电针透针对功能性踝关节不稳的效果

doi:10.3969/j.issn.1006-9771.2026.04.007

《中国康复理论与实践》 ›› 2026, Vol. 32 ›› Issue (4): 437-444.doi: 10.3969/j.issn.1006-9771.2026.04.007

电针透针对功能性踝关节不稳的效果

董海涛¹, 崔震洋², 高强², 李俊¹, 李静¹()

¹ 山东第二医科大学附属中医院骨伤康复科，山东潍坊市 261000
² 山东第二医科大学康复医学院，山东潍坊市 261000

收稿日期:2025-11-05 修回日期:2026-03-05 出版日期:2026-04-25 发布日期:2026-05-06
通讯作者: 李静，E-mail： 15953630880@163.com
作者简介:董海涛(1994-)，男，汉族，黑龙江黑河市人，硕士，主治医师，主要研究方向：慢性疼痛和运动损伤康复。
李静(1977-)，女，汉族，山东潍坊市人，硕士，副主任医师，主要研究方向：骨伤康复。
基金资助:
山东第二医科大学附属医院科技发展项目(2023FYQ014)

Effect of piercing electroacupuncture on functional ankle instability

DONG Haitao¹, CUI Zhenyang², GAO Qiang², LI Jun¹, LI Jing¹()

¹ Department of Orthopedic Rehabilitation, the Affiliated Hospital of Traditional Chinese Medicine, Shandong Second Medical University, Weifang, Shandong 261000, China
² School of Rehabilitation, Shandong Second Medical University, Weifang, Shandong 261000, China

Received:2025-11-05 Revised:2026-03-05 Published:2026-04-25 Online:2026-05-06
Contact: LI Jing, E-mail: 15953630880@163.com
Supported by:
Science and Technology Development Program of the Affiliated Hospital of Shandong Second Medical University(2023FYQ014)

摘要/Abstract

摘要：

目的探讨电针透针对功能性踝关节不稳患者踝关节肌力、动态平衡功能和主观稳定性的效果。

方法选取2024年4月至2025年7月山东第二医科大学附属中医院收治的功能性踝关节不稳患者48例，随机分为对照组(n = 24)和试验组(n = 24)。对照组接受多模态功能训练，试验组在对照组基础上加用电针透针治疗，共6周。治疗前后采用等速肌力测试系统测量踝关节跖屈、背屈、内翻和外翻相对峰力矩，采用Y平衡测试和坎伯兰踝关节不稳量表(CAIT)进行评定。

结果两组各脱落1例。治疗后，两组各角速度下的跖屈、背屈、内翻和外翻相对峰力矩，Y平衡测试各方向标准化距离和综合评分，以及CAIT评分均较治疗前明显提高(|t| > 2.891, P < 0.01)；除背屈肌力外，试验组各项指标均优于对照组(|t| > 2.104, P < 0.05)。

结论联合电针透针可进一步改善功能性踝关节不稳患者的踝周肌力、动态平衡功能和主观稳定性。

关键词: 功能性踝关节不稳, 透针, 电针, 多模态功能训练

Abstract:

Objective To explore the effect of piercing electroacupuncture on ankle muscle strength, dynamic balance and subjective stability in patients with functional ankle instability (FAI).

Methods A total of 48 patients with FAI admitted to the Affiliated Hospital of Traditional Chinese Medicine, Shandong Second Medical University from April, 2024 to July, 2025 were enrolled and randomly divided into control group (n = 24) and experimental group (n = 24). The control group received multimodal functional training, while the experimental group received piercing electroacupuncture in addition, for six weeks. Relative peak torque of ankle plantarflexion, dorsiflexion, inversion and eversion were measured with isokinetic muscle strength testing system before and after treatment, while Y-Balance Test (YBT) and Cumberland Ankle Instability Tool (CAIT) were adopted for evaluation.

Results One case dropped out in each group. Relative peak torque of ankle plantarflexion, dorsiflexion, inversion and eversion at each angular velocity, the normalized distance in each direction and composite score of YBT, as well as the score of CAIT increased in both groups after treatment (|t| > 2.891, P < 0.01), while all the indicators were better in the experimental group than in the control group (|t| > 2.104, P < 0.05), except dorsiflexion muscle strength.

Conclusion Combination of piercing electroacupuncture can further improve perimalleolar muscle strength, dynamic balance and subjective stability in patients with FAI.

Key words: functional ankle instability, piercing acupuncture, electroacupuncture, multimodal functional training

中图分类号:

R684

董海涛, 崔震洋, 高强, 李俊, 李静. 电针透针对功能性踝关节不稳的效果[J]. 《中国康复理论与实践》, 2026, 32(4): 437-444.

DONG Haitao, CUI Zhenyang, GAO Qiang, LI Jun, LI Jing. Effect of piercing electroacupuncture on functional ankle instability[J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(4): 437-444.

