝⁃后足评分。结果 随着治疗的进行,患者踝关节肿胀程度减轻,疼痛VAS评分降低,AOFAS踝⁃后足评分升高(P<0.05)。结论 理筋牵旋顺踝手法联合骆芡愈酊剂治疗陈旧性踝关节扭伤疗效确切,值得临床应用推广。

Objective To explore the effect of tendon⁃regulation traction⁃rotation ankle manipulation combined with Luoqianyu Tincture for the treatment of old ankle sprain. Methods A total of 34 patients with old ankle sprain were selected as the research subjects. All patients received tendon⁃regulation traction⁃rotation ankle manipulation combined with Luoqianyu Tincture for treatment, and tendon⁃regulation traction⁃rotation ankle manipulation was given once every 2 days, for 5⁃time treatment in total, Luoqianyu Tincture was sprayed and wiped before and after each manipulation treatment, respectively, and once of a day for the rest of the time, 14 days as 1 treatment course. The swelling degree of ankle joint, Visual Analogue Scale (VAS) score for pain, and American Orthopedic Foot and Ankle Society (AOFAS) ankle⁃hindleg score before and after treatment were compared between patients. Results As the treatment continued, the degree of ankle joint swelling and VAS score for pain decreased, and the AOFAS ankle⁃hindleg score elevated (P<0.05). Conclusion Tendon⁃regulation traction⁃rotation ankle manipulation combined with Luoqianyu Tincture for the treatment of old ankle sprain exerts definite efficacy, which is worthy of clinical application and promotion.

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