康复学报2025，Vol.35Issue(1)：69-74,82,7.DOI:10.3724/SP.J.1329.2025.01009
针灸推拿联合治疗对踝关节骨折术后关节机能康复的影响
Effect of Combined Treatment of Acupuncture and Tuina Massage on Rehabilitation of Joint Function after Ankle Fracture Surgery
摘要
Abstract
Objective To observe the effect of acupuncture and tuina combination therapy on postoperative joint function re-habilitation in patients with ankle fractures.Methods A total of 98 patients with ankle fractures admitted to the Department of Limb and Joint of the First Hospital of Hunan University of Chinese Medicine from June 2021 to June 2023 were selected.They were divided into two groups according to the envelope method,including 48 cases in the control group and 50 cases in the observa-tion group.The control group was given rehabilitation function training from the day after surgery;the observation group was given combined acupuncture and massage treatment in addition to rehabilitation function training from the second to the seventh day after surgery.The differences in ankle Visual Analogue Scale(VAS)scores between two groups were evaluated on the first day after sur-gery,the first week after surgery,and the fourth week after surgery.The ankle swelling values and toe nailfold microcirculation indi-cators of the two groups were measured on the first day after surgery,the fourth week after surgery,and the twenty-fourth weeks af-ter surgery.The differences in ankle joint range of motion,American Orthopaedic Foot&Ankle Society(AOFAS)scores,and activi-ties of daily living(ADL)scores between two groups were compared on the first day after surgery,the fourth week after surgery,and the twenty-fourth weeks after surgery.Results Compared with the first day after surgery,the ankle pain scores and swelling values of both groups decreased at the first and fourth weeks after surgery(P<0.05).There was no statistically significant difference in the ankle pain score and swelling value between two groups on the first day after surgery(P>0.05),but the ankle pain scores and swelling values of the observation group decreased at the first week and fourth week after surgery compared with the control group(P<0.05).Compared with the first day after surgery,the number of vascular arches,the diameter of the arch top and the length of the input branches increased in both groups at the first week and fourth week after surgery(P<0.05).There was no statistically significant dif-ference in the microcirculation indicators of the toe nailfold between two groups on the first day after surgery(P>0.05),but the num-ber of vascular arches,the diameter of the arch top and the length of the input branches increased at the first week and fourth week after surgery compared with the control group(P<0.05).Compared with the first day after surgery,the range of motion of dorsi-flexion,plantar flexion,eversion and inversion of both groups increased at the fourth week and twenty-fourth weeks after surgery(P<0.05).Compared with the control group,there was no statistically significant difference in the range of motion of the ankle joint in the observation group on the first day after surgery(P>0.05),but the range of motion of dorsiflexion,plantar flexion,eversion and inversion of the observation group increased significantly at the fourth week and twenty-fourth week after surgery(P<0.05).Com-pared with the first day after surgery,the AOFAS and ADL scores of both groups increased at the fourth week and twenty-fourth week after surgery(P<0.05).Compared with the control group,there was no statistically significant difference in the AOFAS and ADL scores between two groups on the first day after surgery(P>0.05),but the AOFAS and ADL scores of the observation group increased at the fourth and twenty-fourth week after surgery(P<0.05).During the treatment period,no adverse events such as subcu-taneous ecchymosis or infection occurred.Conclusion Combined acupuncture and tuina therapy can promote the recovery of ankle joint function and improve the activities of daily living in patients after ankle fracture surgery.关键词
踝关节骨折/踝关节功能/针灸/推拿/康复功能训练/日常生活活动能力Key words
ankle fracture/ankle function,acupuncture/tuina/rehabilitation training/activities of daily living引用本文复制引用
龙腾,许明,左钰轩,周骞,陆啟洋,李纳平..针灸推拿联合治疗对踝关节骨折术后关节机能康复的影响[J].康复学报,2025,35(1):69-74,82,7.基金项目
湖南省自然科学基金项目(2024JJ6360) （2024JJ6360）
湖南省中医药科研基金(B2024050) （B2024050）
湖南中医药大学校院联合基金(2023XYLH009) （2023XYLH009）
