Clinical Study On The Curative Of Contralateral Acupuncture On Acute Sprain Of Ankle

Objective:To explore the contralateral needling method on treating acute ankle sprain for the clinical curate effect and its safety, and then to provide a clinical basis for the best science for future clinical application..Methods:90 cases of patients were randomly assigned to contralateral needling group, common acupuncture group and RICE group. The test group A with contralateral needling method, through the selection of the affected foot on the side of the wrist, on the wrist take pressing method find Ashi points, and acupuncture on ahshi-point, the sanme time, Asking the patient motion of ankle joint, retaining needle for 20 minutes. Control group B with common acupuncture method, according to Shi Xuemin, chief editor of the "Eleventh Five Year Plan" textbooks acupuncture standard prescription for ankle sprains, selection of Shen Mai, Kunlun, Jie Xi, Taichong, Qiuxu point. In the control group C, the principle of RICE treatment was adopted in the western medicine standard, namely, the brake, the ice compress, the compression bandage, the elevation of the affected limb. Treatment for 1 week, acupuncture once a day study with pain, swelling, range of motion and kofoed score as the main observation indexes, respectively before treatment, the first treatment,7 times after treatment were observation index score, finally sorting data, statistical analysis, make a scientific system of evaluation.Results:Group VAS first treatment after the score, the seventh time after treatment score before and after treatment score compared three groups has statistical significance (P<0.05); group in after the first treatment score comparison, contralateral needling group mean scores were higher than that of routine acupuncture group and RICE group, the difference has statistical significance(P<0.05), but in between the two groups after the treatment of the seventh score, the difference was not statistically significant (P>0.05).Group joint activity first treatment after the score, the seventh time after treatment score before and after treatment score compared three groups has statistical significance (P<0.05); group in after the first treatment score comparison, contralateral needling group mean scores were higher than that of routine acupuncture group and RICE group, the difference has statistical significance(P<0.05), but in between the two groups after the treatment of the seventh score, the difference was not statistical significance(P>0.05).Three groups of joint swelling degree for the first time after treatment score before and after treatment score comparison within group differences were not statistically significant(P>0.05), the seventh treatment score before and after treatment score comparison group has statistical significance (P<0.05); group between joints swelling after the first treatment score and seven times in the treatment of score, the difference between the three groups were not statistically significant(P>0.05).Each group after treatment compared with before treatment, the score of kofoed has statistical significance (P<0.001);among the three groups after treatment score kofoed comparison not statistically significant (P>0.05). This shows needling method and ordinary acupuncture, RICE principle in the treatment of acute ankle sprain treatment effect has the same advantage.Conclusion:The three methods in the treatment of acute ankle sprain is effective, can ease pain, swelling and improve the ankle function. In pain relief and needling method and principle of common acupuncture and RICE can improve the acute sprain of ankle pain, but needling method in instant analgesic effect, the effect is obvious.In ease joint activity, needling method, ordinary acupuncture and RICE can improve the activity of ankle joint, but needling method to improve the joint activity, the immediate effect of significantly.In terms of improvement of joint swelling, needling method, ordinary acupuncture and RICE can improve the degree of ankle swelling, three equivalent efficacy.Kofoed score of the total excellent and good rate. The experimental group, the excellent and good rate and two control groups had no significant difference, but the contralateral needling method has the advantages of simple operation, patient compliance is better, and it is the clinical treatment of acute ankle sprain is a simple and effective method, is worthy to be popularized in clinic.