| ObjectiveThis study objectively evaluates the clinical efficacy of electro-acupuncture combined with PRICE in the treatment of acute ankle sprain by observing the clinical effect of electro-acupuncture combined with PRICE for 2 weeks.The aim is to provide reference for the application and promotion of electro-acupuncture combined with PRICE in the treatment of acute ankle sprain.MethodsAccording to the selection criteria,105 eligible subjects were included in the treatment group.Two patients were dropped out and excluded during the implementation of the project,and 103 cases were actually completed.All the patients were in the emergency department of Orthopaedics and traumatology of Guangdong People' s Hospital and Shenzhen People' s Hospital from March 2017 to February 2018.105 patients were divided into two groups according to the random number table,PRICE+acupuncture group(55 cases)and PRICE group(50 cases).During the implementation of the project,2 cases were dropped and eliminated,103 cases were actually completed,of which 54 cases were in PRICE+acupuncture group and 49 cases in PRICE group.All patients were given five kinds of PRICE nursing after sports trauma,namely protection(P),rest(R),ice compress(ICE,I),compression(C)and elevation(E).The patients in PRICE+acupuncture group(55 cases)were treated by electrotherapy.Main points:The treatment of ankle sprain in "Chinese Acupuncture and Moxibustion Therapy"compiled by Qiu Maoliang was used to select acupoints in Taixi and Kunlun.After 5 minutes of electro-acupuncture,dense wave was used instead of dense wave.The current gradually increased from moderate to strong stimulation,depending on the patient' s tolerance.Once a day,30 minutes each time,five times a week,a week for a course of treatment,continuous treatment for two weeks.After 2 weeks of treatment,the ankle function was evaluated and the ankle scoring and grading system was evaluated.Subjective ankle function was assessed with the Lower Limb Function Scale(LEFs).ActivPal Professional Sports Recorders(Pal Technologies,Glasgow,UK)were used to evaluate the level of sports activities.Diagnostic ultrasound scanning(Episcan-1-200 high-frequency ultrasound scanning system,Longport International Ltd.,PA)will be used to examine the transverse structure of injured and uninjured ankles.The serum levels of TNF-alpha and IL-6 were measured by ELISA before and after treatment,and 5 weeks after treatment.ResultsAfter 2 weeks of treatment,the ankle function was evaluated,and the ankle scoring and grading system was evaluated according to the literature(Table 3).Among them,there were 30 good cases,19 fair cases and 5 poor cases in PRICE+acupuncture group,10 good cases,31 fair cases and 8 poor cases in PRICE group.The clinical efficacy of PRICE+acupuncture group was better than that of PRICE group(P=0.001).On average,participants in the exercise group performed better at each time point,and the overall therapeutic effect was beneficial to the exercise group.In the first and second weeks,the effect of exercise group was significant.For rest pain,active pain or swelling,the clinical efficacy of PRICE+acupuncture group was better than that of PRICE group(P=0.001).There was no significant difference in LEFs between PRICE+acupuncture group and PRICE group before treatment(P>0.05),indicating that the lower limb function level of patients between the two groups was comparable.One week after treatment,there was a significant difference in lower limb function between PRICE+acupuncture group and PRICE group(P<0.05).Two weeks after treatment,the results of lower limb function in PRICE+acupuncture group and PRICE group were significantly lower than those in control group(P<0.01),indicating that the results of lower limb function in PRICE+ acupuncture group and PRICE group were significantly lower than those in control group,and the level of lower limb function in electro-acupuncture group was better than that in control group.See Table 5 and Figure 2.There was no significant difference between PRICE+acupuncture group and PRICE group before treatment(P>0.05),which indicated that there was comparability between the two groups.One week after treatment,PRICE+acupuncture group and PRICE group had significant difference in the result of active pain(P<0.05).Two weeks after treatment,the results of PRICE+acupuncture group and PRICE group were significantly lower than those of control group(P<0.01),indicating that the results of PRICE+ acupuncture group and PRICE group were significantly lower than those of control group in reducing the level of activity pain.See Table 6 and Figure 3.There was no significant difference between PRICE+acupuncture group and PRICE group(P>0.05),indicating