慢性踝关节扭伤的中医治疗研究
|
摘要
踝关节扭伤常见于人们的日常生活,约30%的患者会进展变化成为慢性踝关节不稳,踝关节不稳定导致踝扭伤的反复发作,从而出现踝关节周围软组织肿胀,瘀血,疼痛伴活动受限。随着患者对自我健康的关注需求不断变化以及对生活方式的更高要求,除了部分需要手术的患者,大部分患者越来越倾向于中医疗法治疗慢性踝关节扭伤。中医治疗慢性踝关节扭伤有针刺、药物内服、药物外洗、中药外敷、推拿等多种方法,均有一定疗效,但缺乏统一的中心研究和大样本数据。本文主要就中医治疗慢性踝关节扭伤的疗法进行综述,旨在为中医治疗慢性踝关节扭伤的综合方案提供相应的研究思路。
Ankle sprains are common in people's daily life. About 30% of patients will progress to chronic ankle instability. Ankle instability leads to recurrent episodes of ankle sprains, resulting in soft tissue swelling around the ankle joints, blood stasis, and pain. Limited activity. With the changing needs of patients' self-health and the higher demands for lifestyle, most patients are more and more inclined to treat chronic ankle sprains in Chinese medicine, except for some patients who need surgery. Traditional Chinese medicine treatment of chronic ankle sprains has acupuncture, drug orally,external drug wash, external application of Chinese medicine, massage and other methods, have a certain effect, but lack of unified central research and large sample data. This article mainly reviews the treatment of chronic ankle sprains by Chinese medicine, aiming to provide corresponding research ideas for the comprehensive treatment of chronic ankle sprains.
Ankle sprains are common in people's daily life. About 30% of patients will progress to chronic ankle instability. Ankle instability leads to recurrent episodes of ankle sprains, resulting in soft tissue swelling around the ankle joints, blood stasis, and pain. Limited activity. With the changing needs of patients' self-health and the higher demands for lifestyle, most patients are more and more inclined to treat chronic ankle sprains in Chinese medicine, except for some patients who need surgery. Traditional Chinese medicine treatment of chronic ankle sprains has acupuncture, drug orally,external drug wash, external application of Chinese medicine, massage and other methods, have a certain effect, but lack of unified central research and large sample data. This article mainly reviews the treatment of chronic ankle sprains by Chinese medicine, aiming to provide corresponding research ideas for the comprehensive treatment of chronic ankle sprains.
引文
[1]Forestier N,Terrier R,Teasdale N.Ankle muscular proprioceptive signals'relevance for balance control on various support surfaces:an exploratory study[J].Am J Phys Med Rehabil,2015,94(1):20-27.
[2]Feria-Arias E,Boukhemis K,Kreulen C,et al.Foot and Ankle Injuries in Soccer[J].Am J Orthop(Belle Mead NJ),2018,47(10).
[3]Li Y,Ko J,Walker M,et al.Does Chronic Ankle Instability Influence Knee Biomechanics of Females during Inverted Surface Landings[J].Int J Sports Med,2018,39(13):1009-1017.
[4]钟峰,孙婧,李晓亮.针刺治疗陈旧性外踝关节扭伤31例[J].世界针灸杂志(英文版),2013,23(1):59-60.
[5]陈振霖.针灸治疗踝关节扭伤73例[J].中医临床研究,2011,3(3):51.
[6]张钧伟.针灸治疗踝关节扭伤50例观察[J].中国社区医师(综合版),2007(11):99-100.
[7]程全.针灸治疗踝关节扭伤疗效观察[J].实用中医药杂志,2017,33(1):66.
[8]吴时鑫.针灸配合原始点疗法治疗踝关节扭伤23例[J].临床医药文献电子杂志,2017,4(56):10932-10933.
[9]陈岗.针灸在踝关节扭伤治疗中的临床疗效分析[J].临床医药文献电子杂志,2018,5(25):111-112.
[10]商越,周杰,方剑乔,等.方剑乔教授运用针灸“四步疗法”治疗踝关节扭伤临床经验[J].上海针灸杂志,2015,34(1):5-6.
