基于肌筋膜触发理论应用刃针治疗跟痛症临床研究  

Clinical Study on Blade Needle for Calcaneodynia Based on the Theory of Myofascial Trigger

作　　者：盘庆东 曾文璧[1] 罗岚[1] PAN Qingdong;ZENG Wenbi;LUO Lan

机构地区：[1]广州中医药大学顺德医院,广东顺德528300

出　　处：《新中医》2018年第10期156-158,共3页New Chinese Medicine

基　　金：佛山市科技局市医学类科技攻关项目(2016AB003923)

摘　　要：目的:探讨基于肌筋膜触发理论应用刃针治疗跟痛症的临床疗效。方法:将跟痛症患者41例随机分为2组,试验组20例采用刃针在腓肠肌上部、比目鱼肌、腓骨长肌、腓骨短肌等有明显压痛点或条索、结节点进行切割;对照组21例予洛索洛芬口服,观察比较2组患者的疼痛视觉模拟评分法(VAS)评分、Maryland足功能评分,并统计2组临床疗效。结果:治疗后,试验组临床疗效优于对照组,差异有统计学意义(P <0.05)。治疗后,2组患者VAS评分、Maryland足功能评分均较治疗前改善(P <0.05);且试验组上述指标改善较对照组更显著(P <0.05)。结论:刃针治疗跟痛症疗效肯定,可显著减轻患者疼痛,改善患足功能。Objective： To explore the clinical effect of blade needle for calcaneodynia based on the theory of myofascial trigger.Methods：Divided 41 cases of patients with calcaneodynia into two groups randomly. Twenty cases of patients in the experiment group received blade needling on obvious tender points,strip or nodule of the upper gastrocnemius muscle,soleus muscle,peroneus longus muscle and peroneus brevis muscle. Twenty one cases of patients in the control group were treated with oral administration of loxoprofen. Observed and compared the scores of visual analogue scale（VAS） and Maryland foot function,and carried out the statistics of the clinical curative effect in the two groups. Results：After treatment,the clinical effect in the experiment group was better than that in the control group,the difference being significant（P〈0.05）. After treatment,scores of VAS and Maryland foot function in the two groups were improved when compared with those before treatment（P〈0.05）,and the improvement in the experiment group was more obvious than that in the control group（P〈0.05）. Conclusion： Blade needle has accurate effect in treating calcaneodynia, which can significantly relieve the pain of patients and improve the foot function.

关 键 词：跟痛症 肌筋膜触发理论 刃针疗法 

分 类 号：R681.8[医药卫生—骨科学] R246.9[医药卫生—外科学]