改良手法牵伸配合针刀松解为主治疗跟骨骨刺综合征的病例对照研究  

Case control study on the treatment of heel spur syndrome with modified stretching manipulation combined with needle Dao loosing

作　　者：罗建昌[1] 郎伯旭[1] L UO Jian-chang;LA NG Bo-xu(Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China)

机构地区：[1]台州市立医院,浙江台州318000

出　　处：《中国骨伤》2018年第6期504-509,共6页China Journal of Orthopaedics and Traumatology

基　　金：浙江省中医药科研基金资助项目(编号:2005C193);台州市科技局资助项目(编号:043253)~~

摘　　要：目的:观察改良跖筋膜牵伸手法配合针刀松解为主治疗跟骨骨刺综合征的临床疗效,并探讨此方法的优点。方法:将115例2010年9月至2015年9月诊断为跟骨骨刺综合征患者分为2组,治疗组58例,男21例,女37例;年龄26~73岁,病程6~51个月;采用改良手法牵伸配合针刀松解治疗。对照组57例,男22例,女35例;年龄31~75,病程7~58个月;采用常规牵伸手法配合针刀松解。分别于治疗后1周、1个月和3个月进行足跟痛NRS评分,采用"Foot and Ankle Ability Measure(FAAM)"量表对两组患者进行疗效评价。结果:治疗组治疗后1、3个月,疼痛NRS评分3.89±0.96,2.46±0.95,均优于对照组的4.52±1.21,4.73±1.11;治疗组FAAM得分率(3.89±0.96)%,(2.46±0.95)%,均优于对照组的(4.52±1.21)%,(4.73±1.11)%;总体疗效治疗组优于对照组。结论:改良跖筋膜牵伸手法配合针刀松解能定位牵伸力点,对跟骨骨刺综合征患者疗效显著,相比传统牵伸手法配合针刀松解有较高的中远期疗效。Objective：To study the clinical effects of modified plantar fascia stretching manipulation combined with needle Dao loosing in the treatment of heel spur syndrome. Methods：From September 2010 to September 2015,115 patients diagnosed as heel spur syndrome were divided into two groups ：treatment group and control group. There were 58 patients in the treatment group,including 21 males and 37 females,ranging in age from 26 to 73 years old,with the course of disease from 6 to51 months. The patients in the treatment group were treated with modified plantar fascia stretching manipulation combined with needle Dao loosing. There were 57 patients in the control group,including 22 males and 35 females,ranging in age from 31 to75 years old,with the course of disease from 7 to 58 months. The patients in the control group were treated with traditonal stretching manipulation combined with needle Dao loosing. The NRS scores of heel pain were evaluated at the 1 st week,1 and3 months after treatment; and the clinical effects of the two groups were evaluated with the Foot and Ankle Ability Measure（FAAM） scale evaluation system. Results：The numerical rating scale（NRS） scores were 3.89 ±0.96 and 2.46 ±0.95 in the treatment group 1 month and 3 months after treatment,which were superior to 4.52±1.21 and 4.73±1.11 in the control group;and the FAAM rates in the treatment group were（3.89±0.96）% and（2.46±0.95）% separately 1 month and 3 months after treatment,which were better than（4.52±1.21）% and（4.73±1.11）% in the control group. The total curative effects of the treatment group were better than that of the control group. Conclusion：The modified plantar fascia stretching manipulation combined with needle Dao loosing can locate the traction point,which has a significant effect on the patients with heel spur syndrome. Compared with traditonal stretching manipulation combined with needle Dao loosing,this modified mainpulation combined with needle knife loosing has better medium to long term effects.

关 键 词：针刀 筋膜炎 足底 手法 骨科 病例对照研究 

分 类 号：R274.9[医药卫生—中西医结合]