崴脚了怎么办？看这一篇就够了！
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">崴脚是<span style="color: black;">平常</span>生活及运动中经常<span style="color: black;">出现</span>的<span style="color: black;">损害</span>。崴脚多见为旋后型<span style="color: black;">损害</span>，<span style="color: black;">便是</span>脚心向内，足背向前外侧，这种最<span style="color: black;">平常</span>的<span style="color: black;">损害</span><span style="color: black;">首要</span><span style="color: black;">出现</span>于足踝的外侧，<span style="color: black;">显现</span>外踝的外侧及前侧肿胀、<span style="color: black;">病痛</span>及活动受限。今天<span style="color: black;">咱们</span>就来聊聊“崴脚”<span style="color: black;">关联</span>的<span style="color: black;">专题</span>。 </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q4.itc.cn/q_70/images03/20240804/c3be062512394a65aea3f4e16eb9f3d5.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><img src="https://q8.itc.cn/q_70/images03/20240804/e1de14e8d968407ca1406213639b9cd4.png" style="width: 50%; margin-bottom: 20px;"></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">崴脚是<span style="color: black;">平常</span>生活及运动中经常<span style="color: black;">出现</span>的<span style="color: black;">损害</span>。崴脚后踝部和<span style="color: black;">脚步</span>会<span style="color: black;">显现</span><span style="color: black;">区别</span>部位、<span style="color: black;">区别</span>程度的<span style="color: black;">病痛</span>、肿胀，行走困难等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><img src="https://q5.itc.cn/q_70/images03/20240804/4a9815c720334e89a0ed57d49d1da5fd.png" style="width: 50%; margin-bottom: 20px;"></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">初期</span>处理的原则应遵循以下原则： </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">1.<span style="color: black;">休憩</span></span></strong>，<span style="color: black;">亦</span><span style="color: black;">便是</span>即刻不要再行走了，应制动<span style="color: black;">休憩</span>； </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">2.冷敷</span></strong>，可就近超市或药店购买冰袋<span style="color: black;">或</span>冰激凌，包裹薄层衣物后裹在肿胀处，便于止痛和<span style="color: black;">掌控</span><span style="color: black;">初期</span><span style="color: black;">流血</span>肿胀； </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">3.加压包扎</span></strong>，<span style="color: black;">要求</span><span style="color: black;">准许</span>时可用弹力带局部略加压包扎，有利于<span style="color: black;">掌控</span>肿胀并<span style="color: black;">加强</span>局部稳定性； </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">4.抬高下肢</span></strong>，<span style="color: black;">能够</span>促进下肢静脉回流，有助于局部消肿。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><img src="https://q5.itc.cn/q_70/images03/20240804/9d7573c34b794c50848bff8928f3bce6.png" style="width: 50%; margin-bottom: 20px;"></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">平常</span>崴脚多见为旋后型<span style="color: black;">损害</span>，<span style="color: black;">便是</span>脚心向内，足背向前外侧，这种最<span style="color: black;">平常</span>的<span style="color: black;">损害</span>处<span style="color: black;">首要</span><span style="color: black;">出现</span>于足踝的外侧，可能<span style="color: black;">出现</span>骨折或韧带撕裂等。此时<span style="color: black;">病人</span>可能还<span style="color: black;">能够</span>忍痛行走，<span style="color: black;">然则</span>有时扭伤的力量太大，还可能<span style="color: black;">出现</span></span><span style="color: black;"><strong style="color: blue;">踝关节骨折、脱位<span style="color: black;">或</span><span style="color: black;">周边</span>韧带<span style="color: black;">损害</span></strong></span><span style="color: black;">，<span style="color: black;">此时</span>就难以行走了。<span style="color: black;">另外</span>还应<span style="color: black;">检测</span><span style="color: black;">有没有</span>中足压痛<span style="color: black;">损害</span>。部分体育运动中崴脚的人还可能<span style="color: black;">出现</span>足跟后侧的跟腱断裂。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">少许</span>旋前型<span style="color: black;">损害</span>，如脚心向外且足背向内<span style="color: black;">损害</span>时，还<span style="color: black;">必须</span><span style="color: black;">重视</span>小腿近端外侧<span style="color: black;">是不是</span>有压痛、叩击痛，偶尔会<span style="color: black;">出现</span>腓骨近端的骨折。