针灸推拿医学（英文版）
針灸推拿醫學（英文版）
침구추나의학（영문판）
Journal of Acupuncture and Tuina Science
2015年
6期
381-386
,共6页
陈斌%张峻峰%李艳%吴耀持
陳斌%張峻峰%李豔%吳耀持
진빈%장준봉%리염%오요지
推拿%按摩%扭伤与劳损%十二经筋%中草药%熏蒸
推拿%按摩%扭傷與勞損%十二經觔%中草藥%熏蒸
추나%안마%뉴상여로손%십이경근%중초약%훈증
Tuina%Massage%Sprains and Strains%Musculature of 12 Meridians%Drugs,Chinese Herbal%Fumigation
目的：观察推拿配合中药熏蒸治疗陈旧性踝关节扭伤的临床疗效。方法：将纳入的93例患者根据随机数字表随机分为2组,观察组47例,给予经筋理论指导下推拿配合中药熏蒸治疗；对照组46例,予口服活血止痛药物配合中药熏蒸治疗。推拿和中药熏蒸均隔日1次,10次为1个疗程,治疗1个疗程后观察两组踝关节功能评分(Baird-Jackson)及临床疗效。结果：治疗后,除放射线检查结果外,两组治疗前后Baird-Jackson各项评分均有统计学差异(P＜0.05,P＜0.01)；除踝关节活动度量(range of motion, ROM)外,两组间各项评分及总分差异亦有统计学意义(P＜0.01)。观察组优良率为76.6%,对照组优良率为54.4%,两组优良率差异有统计学意义(P＜0.05)。结论：经筋理论指导下推拿配合中药熏蒸治疗陈旧性踝关节扭伤的临床效果优于口服活血止痛药物配合中药熏蒸治疗。
目的：觀察推拿配閤中藥熏蒸治療陳舊性踝關節扭傷的臨床療效。方法：將納入的93例患者根據隨機數字錶隨機分為2組,觀察組47例,給予經觔理論指導下推拿配閤中藥熏蒸治療；對照組46例,予口服活血止痛藥物配閤中藥熏蒸治療。推拿和中藥熏蒸均隔日1次,10次為1箇療程,治療1箇療程後觀察兩組踝關節功能評分(Baird-Jackson)及臨床療效。結果：治療後,除放射線檢查結果外,兩組治療前後Baird-Jackson各項評分均有統計學差異(P＜0.05,P＜0.01)；除踝關節活動度量(range of motion, ROM)外,兩組間各項評分及總分差異亦有統計學意義(P＜0.01)。觀察組優良率為76.6%,對照組優良率為54.4%,兩組優良率差異有統計學意義(P＜0.05)。結論：經觔理論指導下推拿配閤中藥熏蒸治療陳舊性踝關節扭傷的臨床效果優于口服活血止痛藥物配閤中藥熏蒸治療。
목적：관찰추나배합중약훈증치료진구성과관절뉴상적림상료효。방법：장납입적93례환자근거수궤수자표수궤분위2조,관찰조47례,급여경근이론지도하추나배합중약훈증치료；대조조46례,여구복활혈지통약물배합중약훈증치료。추나화중약훈증균격일1차,10차위1개료정,치료1개료정후관찰량조과관절공능평분(Baird-Jackson)급림상료효。결과：치료후,제방사선검사결과외,량조치료전후Baird-Jackson각항평분균유통계학차이(P＜0.05,P＜0.01)；제과관절활동도량(range of motion, ROM)외,량조간각항평분급총분차이역유통계학의의(P＜0.01)。관찰조우량솔위76.6%,대조조우량솔위54.4%,량조우량솔차이유통계학의의(P＜0.05)。결론：경근이론지도하추나배합중약훈증치료진구성과관절뉴상적림상효과우우구복활혈지통약물배합중약훈증치료。
Objective:To observe the clinical efficacy of combining tuina and Chinese herbal fumigation for chronic ankle sprain. <br> Methods:A total of 93 cases were randomly allocated into an observation group (n=47) and a control group (n=46) according to the table of random number. Cases in the observation group received tuina combining with Chinese herbal fumigation, whereas cases in the control group received oral blood-circulating and pain-alleviating capsules combining with Chinese herbal fumigation. Both tuina and Chinese herbal fumigation were done once every other day and 10 times made up a course of treatment. The Baird-Jackson ankle scoring system and clinical efficacy were observed after 1 course of treatment. <br> Results:After treatment, except for radiographic findings, there were significant intra-group differences in individual item scores of Baird-Jackson (P<0.05,P<0.01); except for ankle joint range of motion (ROM), there were significant between- group differences in individual item scores and total score (P<0.01). The excellence and good rate was 76.6% in the observation group, versus 54.4% in the control group, showing a statistical significance (P<0.05). <br> Conclusion:Combining Chinese herbal fumigation and tuina based on the muscle region theory can obtain better effect than combining oral blood-circulating and pain-alleviating capsules and Chinese herbal fumigation for chronic ankle sprain.
