腓肠肌拉伸训练配合宽筋散治疗跖筋膜炎40例随机对照临床研究  

Randomized Clinical Study on 40 Cases of Plantar Fasciitis Treated by Gastrocnemius Stretching Training and Kuanjinsan

作　　者：吉万波[1] 姜宏[1] 顾庾国 许耀丰 JI Wan-bo;JIANG Hong;GU Yu-guo;XU Yao-feng(Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Traditional Chinese Medicine,Suzhou,Jiangsu,215009,China)

机构地区：[1]南京中医药大学附属苏州市中医医院,江苏苏州215009

出　　处：《中国血液流变学杂志》2020年第4期489-492,538,共5页Chinese Journal of Hemorheology

摘　　要：目的观察腓肠肌拉伸训练配合宽筋散治疗跖筋膜炎的临床疗效.方法2019年01月—2020年01月,采用腓肠肌拉伸训练配合宽筋散治疗40例跖筋膜炎患者,男23例,女17例,年龄39~64岁,平均年龄(51.73±12.29)岁,病程3~6个月.将40例患者按随机数字表法分为治疗组20例和对照组20例.治疗组行腓肠肌拉伸训练,宽筋散外用;对照组口服美洛昔康,疗程20 d.分别统计并比较2组患者治疗后晨起第一步疼痛程度(VAS评分)、VAS-FA评分、踝关节背伸度数.结果治疗组总有效率95.0%,对照组总有效率75.0%,差异有统计学意义(P<0.05).治疗组各项评分明显优于对照组(P<0.05).结论腓肠肌拉伸训练配合宽筋散外用能缓解跖筋膜炎患者晨起疼痛,改善足踝部运动功能.Objective To observe the clinical effect of gastrocnemius stretching training combined with Kuanjinsan in the treatment of plantar fasciitis.Methods From January 2019 to January 2020,40 patients,including 23 males and 17 females,aged 39-64 years old,with an average age of(51.73±12.29)years old,were treated with gastritis stretching training combined with Kuanjinsan.The course of disease ranged from 3 to 6 months.40 patients were randomly divided into treatment group(n=20)and control group(n=20).In the treatment group,gastrocnemius muscle stretching training was performed with Chinese herbal medicine for externally using.The control group took meloxicam orally for 20 days.After treatment,the first pain degree,VAS-FA scores,and ankle back extension range of patients in the two groups were respectively counted and compared.Results The total effective rate of the treatment group was 95.0%,and the total effective rate of the control group was 75.0%,the difference was statistically significant(P<0.05).The scores of the treatment group were significantly better than those of the control group(P<0.05).Conclusion Gastrocnemius stretching training combined with external use of Kuanjinsan can relieve morning pain in patients with plantar fasciitis and improve the movement function of the foot and ankle.

关 键 词：跖筋膜炎 腓肠肌拉伸 宽筋散 

分 类 号：R686.3[医药卫生—骨科学]