肌内效布贴扎辅助理疗治疗急性踝关节扭伤患者肿胀疼痛疗效观察

目的:观察肌内效布贴扎辅助理疗治疗急性踝关节扭伤患者肿胀和疼痛症状的临床疗效。方法:急性踝关节扭伤患者共40例,按身高体重指数(BMI)及损伤程度1∶1配对,随机分为以肌内效布贴扎(以自然拉力的爪形贴布为主)+局部常规理疗组(以冷疗及无热量超短波为主,以下称治疗组)和局部常规理疗组(对照组),每组各20例。分别于入选时和治疗1、3及5天后测量两组患者踝关节周长、疼痛度视觉模拟评分(Visual Analogue Scale,VAS)及进行踝关节损伤后下肢功能自我功能评定(Self Assessed Function for Lower Quarter,SAF)量表评分,同时对肌内效布贴扎的过敏性进行评价。结果:治疗前两组一般情况及病情比较差异无统计学意义,治疗第1天、第3天,治疗组踝关节周长较对照组显著减小,差异有统计学意义(第1天:38.31±1.24 cm,39.80±0.84 cm,t=4.449,P<0.01;第3天:37.22±1.17,38.83±1.02,t=4.638,P<0.01),治疗第5天,两组患者周长差异无统计学意义(P>0.05),而与治疗前比较均有显着差异。治疗第1天、第3天,治疗组主观疼痛度较对照组减轻,差异有统计学意义(第1天:3.35±0.49,4.13±0.54,t=4.783,P<0.01;第3天:2.25±0.64,3.06±0.60,t=4.129,P<0.01),治疗第5天两组比较差异无统计学意义。治疗第1天、第3天,治疗组SAF功能评定评分较对照组无显著差异,第5天治疗组(87.52±6.30)与对照组(81.75±9.94)比较有显着性差异(t=2.193,P<0.05)。治疗组无过敏事件发生。结论:肌内效布贴扎结合常规理疗能快速改善急性踝关节扭伤患者肿胀、疼痛等症状,改善踝关节功能评定得分,其机制尚待探讨。

Therapeutic Effectiveness of Kinesio Taping plus Conventional Physiotherapy for Relieving Swelling and Pain in Patients with Acute Ankle Sprain

Objective The purpose of this pilot study was to investigate the effectiveness of kinesio taping(KT) combined with conventional physiotherapy(CP) for relieving major complaints of patients with acute ankle sprain(AAS).Methods 40 AAS patients were randomly and equally divided into experimental group(KT plus CP) and control group(CP only).Patients in two groups were matched one by one in accordance with their body mass index(BMI) and severity of injury.Ankle circumference,visual analogue scale(VAS) and self assessed function(SAF) of lower limb were applied to evaluate the degree of swelling,pain and ankle function.Results There were no significant differences in general condition and severity of injury in two groups before treatment(P > 0.05).Ankle circumference in experimental group reduced more significantly than that in control group at the 1st day(38.31±1.24 cm vs 39.80±0.84 cm,P < 0.01,t = 4.449) and 3rd day(37.22±1.17 vs 38.83±1.02,P < 0.01,t = 4.638) after experiment.VAS in experimental group was significantly lower than that in control group at the 1st day(3.35±0.49 vs 4.13±0.54,P < 0.01,t = 4.783) and 3rd day(2.25±0.64 vs 3.06±0.60,P < 0.01,t = 4.129) after experiment.However,there were no significant differences in VAS and ankle circumference between two groups at the 5th day after experiment.The SAF showed significantly difference between 2 groups at the 5th day(87.52±6.30 vs 81.75±9.94,P < 0.05,t = 2.193) after the experiment.No obvious allergy was recorded.Conclusion Kinesio taping combined with conventional physiotherapy can be a more effective therapeutic technique for treating AAS.