CAJ | 학술논문

目的：探讨宫廷正骨手法配合石膏制动和中药外洗治疗急性踝关节软组织扭伤的临床疗效。方法收集2013年7月至2014年4月在中国中医科学院望京医院骨伤综合科及中国中医科学院骨伤研究所急诊STAAS患者90例，随机分为2组，每组45例。治疗组采用宫廷正骨手法、石膏制动配合中药外洗治疗，对照组仅采用石膏制动治疗。采用Baird-Jackson量表评价临床疗效（优：96～100分；良：91～95分；可：81～90分；差：0～80分）。结果治疗组治疗后第2、3周优良率分别为73.3%（37/45）、86.7%（39/45），总有效率分别为93.3%（42/45）、95.6%（43/45）。对照组治疗后第2、3周优良率分别为44.4%（20/45）、60.0%（27/45），总有效率均为84.4%（38/45）。两组治疗后第2、3周优良率同时段比较，差异均有统计学意义（χ2值分别为11.468、6.875，P＜0.05或P＜0.01），但治疗组治疗后第2、3周总有效率与对照组同时段比较，差异无统计学意义（χ2值分别为1.800、3.090，P＞0.05）。治疗后第2、3周Baird-Jackson综合评分[治疗组为（87.41±14.12）分、（93.16±9.51）分，对照组为（76.32±11.41）分、（82.54±9.22）分]均较同组治疗前提高[（72.11±12.61）分、（71.67±13.12）分，P均＜0.05]，且治疗组治疗后第3周Baird-Jackson综合评分明显高于对照组同治疗时段（P＜0.05）。结论宫廷正骨手法配合石膏制动和中药外洗可提高急性踝关节软组织扭伤患者的Baird-Jackson评分，有助于踝关节功能恢复。
목적：탐토궁정정골수법배합석고제동화중약외세치료급성과관절연조직뉴상적림상료효。방법수집2013년7월지2014년4월재중국중의과학원망경의원골상종합과급중국중의과학원골상연구소급진STAAS환자90례，수궤분위2조，매조45례。치료조채용궁정정골수법、석고제동배합중약외세치료，대조조부채용석고제동치료。채용Baird-Jackson량표평개림상료효（우：96～100분；량：91～95분；가：81～90분；차：0～80분）。결과치료조치료후제2、3주우량솔분별위73.3%（37/45）、86.7%（39/45），총유효솔분별위93.3%（42/45）、95.6%（43/45）。대조조치료후제2、3주우량솔분별위44.4%（20/45）、60.0%（27/45），총유효솔균위84.4%（38/45）。량조치료후제2、3주우량솔동시단비교，차이균유통계학의의（χ2치분별위11.468、6.875，P＜0.05혹P＜0.01），단치료조치료후제2、3주총유효솔여대조조동시단비교，차이무통계학의의（χ2치분별위1.800、3.090，P＞0.05）。치료후제2、3주Baird-Jackson종합평분[치료조위（87.41±14.12）분、（93.16±9.51）분，대조조위（76.32±11.41）분、（82.54±9.22）분]균교동조치료전제고[（72.11±12.61）분、（71.67±13.12）분，P균＜0.05]，차치료조치료후제3주Baird-Jackson종합평분명현고우대조조동치료시단（P＜0.05）。결론궁정정골수법배합석고제동화중약외세가제고급성과관절연조직뉴상환자적Baird-Jackson평분，유조우과관절공능회복。
Objective To investigate the clinical curative effect of“Qing Dynasty Palace manipulation” in combination with plaster immobilization and foot bath with traditional Chinese medicine for acute soft tissue sprain of the ankle.Method A total of 90 patients with acute soft tissue sprain of the ankle from emergency department of WangJing Hospital, CACMS were recruited from July 2013 to April 2014 and randomly divided into two groups with 45 patients in each. The patients in the treatment group were treated with the court manipulation, plaster and Chinese herbs washing, and those in the control group were only treated with cast immobilization. The clinical curative effect was evaluated using Baird-Jackson score system(excellent: 96-100; good: 91-95; fair: 81-90; poor: 0-80).Result At the second, third week after treatment, the excellent/good rates in the treatment group were significantly higher than those in the control group(at week 2: 73.3%vs. 44.4%;χ2=11.468,P<0.01; at week 3: 86.7%vs.60.0%;χ2=6.875,P<0.05). At week 2 and 3, Baird-Jackson scores in the treatment group(87.41±14.12, 93.16±9.51)and in the control group(76.32±11.41, 82.54±9.22)were significantly higher than those before treatment(treatment group: 72.11±12.61; control group: 71.67±13.12, allP<0.05); at week 3, Baird-Jackson score in the treatment group were significantly higher than that in the control group(P<0.05).Conclusion“Qing Dynasty Palace manipulation” in combination with plaster immobilization and foot bath with traditional Chinese medicine can increase Baird-Jackson score and aid recovery of the ankle function in patients with acute soft tissue sprain of the ankle.