[11]白楠,刘薇.手针治疗踝关节扭伤40例[J].现代医药卫生,2007(2):244.
[12]郑全成,王磊.针刺肩髃穴治疗外踝关节扭伤疗效观察[J].海南医学院学报,2010,16(5):600-601.
[13]李成,陆伟慧,徐静艳.上下交叉取穴法治疗踝关节扭伤[J].中国针灸,2011,31(10):918.
[14]潘庆兵.缪刺阳池穴治疗踝关节扭伤56例[J].上海针灸杂志,2014,33(4):366.
[15]杨晶,马德元.养老穴针刺结合刺络法治疗踝关节扭伤疗效对照观察[J].光明中医,2016,31(14):2082-2083.
[16]史莹莺.赤凤逢源针刺手法治疗踝关节扭伤的研究[J].中国社区医师,2015,31(7):98-99,101.
[17]周骞.相应取穴巨刺治疗踝关节扭伤39例[J].湖南中医杂志,2008(4):42-43.
[18]倪兴平,李永佳.针刺小节穴为主治疗踝关节扭伤的疗效观察[J].内蒙古中医药,2010,29(18):38.
[19]鲍彦荣,田凤杰.针刺小节穴、踝点配合运动治疗社区急性踝关节外侧韧带扭伤疗效观察[J].内蒙古中医药,2016,35(7):67.
[20]黄梦雄,许凯声.“耳尖穴”治疗急性踝关节扭伤[J].中国针灸,2009,29(7):528.
[21]韩新强.针刺攒竹穴治疗踝关节扭伤18例[J].中国针灸,2005(11):54.
[22]陈志令.缪刺中渚穴治疗踝关节扭伤86例疗效观察[J].中国中医药现代远程教育,2009,7(8):120.
[23]张应勤.针刺外关穴治疗急性踝关节扭伤的观察[J].针灸学报,1988(2):15.
[24]李宇恒,刘殿娜,杨佃会.针刺胆囊穴和反应点治疗踝关节扭伤19例[J].河南中医,2015,35(3):555-556.
[25]杨晶,马德元.养老穴针刺结合刺络法治疗踝关节扭伤疗效对照观察[J].光明中医,2016,31(14):2082-2083.
[26]周俊杰.复元活血汤合消肿止痛膏治疗踝关节扭伤32例[J].光明中医,2007(8):53-54.
[27]向澍,杜炯.膏摩法改善陈旧性踝关节扭伤患踝功能41例[J].中国中医骨伤科杂志,2017,25(8):48-49.
[28]戴丽文.酒熨疗法治疗慢性踝关节扭伤36例临床观察[J].浙江中医杂志,2011,46(2):117.
[29]黄厚媚.三七散中药封包外敷治疗踝关节扭伤患者的效果观察[J].护理实践与研究,2018,15(18):147-148.
[30]王新义,田元生,薛爱荣,等.肿痛散治疗踝关节扭伤60例随机对照研究[J].中医药临床杂志,2016,28(8):1140-1141.
[31]李前,陈绍军,钟佳,等.自拟健脾益气汤治疗脾气虚型踝关节扭伤后期肿胀的疗效观察[J].湖南中医药大学学报,2015,35(11):52-55.
[32]苏攀.复方地榆炭膏治疗踝关节扭伤伴肿胀的疗效评价及对踝关节功能的影响[J].中国合理用药探索,2018,15(10):10-13.
[33]周俊.消定膏治疗踝关节扭伤的临床观察[J].双足与保健,2018,27(13):164-165.
[34]叶宜颖,高景华,王尚全,等.孙树椿教授治疗踝关节扭伤的经验[J].中医正骨,2017,29(3):77-78,80.
[35]卢振中.针灸配合刺血疗法治疗陈旧性踝关节扭伤疗效观察[J].上海针灸杂志,2016,35(3):329-331.
[36]王家辉,周密思.穴位点按结合中药外敷治疗踝关节扭伤肿胀疼痛疗效观察[J].新中医,2016,48(1):101-102.
