| Background:Acute ankle sprain is one of clinical common acute soft tissue injury, mainly because of intense exercise, improper weight, falling accident, outside forces excessive pull reverse. It causes ankle excessive internal and eversion. It is characterized by ankle swelling and pain. The wound skin becomes green purple bruises, and activity limitations. There is no fracture dislocation and skin damage.20%-40%of the patients with acute ankle sprain can grow into chronic ankle instability. The disease belongs to the category of TCM injury muscle, also belong to injured stamp foot and fractures of ribs. Since sudden violence leads to injury, TCM called it new injury. The disease is caused by trauma, and leads to local blood stasis and qi stagnation in local meridians impassability. Brawn meridian immediately damaged. Qi and blood are mutual resistance and cause pain and swelling. According to the pathogenesis, acupuncture and moxibustion is an important means of treatment of painful disease.Numerous studies indicated that acupuncture and moxibustion was effective in the treatment of acute ankle sprains. Spirit pivot of Nine and twelve said: Through the meridians, micro needle adjusted its flesh and its inverse Qi in and out of the blood vessel". Acupuncture and moxibustion in the treatment of acute ankle sprains are mainly improve pain. Mainly through participation change within5-light tryptamine, fat skin and b choline phthalein central neurotransmitters such as analgesia action. From classic theory, acute ankle sprains belong to the category of the muscle disease, and should choose the corresponding the reinforcement method. Restore is one of the twelve thorn in Neijing method,"pivot, the officer needle" records:" Puncture, pierce bang, as before, restore muscle anxious, treatment of tendon Bi ". Lateral puncture is one of the important methods for the treatment of the muscle disease. Lateral puncture is a representative reinforcement method in Neijing. Lateral Puncture is arrested sharp pain for brawn, namely the sting method of muscle disease. Lateral puncture method are relatively strong. Stimulating amount is larger, corresponding to the reinforcement follow line of point, line and plane distribution characteristics. It can be more obvious and tendons. Lateral puncture method can regulate the menstrual function, smooth meridians qi and blood, moisten the muscle, relieve local twin. Its function can be summarized as "main and collateral channels, qi and blood, honor through reinforcement".ObjectiveTo compare the clinical curative effect of the lateral puncture, routine acupuncture, and RICE (rest, ice, compression bandage, raise the limb) in the treatment of acute ankle sprains, and to discuss its mechanism, in order to investigate the best acupuncture therapy in the treatment of acute ankle sprains. This study inherited the restore of the Pivot, and applied it to the clinical, restore thorn further observation method in the application value of the common diseases of acute ankle sprains.Methods90cases of patients with acute ankle sprains were included in the trial. The study used calculator to produce random sequence. The subjects were randomly divided into three groups. Each group were30cases. Experimental group A adopted lateral puncture.A-shi acupoint was the treatment of acupuncture point and is selected by touching, gently kneading, found out with tenderness, and then we used2inches filiform needle, and punctured vertically into acupuncture points, then lifted needle slightly to the skin,do not withdraw the needle, the needle body tilt, the longitudinal axis along the tendons insert needles into acupuncture points0.5-1inch; Couldn’t then to subcutaneous needle, the needle, slightly change the Angle to insert again, again and again several times, and then inserted twisting around, enlarge the pin hole. The macthed acupoints contained Xuanzhong, Zusanli, Quxu, Kunlung, Sanyinjiao and etc. TDP irradiation was used during the retaining needle time,20min for retaining needle. Control group B used routine acupuncture method, according to Du Yuanhao, Shi Xuemin editor of "Chinese acupuncture clinical diagnosis and treatment norms" standard, that these were Ashi, Shenmai, Qiuxu, Jieqi, Zhaohai, Kunlun, Taixi. Control group C used conventional RICE processing method, that is, rest, ice, compressi on bandage, braking up limb. Acupuncture and moxibustion was used1time/day,7days for a course of treatment. Respectively before treatment, after treatment. The trial observed the subjects’ visual analogue scale (VAS), ankle sprains symptom integral (ASI), including joint pain, joint disorders index, joint swelling, joint red, and so on and so forth. Research sorted out and analyzed data for curative effect evaluation, using the three methods for scientific treatment of acute ankle sprains,ResultsSubjects between the three groups in gender, age, course and grade of disease, disease stages VAS pain score and ankle symptoms integral (ASI) score had no statistical significance (P>0.05), so that the baseline data were comparable between groups.Each group after treatment compared with before treatment, VAS score were statistically significant (P<0.01); VAS score after treatment compared between three groups are statistically significant.