【目的】 观察针刺“五虎穴”配合摇拔戳手法治疗急性踝关节扭伤的临床疗效。【方法】 选取2022年1月至2024年3月 贵州航天医院住院和门诊就诊的142例明确诊断为急性踝关节扭伤患者为研究对象。按照随机数字表法将患者随机分为观察 组和对照组，每组各71例。对照组给予常规RICE原则（休息、冰敷、加压、抬高）治疗及摇拔戳手法治疗，每2 d治疗1次， 共治疗 8 次。观察组在对照组治疗的基础上，给予针刺“五虎穴”治疗，每天治疗 1 次，共治疗 3 d。治疗半个月后，评 价 2 组的临床疗效。观察2组患者治疗前后疼痛视觉模拟量表（VAS）评分、Kofoed评分的变化情况，以及踝关节肿胀程度的 情况。比较2组患者治疗前后中医证候积分的变化情况。【结果】（1）治疗后，2组患者的疼痛VAS评分、踝关节肿胀程度、中 医证候积分均明显改善（P＜0.05），且观察组在改善疼痛 VAS评分、踝关节肿胀程度、中医证候积分方面明显优于对照组， 差异有统计学意义（P＜0.05）。（2）治疗后，2组患者的Kofoed评分均明显改善（P＜0.05），且观察组在改善Kofoed评分方面明 显优于对照组，差异有统计学意义（P＜0.05）。（3）观察组总有效率为90.14%（64/71），对照组为69.01%（49/71）。观察组疗效 优于对照组，差异有统计学意义（P＜0.05）。【结论】 针刺“五虎穴”配合摇拔戳手法治疗急性踝关节扭伤，能够明显改善患 者的疼痛症状，消除肿胀，提高患者的踝关节功能，临床疗效显著。

Objective To evaluate the clinical efficacy of “Five-Tiger Points” Acupuncture combined with ShakingTraction-Thrusting Manipulation in treating acute ankle sprain. Methods A total of 142 patients diagnosed with acute ankle sprain at Guizhou Aerospace Hospital between January 2022 and March 2024 were enrolled. The patients were randomly divided into an observation group and a control group using a random number table method， with 71 cases in each group. The control group received RICE （Rest，Ice，Compression，Elevation） protocol plus Shaking-Traction-Thrusting Manipulation every 2 days for 8 sessions. The observation group received additional daily “Five-Tiger Points” Acupuncture for 3 consecutive days. After two weeks，clinical efficacy was assessed by comparing visual analogue scale （VAS） pain scores， Kofoed ankle function scores， swelling degree， and traditional Chinese medicine （TCM） syndrome scores between groups. Results （1） After treatment，both groups of patients showed significant improvements in pain VAS scores，ankle swelling severity，and TCM syndrome scores （P＜0.05）. The observation group demonstrated significantly superior improvements compared to the control group， with statistically significant differences （P＜0.05）.（2） After treatment，both groups of patients showed significant improvements in Kofoed scores （P＜0.05）. The observation group demonstrated significantly superior improvements compared to the control group，with statistically significant differences （P＜0.05）.（3） The overall efficacy rate was 90.14% （64/71） in the observation group and 69.01% （49/71） in the control group. The observation group demonstrated superior efficacy compared to the control group， with statistically significant differences （P＜0.05）. Conclusion Combining “Five-Tiger Points” Acupuncture with Shaking-TractionThrusting Manipulation significantly alleviates pain， reduces swelling， and enhances ankle function in acute ankle sprain patients，demonstrating superior clinical efficacy.

R246.9

贵州省卫健委科学技术基金项目（编号：gzwkj2022-441）；遵义市科技与大数据局科技计划项目[编号：遵字科合HZ字（2023）417号]