[37]刘瑞钦,张光亚,张红纪.推拿联合中药熏洗治疗陈旧性踝关节扭伤随机平行对照研究[J].实用中医内科杂志,2014,28(8):25-27.
[38]杨延国.宫廷正骨手法配合跌打万应膏治疗踝关节扭伤的疗效观察[J].中国现代药物应用,2015,9(18):252-254.
[39]张洪彬.推拿联合中药热奄包治疗踝关节扭伤[J].临床医药文献电子杂志,2018,5(62):71.
[40]杨扬,刘劼,王成伟,等.揿针配合手法治疗踝关节扭伤后遗症疗效观察[J].中国针灸,2018,38(6):585-588.
[41]李敏,李开平.腕踝针结合中药熏洗治疗踝关节扭伤的临床研究[J].中国中医急症,2015,24(9):1612-1614.
[42]黄继燊,章小平,朱满华.单穴治疗踝关节扭伤的中医机理分析[J].中西医结合研究,2018,10(5):275-276.
[43]於志华,范新华.踝关节扭伤的MRI诊断[J].医学影像学杂志,2016,26(9):1725-1728.
[44]Teixeira J,Guillo S.Arthroscopic Treatment of Ankle Instability-Allograft Autograft Reconstruction[J].Foot Ankle Clin,2018,23(4):571-579.
[2]Feria-Arias E,Boukhemis K,Kreulen C,et al.Foot and Ankle Injuries in Soccer[J].Am J Orthop(Belle Mead NJ),2018,47(10).
[3]Li Y,Ko J,Walker M,et al.Does Chronic Ankle Instability Influence Knee Biomechanics of Females during Inverted Surface Landings[J].Int J Sports Med,2018,39(13):1009-1017.
[4]钟峰,孙婧,李晓亮.针刺治疗陈旧性外踝关节扭伤31例[J].世界针灸杂志(英文版),2013,23(1):59-60.
[5]陈振霖.针灸治疗踝关节扭伤73例[J].中医临床研究,2011,3(3):51.
[6]张钧伟.针灸治疗踝关节扭伤50例观察[J].中国社区医师(综合版),2007(11):99-100.
[7]程全.针灸治疗踝关节扭伤疗效观察[J].实用中医药杂志,2017,33(1):66.
[8]吴时鑫.针灸配合原始点疗法治疗踝关节扭伤23例[J].临床医药文献电子杂志,2017,4(56):10932-10933.
[9]陈岗.针灸在踝关节扭伤治疗中的临床疗效分析[J].临床医药文献电子杂志,2018,5(25):111-112.
[10]商越,周杰,方剑乔,等.方剑乔教授运用针灸“四步疗法”治疗踝关节扭伤临床经验[J].上海针灸杂志,2015,34(1):5-6.
[11]白楠,刘薇.手针治疗踝关节扭伤40例[J].现代医药卫生,2007(2):244.
[12]郑全成,王磊.针刺肩髃穴治疗外踝关节扭伤疗效观察[J].海南医学院学报,2010,16(5):600-601.
[13]李成,陆伟慧,徐静艳.上下交叉取穴法治疗踝关节扭伤[J].中国针灸,2011,31(10):918.
[14]潘庆兵.缪刺阳池穴治疗踝关节扭伤56例[J].上海针灸杂志,2014,33(4):366.
[15]杨晶,马德元.养老穴针刺结合刺络法治疗踝关节扭伤疗效对照观察[J].光明中医,2016,31(14):2082-2083.
[16]史莹莺.赤凤逢源针刺手法治疗踝关节扭伤的研究[J].中国社区医师,2015,31(7):98-99,101.
[17]周骞.相应取穴巨刺治疗踝关节扭伤39例[J].湖南中医杂志,2008(4):42-43.
[18]倪兴平,李永佳.针刺小节穴为主治疗踝关节扭伤的疗效观察[J].内蒙古中医药,2010,29(18):38.
[19]鲍彦荣,田凤杰.针刺小节穴、踝点配合运动治疗社区急性踝关节外侧韧带扭伤疗效观察[J].内蒙古中医药,2016,35(7):67.
