中药熏洗联合局部注射治疗跟痛症的临床研究  

The Clinical Research of Herbal Fumigation and Wash Therapy Combined with Local Injection in Treating Calcaneodynia

作　　者：娄纯彪 刘蓓 刘茜 常新 邓爱为 贾歧高 LOU Chunbiao;LIU Bei;LIU Qian;CHANG Xin;DENG Aiwei;JIA Qigao(The Third People's Hospital of Hcze,Heze 274031 ,Shandong China.)

机构地区：[1]山东菏泽市第三人民医院,山东菏泽274301

出　　处：《中国中医骨伤科杂志》2019年第3期20-22,28,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:探讨中药熏洗配合局部注射治疗跟痛症的临床疗效。方法:将2015年12月至2018年2月门诊诊治并符合纳入标准的110例跟痛症患者,随机分为两组,观察组55例,对照组55例。观察组采用自拟外洗方熏洗,配合局部注射及功能锻炼,而对照组仅采用局部注射,不采用中药熏洗,余治疗相同,治疗后12个月采用中医病证诊断疗效标准、视觉模拟评分(VAS)及美国足踝外科协会(AOFAS)踝-后足功能评分以评定患者的临床疗效。结果:治疗后12个月随访根据中医病证诊断疗效标准观察组总有效率96.36%,对照组72.73%,两组间差异有统计学意义(P<0.05);两组患侧治疗后12个月时VAS评分及AOFAS踝-后足功能评分较治疗前相比均明显改善,差异有统计学意义(P<0.05),且两组之间中药组较对照组也存在明显改善,差异有统计学意义(P<0.05)。结论:中药熏洗配合局部注射及功能锻炼对于减轻疼痛,缓解症状,具有疗效稳定、好转率高等临床效果和意义。Objective:To investigate the clinical effect of herbal fumigation and wash therapy combined with local injection in treating sinus tarsi syndrome.Methods:110 out-patient department cases of tarsal sinus syndrome patients from 2015-12 to 2018-02 were randomly divided into two groups,traditional Chinese medicine(TCM)group(55 cases)and control group(55 cases).The TCM group treated with herbal fumigation and wash therapy,combined with local injection and functional exercises,while the control group use local injection only,and the other treatment the same to the TCM group.After 12 months,we assessed the clinical efficacy of patients by the evaluation of TCM,visual analogue scale(VAS)and the American association of foot and ankle surgery(AOFAS)ankle hindfoot score(P<0.05),and there were significantly improvement in the VAS score and the AOFAS ankle hindfoot score in both groups than before.Results:12 months after treatment,the follow-up assessment is that there were significant improvement in both groups,TCM group 96.36% and control group 72.73%separately,both were statistically significant.The TCM group were better than control group in the excellent rate of the evaluation of TCM and VAS and the AOFAS ankle hindfoot score(P<0.05).Conclusion:The herbal fumigation and wash therapy combined with local injection and functional exercise can significantly relieve the symptoms.

关 键 词：跟痛症 熏洗 局部注射 功能锻炼 

分 类 号：R681.8[医药卫生—骨科学]