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q1.itc.cn/q_70/images03/20240804/6bd391b86fbb4164878117f915bca943.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><img src="https://q7.itc.cn/q_70/images03/20240804/9ff3c41216a94b62894683c64ee3bbc5.png" style="width: 50%; margin-bottom: 20px;"></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">崴脚后可先<span style="color: black;">自动</span>判断一下， <span style="color: black;"><strong style="color: blue;"><span style="color: black;">倘若</span>当时足踝<span style="color: black;">显现</span>了<span style="color: black;">显著</span>畸形</strong><strong style="color: blue;">，</strong></span><strong style="color: blue;"><span style="color: black;">应该立即到<span style="color: black;">周边</span>医院的骨科<span style="color: black;">或</span>外科就诊</span></strong>，<span style="color: black;">知道</span>骨折或脱位<span style="color: black;">状况</span>。<span style="color: black;">倘若</span><span style="color: black;">无</span><span style="color: black;">显著</span>可见的畸形，可先严格<span style="color: black;">按照</span><span style="color: black;">以上</span>的4条<span style="color: black;">初期</span>处理原则，3天后观察<span style="color: black;">病痛</span>及肿胀消退程度，<span style="color: black;">显著</span>缓解时可在护踝<span style="color: black;">守护</span>下逐步负重行走。<span style="color: black;">倘若</span><span style="color: black;">病痛</span>或局部压痛依然很<span style="color: black;">显著</span>，<span style="color: black;">意见</span>骨科就诊。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><img src="https://q2.itc.cn/q_70/images03/20240804/c64887e31d5f4cd58e298863efcddbfc.png" style="width: 50%; margin-bottom: 20px;"></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">通常</span>骨科医师会<span style="color: black;">仔细</span>询问病史、查体，得出初步的判断。最常规的<span style="color: black;">检测</span>应<span style="color: black;">包括</span>踝关节正侧位X线片及足正斜位X线片，<span style="color: black;">这般</span>可对足踝部骨骼<span style="color: black;">是不是</span><span style="color: black;">显现</span>骨折进行初步全貌判断。骨肌超声、CT、MRI会<span style="color: black;">按照</span><span style="color: black;">状况</span>酌情<span style="color: black;">选取</span><span style="color: black;">检测</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q9.itc.cn/q_70/images03/20240804/9020fb16c77a4cc5b04feb4e61463796.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>X线<span style="color: black;">检测</span><span style="color: black;">发掘</span>骨折移位<span style="color: black;">显著</span>，<span style="color: black;">思虑</span>到关节不稳、移位过大（超过2mm）影响日后愈合时，<span style="color: black;">意见</span>手术治疗。<span style="color: black;">兴趣</span>运动的人<span style="color: black;">倘若</span><span style="color: black;">出现</span>了跟腱断裂且断端回缩<span style="color: black;">显著</span>时<span style="color: black;">亦</span><span style="color: black;">意见</span>手术治疗。 </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q1.itc.cn/q_70/images03/20240804/978aa2183b794363bcd7935a3b1eeb19.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">基本上，移位<span style="color: black;">少于</span>2mm的撕脱骨折都<span style="color: black;">能够</span><span style="color: black;">初期</span>先<span style="color: black;">选取</span>保守治疗，即石膏或支具固定6周，<span style="color: black;">时期</span>功能<span style="color: black;">熬炼</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q0.itc.cn/q_70/images03/20240804/fe0ac99b231a4c55a15a3398d381d0b5.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><img src="https://q9.itc.cn/q_70/images03/20240804/b4beed8b39ff47199b420e6d50b3e931.png" style="width: 50%; margin-bottom: 20px;"></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">亦</span>不完全是。移位不大的骨折<span style="color: black;">必须</span><span style="color: black;">初期</span>石膏<span style="color: black;">或</span>支具固定6周后方能<span style="color: black;">逐步</span>负重。踝关节<span style="color: black;">周边</span>韧带<span style="color: black;">损害</span>，尤其外侧韧带<span style="color: black;">损害</span>最<span style="color: black;">平常</span>，需规范治疗，否则日后可能<span style="color: black;">显现</span><span style="color: black;">病痛</span>、踝部不稳，就得<span style="color: black;">必须</span>手术了。