中西医结合治疗急性外踝韧带损伤的疗效观察

彭洪凯; 程桯; 王宏杰; 邱佳明; 戚国栋; 危一飞; 郝泽瀚; 薛子昂

doi:10.16025/j.1674-1307.2025.10.007

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中西医结合治疗急性外踝韧带损伤的疗效观察

临床研究 | 更新时间：2025-12-15

- 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
- 北京中医药 2025年44卷第10期页码：1259-1264
- 作者机构：
  
  中国中医科学院望京医院骨关节二科，北京 100102
- 作者简介：
  
  彭洪凯，男，25岁，硕士研究生。研究方向：骨与关节疾病的基础与临床研究。
  程桯，E-mail：wjyychengting@163.com
- 基金信息：
  
  国家自然科学基金青年科学基金项目(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)
- DOI：10.16025/j.1674-1307.2025.10.007
  中图分类号：
- 收稿：2025-03-16，
  
  纸质出版：2025-10-25
- 稿件说明：
移动端阅览
彭洪凯，程桯，王宏杰，等.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.

PENG Hongkai,CHENG Ting,WANG Hongjie,et al.Clinical efficacy of integrated traditional Chinese and Western medicine in the treatment of acute lateral ankle ligament injury[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(10):1259-1264.
彭洪凯，程桯，王宏杰，等.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. DOI： 10.16025/j.1674-1307.2025.10.007.

PENG Hongkai,CHENG Ting,WANG Hongjie,et al.Clinical efficacy of integrated traditional Chinese and Western medicine in the treatment of acute lateral ankle ligament injury[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(10):1259-1264. DOI： 10.16025/j.1674-1307.2025.10.007.

摘要

目的

观察中医疗法联合POLICE原则（支具保护、适当负重、冰敷、加压包扎、抬高患肢）治疗急性外踝韧带损伤的临床疗效。

方法

纳入2024年6月—2025年2月于中国中医科学院望京医院就诊的急性外踝韧带损伤患者60例，用随机数字表法分为观察组和对照组各30例。2组患者均应用POLICE原则处理，对照组予双氯芬酸二乙胺乳胶剂外用，观察组予中医综合疗法，疗程3周。嘱患者于伤后4~6周进行踝关节康复训练。比较2组患者治疗前、伤后3周、伤后6周的美国足踝外科踝功能（AOFAS）评分、Karlsson评分，以及2组患者治疗前、伤后3个月的患侧踝关节磁共振成像（MRI）评分，并测量距腓前韧带区域信噪比（SNR）。

结果

伤后3周，观察组AOFAS、Karlsson评分均高于对照组（

0.05），伤后3个月SNR低于对照组（

0.05）。2组治疗期间均未发生晕针、滞针等针刺相关反应；2组治疗期间及治疗结束后1周均未发现患侧踝关节皮肤红肿、瘙痒等局部反应，也未发生晕针、滞针等针刺相关反应。

结论

中医疗法联合POLICE原则的疗法有助于急性外踝韧带损伤患者踝关节韧带修复及关节功能恢复，且安全性高。

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 （

0.05）. At 3 months post-injury， SNR in the observation group was lower than that in the control group （

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 obs

erved 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

Keywords

references

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