(P<0.05), suggesting that o restore sting method were compared with the conventional RICE, conventional acupuncture has the advantage in improving pain of acute ankle sprains.Groups of ASI scores compared with before treatment, after treatment were statistically significant (P<0.01); ASI scores after treatment compared between three groups has statistically significant (P<0.05), suggesting that o restore sting method were compared with the conventional RICE, conventional acupuncture has the advantage in improving symptoms of acute ankle sprains. Three groups of patients before, during and after treatment of joint pain index comparison, compared with before treatment in each treatment, have statistically significant(P<0.01);Each group compared with before treatment, after treatment were statistically significant (P<0.01). Treatment and after treatment comparison between the three groups were statistically significant (P<0.05), suggesting o restore sting method were compared with the conventional RICE, conventional acupuncture has advantages in improving ankle pain, and has appeared in the treatment of4days.Three groups of patients before, during and after treatment of joint swelling index comparison, compared with before treatment in each treatment, all statistically significant (P<0.01); Each group compared with before treatment, after treatment were statistically significant (P<0.01). Compared between three groups after treatment was statistically significant (P<0.05), suggesting o restore sting method were compared with conventional RICE, conventional acupuncture in improving ankle swelling.Three groups of patients before, during and after treatment of joint red heat index comparison, compared with before treatment in each treatment, all statistically significant (P<0.01); Groups compared with before treatment, after treatment were statistically significant (P<0.01). Treatment and after treatment compared between three groups had statistical significance (P<0.05), after treatment and restore method compared with conventional acupuncture is not statistically significant (P>0.05). That restore o sting method were compared with conventional RICE, have an advantage in improving the ankle red-hot, compared with conventional acupuncture curative effect. Three groups of patients before, during and after treatment of joint tenderness index comparison, compared with before treatment in each treatment, all statistically significant (P<0.05); Each group compared with before treatment, after treatment were statistically significant (P<0.01). After treatment and compared between three groups had statistical significance (P <0.05), suggesting o restore sting method were compared with conventional RICE, conventional acupuncture in improving ankle joint tenderness has advantages, and has appeared in the treatment of4days. Three groups of patients before, during and after treatmentThree groups of patients before, during and after treatment of joint disturbance index comparison, compared with before treatment in each treatment, all statistically significant (P<0.05); In each group after treatment compared with before treatment, the differences were statistically significant (P<0.01). After treatment and compared between three groups had statistical significance (P<0.05), suggesting o restore sting method were compared with conventional RICE, conventional acupuncture in improving ankle dysfunction has advantages, and has appeared in the treatment of4days.Different stages of VAS score comparison, concluded that different symptom scores before and after the treatment of acupuncture intervention period affect the value is different (P<0.05). Three groups of symptom scores before and after the treatment value changes from big to small in turn for:acute stage> subacute stage> recovery. Shows that acupuncture intervention the sooner, the better therapeutic effect.Three groups of subjects after treatment the overall curative effect comparison, restore sting method the clinical curative effect of acupuncture point is better than that of conventional RICE, conventional acupuncture (P <0.05). And level-i trauma and II distribution in the effect of level of no difference between groups, suggests that condition classification did not influence the curative effect of the differences between groups (P>0.05).Conelusions:This study showed that the effect of lateral puncture Ashi is superior to conventional acupuncture in treatment of acute ankle sprains, RICE treatment, especially for joint pain, joint tenderness and joint dysfunction, restore the curative effect of acupuncture point advantage appeared faster. Lateral puncture has curative effect in the treatment of acute ankle, obvious advantages, and is worth promoting in clinic. |
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