[20]黄梦雄,许凯声.“耳尖穴”治疗急性踝关节扭伤[J].中国针灸,2009,29(7):528.
[21]韩新强.针刺攒竹穴治疗踝关节扭伤18例[J].中国针灸,2005(11):54.
[22]陈志令.缪刺中渚穴治疗踝关节扭伤86例疗效观察[J].中国中医药现代远程教育,2009,7(8):120.
[23]张应勤.针刺外关穴治疗急性踝关节扭伤的观察[J].针灸学报,1988(2):15.
[24]李宇恒,刘殿娜,杨佃会.针刺胆囊穴和反应点治疗踝关节扭伤19例[J].河南中医,2015,35(3):555-556.
[25]杨晶,马德元.养老穴针刺结合刺络法治疗踝关节扭伤疗效对照观察[J].光明中医,2016,31(14):2082-2083.
[26]周俊杰.复元活血汤合消肿止痛膏治疗踝关节扭伤32例[J].光明中医,2007(8):53-54.
[27]向澍,杜炯.膏摩法改善陈旧性踝关节扭伤患踝功能41例[J].中国中医骨伤科杂志,2017,25(8):48-49.
[28]戴丽文.酒熨疗法治疗慢性踝关节扭伤36例临床观察[J].浙江中医杂志,2011,46(2):117.
[29]黄厚媚.三七散中药封包外敷治疗踝关节扭伤患者的效果观察[J].护理实践与研究,2018,15(18):147-148.
[30]王新义,田元生,薛爱荣,等.肿痛散治疗踝关节扭伤60例随机对照研究[J].中医药临床杂志,2016,28(8):1140-1141.
[31]李前,陈绍军,钟佳,等.自拟健脾益气汤治疗脾气虚型踝关节扭伤后期肿胀的疗效观察[J].湖南中医药大学学报,2015,35(11):52-55.
[32]苏攀.复方地榆炭膏治疗踝关节扭伤伴肿胀的疗效评价及对踝关节功能的影响[J].中国合理用药探索,2018,15(10):10-13.
[33]周俊.消定膏治疗踝关节扭伤的临床观察[J].双足与保健,2018,27(13):164-165.
[34]叶宜颖,高景华,王尚全,等.孙树椿教授治疗踝关节扭伤的经验[J].中医正骨,2017,29(3):77-78,80.
[35]卢振中.针灸配合刺血疗法治疗陈旧性踝关节扭伤疗效观察[J].上海针灸杂志,2016,35(3):329-331.
[36]王家辉,周密思.穴位点按结合中药外敷治疗踝关节扭伤肿胀疼痛疗效观察[J].新中医,2016,48(1):101-102.
[37]刘瑞钦,张光亚,张红纪.推拿联合中药熏洗治疗陈旧性踝关节扭伤随机平行对照研究[J].实用中医内科杂志,2014,28(8):25-27.
[38]杨延国.宫廷正骨手法配合跌打万应膏治疗踝关节扭伤的疗效观察[J].中国现代药物应用,2015,9(18):252-254.
[39]张洪彬.推拿联合中药热奄包治疗踝关节扭伤[J].临床医药文献电子杂志,2018,5(62):71.
[40]杨扬,刘劼,王成伟,等.揿针配合手法治疗踝关节扭伤后遗症疗效观察[J].中国针灸,2018,38(6):585-588.
[41]李敏,李开平.腕踝针结合中药熏洗治疗踝关节扭伤的临床研究[J].中国中医急症,2015,24(9):1612-1614.
[42]黄继燊,章小平,朱满华.单穴治疗踝关节扭伤的中医机理分析[J].中西医结合研究,2018,10(5):275-276.
[43]於志华,范新华.踝关节扭伤的MRI诊断[J].医学影像学杂志,2016,26(9):1725-1728.
[44]Teixeira J,Guillo S.Arthroscopic Treatment of Ankle Instability-Allograft Autograft Reconstruction[J].Foot Ankle Clin,2018,23(4):571-579.