that the results of resting pain were comparable between the two groups.One week after treatment,there was a significant difference in the results of resting pain between PRICE+acupuncture group and PRICE group(P<0.05).Two weeks after treatment,the results of resting pain in PRICE+acupuncture group and PRICE group were significantly lower than those in control group(P<0.01),indicating that the results of resting pain in PRICE+acupuncture group and PRICE group were significantly lower than those in control group.See Table 7 and Figure 4.In PRICE+acupuncture group,there was no significant difference in the degree of swelling before treatment between PRICE group and PRICE group(P>0.05),indicating that the degree of swelling between the two groups was comparable.One week after treatment,there was a significant difference in the swelling degree between PRICE+acupuncture group and PRICE group(P<0.05).Two weeks after treatment,the results of swelling degree in PRICE+acupuncture group and PRICE group were significantly lower than those in control group(P<0.01),indicating that the results of swelling degree in PRICE+acupuncture group and PRICE group were significantly lower than those in electro-acupuncture group.See Table 8 and Figure 5.PriCE+acupuncture group and PRICE group had no significant difference in the results of physical activity level before treatment(P>0.05),indicating that the results of physical activity level of patients between the two groups were comparable.One week after treatment,there was significant difference in the results of physical activity between PRICE+acupuncture group and PRICE group(P<0.05).Two weeks after treatment,the results of physical activity level in PRICE + acupuncture group and PRICE group were significantly different(P<0.01),indicating that the results of physical activity level in PRICE+acupuncture group and PRICE group were significantly lower than those in control group.The results of electro-acupuncture group were better than those in control group in reducing the level of physical activity.See Table 9 and Figure 6.There was no significant difference in Carlson score between PRICE+acupuncture group and PRICE group before treatment(P>0.05),which indicated that Carlson score was comparable between the two groups.One week after treatment,there was significant difference in Carlson score between PRICE+acupuncture group and PRICE group(P<0.05).Two weeks after treatment,the Carlson score of PRICE+acupuncture group and PRICE group was significantly lower than that of the control group(P<0.01),indicating that the Carlson score of PRICE+acupuncture group and PRICE group was significantly lower than that of the control group in terms of reducing the Carlson score level.See tables 10 and 7.There was no significant difference in serum TNF-alpha between PRICE+acupuncture group and PRICE group before treatment(P>0.05),which indicated that the serum TNF-alpha was comparable between the two groups.One week after treatment,there was no significant difference in serum TNF-a between PRICE+acupuncture group and PRICE group(P>0.05).Two weeks after treatment,the serum TNF-a levels in PRICE+acupuncture group and PRICE group were significantly lower than those in the control group,P<0.01.The difference was statistically significant.It showed that the serum TNF-a levels in PRICE+acupuncture group and PRICE group were significantly lower than those in the control group.The electro-acupuncture group was better than the control group in reducing the serum TNF-a levels.See Table 11 and Figure 8.There was no significant difference in serum IL-6 between PRICE+acupuncture group and PRICE group before treatment(P>0.05),indicating that serum IL-6 was comparable between the two groups.One week after treatment,there was no significant difference in serum IL-6 between PRICE?acupuncture group and PRICE group(P>0.05).Two weeks after treatment,the serum IL-6 levels in PRICE+acupuncture group and PRICE group were significantly lower than those in the control group(P<0.01),indicating that the serum IL-6 levels in PRICE+acupuncture group and PRICE group were significantly lower than those in the control group.See tables 12 and 9.ConclusionCompared with the standard functional intervention,the short-term ankle function can be significantly improved after ankle sprain combined with electro-acupuncture treatment.We also found evidence that the exercise group did significantly more weight-lifting in the first week after injury.There were no other short-term or long-term differences between the two groups.Clinical efficacy of acupuncture combined with PRICE can significantly promote the recovery of acute ankle sprain. |
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