中医正骨结合康复训练治疗踝关节扭伤的效果分析

Analysis of the Effect of Traditional Chinese Bone Setting Combined with Rehabilitation Training in the Treatment of Ankle Sprains

摘要: 目的：探讨中医正骨结合康复训练治疗踝关节扭伤的临床疗效及应用价值，为临床治疗方案优化提供依据。方法：选取黑龙江中医药大学附属第一医院2022年1月至2023年12月收治的120例踝关节扭伤患者作为研究对象，按照随机数字表法分为观察组(60例)和对照组(60例)。观察组采用中医正骨手法联合分期康复训练治疗，对照组采用常规西医保守治疗联合基础功能锻炼。比较两组患者治疗前后疼痛视觉模拟评分(VAS)、美国矫形外科足踝协会(AOFAS)踝–后足功能评分、焦虑自评量表(SAS)评分、生活质量量表(SF-36)评分，统计两组临床疗效及不良事件发生率。结果：治疗后，观察组VAS评分(3.21 ± 0.56)分显著低于对照组(4.89 ± 0.63)分，AOFAS评分(85.36 ± 4.28)分、SF-36评分(95.12 ± 3.15)分显著高于对照组(65.42 ± 4.17)分、(82.35 ± 3.26)分，SAS评分(22.58 ± 2.31)分显著低于对照组(31.64 ± 2.45)分，差异均有统计学意义(P < 0.05)。观察组临床治疗优良率为96.67%，显著高于对照组的78.33%；不良事件发生率为3.33%，显著低于对照组的15.00%，差异均有统计学意义(P < 0.05)。结论：中医正骨结合康复训练治疗踝关节扭伤，能有效缓解疼痛症状，改善踝关节功能，减轻患者焦虑情绪，提高生活质量及治疗安全性，临床疗效显著，值得推广应用。

Abstract: Objective: To explore the clinical efficiency and application values of combining traditional Chinese bone-setting therapy with rehabilitation training in the treatment of ankle sprains, providing a basis for optimizing clinical treatment plans. Methods: A total of 120 patients with ankle sprains admitted to the First Affiliated Hospital of Heilongjiang University of Chinese Medicine from January 2022 to December 2023 were selected as the study subjects. They were randomly divided into an observation group (60 cases) and a control group (60 cases) using a random number table. The observation group was treated with traditional Chinese bone-setting techniques combined with staged rehabilitation training, while the control group received conventional Western medical conservative treatment combined with basic functional exercises. Pain visual analogue scale (VAS) scores, American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot function scores, Self-Rating Anxiety Scale (SAS) scores, and Short Form-36 (SF-36) quality of life scores were compared before and after treatment. Clinical efficacy and incidence of adverse events were also analyzed. Results: After treatment, the VAS score in the observation group (3.21 ± 0.56) was significantly lower than that in the control group (4.89 ± 0.63); the AOFAS score (85.36 ± 4.28) and SF-36 score (95.12 ± 3.15) were significantly higher than those in the control group (65.42 ± 4.17, 82.35 ± 3.26), and the SAS score (22.58 ± 2.31) was significantly lower than that in the control group (31.64 ± 2.45), with all differences being statistically significant (P < 0.05). The clinical efficacy rate in the observation group was 96.67%, significantly higher than 78.33% in the control group, while the incidence of adverse events was 3.33%, significantly lower than 15.00% in the control group, with both differences being statistically significant (P < 0.05). Conclusion: Combining traditional Chinese bone-setting therapy with rehabilitation training for ankle sprains can effectively relieve pain, improve ankle function, reduce patient anxiety, enhance quality of life, and increase treatment safety. The clinical efficacy is significant and worthy of promotion and application.