针刺放血联合药物罐治疗慢性踝关节病疗效观察-《西部中医药》

文章信息/Info

Title:: Curative Effects of Bloodletting Combined with Medicated Cupping in the Treatment of Chronic Ankle Joint Disease

Author(s):: WANG Yanfei, YANG Changcao, WANG Juanxia; Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou730050, China

Keywords:: chronic ankle joint disease; bloodletting; medicated cupping; pain

摘要:: 目的观察针刺放血联合药物罐治疗慢性踝关节病的临床疗效。方法将60例非骨折慢性踝关节病患者随机分为治疗组和对照组，每组30例。对照组予冲击波联合中药塌渍进行治疗，治疗组同时予针刺放血联合药物罐治疗，以7天为1个疗程，共治疗3个疗程。比较两组患者治疗前及每个疗程结束时疼痛视觉模拟量表（visual analogue scale，VAS）评分、美国足与踝关节协会（American foot and ankle association，AOFAS）踝-后足评分变化情况及患者满意度。结果治疗1、2、3个疗程后与治疗前同组内比较，差异均有统计学意义（P＜0.05），且治疗后相同时间点组间比较，差异也有统计学意义（P＜0.05）。患者满意度治疗组［90.0%（27/30）］高于对照组［73.3%（22/30）］（P＜0.05）。结论针刺放血联合药物罐治疗慢性踝关节病，可减轻踝关节疼痛程度，改善踝关节功能，提高患者满意度。

Abstract:: ObjectiveTo observe clinical effects of bloodletting joined with medicated cupping in the treatment of chronic ankle joint disease. MethodsSixty patients with non-fracture chronic ankle joint disease were randomized into the treatment group and the control group with 30 cases in each group. The control group was treated with shockwave and herbal compression, and the treatment group accepted bloodletting and medicated cupping, seven days was one course, and the two groups were treated for three courses. To compare VAS scores, AOFAS ankle-posterior foot score and patient satisfaction scores before the treatment and by the end of the treatment between the two groups. Resultsthe difference had statistical meaning when the scores after one course, two courses and three courses of the treatment were compared with these before treatment within the same group (P<0.05), and the difference was statistically significant at the same time point after the treatment (P<0.05). The patient satisfaction in the treatment group was [90.0%(27/30)], higher than [73.3%(22/30)] of the control group (P<0.05). ConclusionBloodletting combined with medicated cupping in the treatment of chronic ankle joint disease could alleviated pain degrees of ankle, improve ankle function and raise patients satisfaction.