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q3.itc.cn/q_70/images03/20240804/353496b173984e94ab9b215bb1648c5f.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">韧带<span style="color: black;">损害</span><span style="color: black;">通常</span>有<span style="color: black;">区别</span>程度，分度越高<span style="color: black;">损害</span><span style="color: black;">亦</span>就越重，<span style="color: black;">能够</span>简单理解为I-II度相对较轻，III-IV度<span style="color: black;">损害</span>较重。无论<span style="color: black;">损害</span>轻重，<span style="color: black;">初期</span>均应石膏<span style="color: black;">或</span>硬质支具固定2-3周，<span style="color: black;">协同</span>逐步进行的功能<span style="color: black;">熬炼</span>，<span style="color: black;">逐步</span><span style="color: black;">恢复</span>恢复。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q9.itc.cn/q_70/images03/20240804/aa400cc48f774b729766580e9108b5de.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">针对</span><span style="color: black;">能够</span>保守治疗的<span style="color: black;">损害</span>，<span style="color: black;">通常</span>伤后<span style="color: black;">休憩</span>止痛对症治疗，4-6周<span style="color: black;">就可</span>逐步恢复伤前的功能。<span style="color: black;">必须</span>手术的<span style="color: black;">病人</span><span style="color: black;">恢复</span>的时间相对较长，老话讲“伤筋动骨一百天”，基本<span style="color: black;">亦</span>得三个多月。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">通常</span><span style="color: black;">病人</span>经过恰当的<span style="color: black;">检测</span>诊断和正确的<span style="color: black;">初期</span>处理，结合规范的治疗及<span style="color: black;">恢复</span><span style="color: black;">熬炼</span>，<span style="color: black;">通常</span>很少<span style="color: black;">显现</span><span style="color: black;">副作用</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q0.itc.cn/q_70/images03/20240804/75833c7ecc274f1c929c114d9a1436a9.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q9.itc.cn/q_70/images03/20240804/913650161562452091948a353aa05d24.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">首先，<span style="color: black;">意见</span><span style="color: black;">区别</span>人群<span style="color: black;">按照</span>自己的能力</span><strong style="color: blue;"><span style="color: black;"><span style="color: black;">选取</span>恰当的运动项目</span></strong><span style="color: black;">，接受专业人士的<span style="color: black;">指点</span>，运动前做好热身，进入良好的状态，不要强求。其次，</span><strong style="color: blue;"><span style="color: black;">要穿合适的鞋，走平路</span></strong><span style="color: black;">，避免在坡道、不平整的、雨水坑洼<span style="color: black;">或</span>结冰等路面行走。最后，当今社会<span style="color: black;">大众</span>似乎人人手机在手，</span><strong style="color: blue;"><span style="color: black;">路上低头看信息、刷视频</span></strong><span style="color: black;">、找排行榜等等，</span><strong style="color: blue;"><span style="color: black;">会<span style="color: black;">忽略</span>了路况变化</span></strong><span style="color: black;"><strong style="color: blue;"><span style="color: black;">，容易<span style="color: black;">出现</span>意外，劝诫<span style="color: black;">大众</span>避免<span style="color: black;">以上</span><span style="color: black;">状况</span></span></strong></span><strong style="color: blue;"><span style="color: black;">。</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">以上是<span style="color: black;">相关</span>崴脚的讲解，<span style="color: black;">期盼</span>对广大听众有所<span style="color: black;">帮忙</span>，面对崴脚，<span style="color: black;">大众</span>学会正确<span style="color: black;">初期</span><span style="color: black;">检测</span>处理，<span style="color: black;">早点</span>恢复健康。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q0.itc.cn/q_70/images03/20240804/77be67ec3a184de599e9101a1d595d10.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">本期专家</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">曾宪铁</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">天津市天津医院足踝外科二病区科<span style="color: black;">专家</span>，<span style="color: black;">专家</span>医师，硕士生导师</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">本期专家：天津大学天津医院曾宪铁</span></p>
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