北京中医药2025，Vol.44Issue(10)：1259-1264,6.DOI:10.16025/j.1674-1307.2025.10.007
中西医结合治疗急性外踝韧带损伤的疗效观察
Clinical efficacy of integrated traditional Chinese and Western medicine in the treatment of acute lateral ankle ligament injury
摘要
Abstract
Objective To observe the clinical efficacy of traditional Chinese medicine(TCM)therapy combined with the POLICE principle(Protection with brace,Optimal Loading,Ice,Compression,Elevation)in treating acute lateral ankle ligament injury.Methods Sixty patients with acute lateral ankle ligament injury treated at Wangjing Hospital of China Academy of Chinese Medical Sciences from June 2024 to February 2025 were enrolled and randomly divided into an observation group and a control group,with 30 patients in each group,using a random number table.Both groups received POLICE principle-based management.The control group was treated with topical diclofenac diethylamine emulgel,while the observation group received comprehensive TCM therapy.The treatment course was 3 weeks.Patients were instructed to undergo ankle rehabilitation training 4-6 weeks post-injury.The American Orthopaedic Foot&Ankle Society(AOFAS)score and Karlsson score were assessed before treatment,at 3 weeks post-injury,and at 6 weeks post-injury.MRI scores of the affected ankle and the signal-to-noise ratio(SNR)in the anterior talofibular ligament region were measured before treatment and at 3 months post-injury.Results At 3 weeks post-injury,the observation group had significantly higher AOFAS and Karlsson scores than the control group(P<0.05).At 3 months post-injury,SNR in the observation group was lower than that in the control group(P<0.05).No acupuncture-related adverse reactions such as dizziness or needle retention were observed during the treatment period.No local reactions such as redness,swelling,or itching of the affected ankle were observed during the treatment or within 1 week after treatment completion.Conclusion TCM therapy combined with the POLICE principle facilitates ligament repair and functional recovery of the ankle in patients with acute lateral ankle ligament injury and demonstrates a favorable safety profile.关键词
POLICE原则/中西医结合/外踝韧带损伤/关节功能/信噪比Key words
POLICE principle/integrated traditional Chinese and Western medicine/lateral ankle ligament injury/joint function/signal-to-noise ratio引用本文复制引用
彭洪凯,程桯,王宏杰,邱佳明,戚国栋,危一飞,郝泽瀚,薛子昂..中西医结合治疗急性外踝韧带损伤的疗效观察[J].北京中医药,2025,44(10):1259-1264,6.基金项目
国家自然科学基金青年科学基金项目(82305277) （82305277）
中国中医科学院望京医院高水平中医医院建设项目中医药临床循证研究专项(WJYY-XZKT-2023-35) （WJYY-XZKT-2023-35）