图/表 4

表1

表2

两组治疗前后踝关节相对峰力矩比较"

变量		组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
跖屈	60°/s	对照组	23	前测	0.61±0.11	-9.812	< 0.001
				后测	0.78±0.11
		试验组	23	前测	0.62±0.10	-12.347	< 0.001
				后测	0.88±0.12
		治疗前两组均值差			-0.01±0.11	0.164	0.870
		治疗后两组均值差			0.10±0.12	2.453	0.018
	180°/s	对照组	23	前测	0.32±0.07	-4.553	< 0.001
				后测	0.37±0.08
		试验组	23	前测	0.31±0.08	-8.916	< 0.001
				后测	0.42±0.09
		治疗前两组均值差			-0.01±0.08	0.130	0.897
		治疗后两组均值差			0.05±0.09	2.104	0.041
背屈	60°/s	对照组	23	前测	0.49±0.08	-3.208	0.003
				后测	0.53±0.09
		试验组	23	前测	0.48±0.09	-7.248	< 0.001
				后测	0.58±0.10
		治疗前两组均值差			-0.01±0.09	0.287	0.775
		治疗后两组均值差			0.05±0.10	1.762	0.085
	180°/s	对照组	23	前测	0.25±0.06	-2.891	0.007
				后测	0.28±0.06
		试验组	23	前测	0.24±0.06	-5.882	< 0.001
				后测	0.30±0.07
		治疗前两组均值差			-0.01±0.06	0.530	0.600
		治疗后两组均值差			0.02±0.07	1.227	0.226
内翻	30°/s	对照组	23	前测	0.31±0.06	-7.803	< 0.001
				后测	0.40±0.08
		试验组	23	前测	0.32±0.07	-11.418	< 0.001
				后测	0.48±0.09
		治疗前两组均值差			0.01±0.07	0.736	0.465
		治疗后两组均值差			0.08±0.09	3.152	0.003
	120°/s	对照组	23	前测	0.20±0.05	-6.947	< 0.001
				后测	0.27±0.06
		试验组	23	前测	0.21±0.05	-12.503	< 0.001
				后测	0.35±0.07
		治疗前两组均值差			0.01±0.05	1.110	0.272
		治疗后两组均值差			0.08±0.07	3.888	< 0.001
外翻	30°/s	对照组	23	前测	0.29±0.07	-5.119	< 0.001
				后测	0.35±0.07
		试验组	23	前测	0.28±0.06	-10.581	< 0.001
				后测	0.41±0.08
		治疗前两组均值差			-0.01±0.07	-0.609	0.545
		治疗后两组均值差			0.06±0.08	2.684	0.010
	120°/s	对照组	23	前测	0.18±0.05	-5.631	< 0.001
				后测	0.23±0.05
		试验组	23	前测	0.19±0.04	-11.793	< 0.001
				后测	0.30±0.06
		治疗前两组均值差			0.01±0.05	0.722	0.473
		治疗后两组均值差			0.07±0.06	3.446	0.001

表2

表3

表4

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组别	n	性别(男/女)/n	年龄/岁	身高/cm	体质量/kg	病程/月	患病部位(左/右)/n
对照组	24	11/13	38.72±4.21	169.81±5.64	68.79±6.82	16.45±3.09	10/14
试验组	24	12/12	39.58±4.68	171.05±6.00	70.25±7.30	17.28±3.35	12/12
χ²/t值		0.083	-0.669	-0.738	-0.716	-0.892	0.336
P值		0.773	0.507	0.464	0.478	0.377	0.562

电针透针对功能性踝关节不稳的效果

Effect of piercing electroacupuncture on functional ankle instability

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变量	组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
前向	对照组	23	前测	44.97±3.26	-18.224	< 0.001
			后测	56.28±4.95
	试验组	23	前测	45.21±3.08	-25.391	< 0.001
			后测	67.45±5.14
	治疗前两组均值差			-0.24±3.17	-0.332	0.741
	治疗后两组均值差			11.17±5.05	9.352	< 0.001
后内向	对照组	23	前测	88.14±3.59	-4.783	< 0.001
			后测	91.03±5.42
	试验组	23	前测	87.53±3.41	-21.566	< 0.001
			后测	99.12±4.25
	治疗前两组均值差			0.61±3.50	0.764	0.448
	治疗后两组均值差			8.09±4.87	7.283	< 0.001
后外向	对照组	23	前测	74.21±4.91	-16.348	< 0.001
			后测	87.15±4.76
	试验组	23	前测	73.48±3.22	-26.873	< 0.001
			后测	96.81±5.37
	治疗前两组均值差			0.73±4.18	0.768	0.446
	治疗后两组均值差			9.66±5.08	8.274	< 0.001
综合分	对照组	23	前测	69.88±4.21	-15.637	< 0.001
			后测	78.95±5.33
	试验组	23	前测	69.11±4.15	-29.455	< 0.001
			后测	88.22±5.11
	治疗前两组均值差			0.77±4.18	0.807	0.423
	治疗后两组均值差			9.27±5.23	7.843	< 0.001

组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
对照组	23	前测	15.22±1.12	-15.327	< 0.001
		后测	19.81±2.19
试验组	23	前测	15.17±1.08	-21.044	< 0.001
		后测	23.69±1.97
治疗前两组均值差			-0.05±1.10	0.164	0.870
治疗后两组均值差			3.88±2.08	8.079	< 0.001

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