基于“玄府气液说”自拟中药熏洗方对跟痛症的临床疗效分析  

Analysis of Clinical Effect of Self-prescribed Chinese Medicine Fumigation Recipe for Treatment of Painful Heel Syndrome Based on Sweat Pore Qi-Fluid Theory1211

作　　者：陈博鉴 龚建文[2] 林跃玮 刘文渤 麦秀钧[3] 冯恩辉 黄永明[3] CHEN Bo-Jian;GONG Jian-Wen;LIN Yue-Wei;LIU Wen-Bo;MAI Xiu-Jun;FENG En-Hui;HUANG Yong-Ming(The Second Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Dept,of Orthopedics,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120 Guangdong,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广州中医药大学,广东广州510006 [3]广东省中医院骨关节科,广东广州510120

出　　处：《广州中医药大学学报》2021年第5期920-925,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省自然科学基金项目(编号:2018A030313643);广东省中医药局科研项目(编号:20202073)。

摘　　要：【目的】观察基于"玄府气液说"自拟中药熏洗方治疗跟痛症的疗效及安全性。【方法】将106例跟痛症患者随机分为观察组和对照组,每组各53例。观察组给予黄永明主任医师自拟的中药熏洗方治疗,对照组给予扶他林软膏外涂治疗,疗程为1个月。观察2组患者治疗前后晨起时及久行久站后的足跟痛、足跟压痛的视觉模拟量表(VAS)评分以及简明生活质量量表(SF-36)评分的变化情况,并评价2组患者的临床疗效和安全性。【结果】(1)106例患者中,仅对照组出现1例脱落,其余患者均能接受足够疗程的治疗并获得完整随访资料。(2)治疗1个月后,观察组的总有效率为96.2%(51/53),对照组为82.7%(43/52),组间比较,观察组的疗效明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者晨起时及久行久站后的足跟疼痛、足跟压痛的VAS评分均较治疗前明显改善(P<0.05),且观察组对各项VAS评分的改善作用均明显优于对照组,差异均有统计学意义(P<0.05)。(4)治疗后,2组患者SF-36量表的生理健康评分、心理健康评分及总分均较治疗前明显改善(P<0.05),且观察组对患者SF-36量表的生理健康评分、心理健康评分及总分的改善作用均明显优于对照组,同时,观察组的健康变化评分也明显高于对照组,差异均有统计学意义(P<0.05)。(5)治疗过程中,观察组有2例患者因操作不当而出现轻度烫伤,对症治疗后均能继续完成试验;对照组有1例患者因可疑皮肤过敏而中止试验。【结论】基于"玄府气液说"自拟中药熏洗方治疗跟痛症疗效确切,能有效缓解患者的疼痛症状,提升患者的生活质量。Objective To observe the clinical efficacy and safety of self-prescribed Chinese medicine fumigation recipe in treating painful heel syndrome based on sweat pore qi-fluid theory,a traditional Chinese medicine theory referring to the sweat pore being the passage of the communication of the body and the outside,and the passage o movement of qi,blood and body fluid.Methods A total of 106 patients with painful heel syndrome were randomly divided into observation group and control group,and each group had 53 cases.The observation group was given fumigation with Chinese medicine fumigation recipe prescribed by practitioner HUANG Yong-Ming,and the control group was given external use of Diclofenac Diethylamine Emulgel.The course of treatment covered one month.Before and after treatment,the visual analogue scale(VAS)scores of the heel pain and the VAS scores of heel tenderness in the morning and after long-time walking and standing.and the short-form 36-item health survey(SF-36)scores for the quality of life in the two groups were observed.After treatment,the clinical efficacy and safety in the two groups were evaluated.Results(1)Of the 106 cases,only one case of the control group dropped out,and the other cases were all finished the trial and their clinical data were complete.(2)After treatment for one month,the total effective rate of the observation group was 96.2%(51/53),and that in the control group was 82.4%(43/52).The intergroup comparison showed that the clinical efficacy of the observation group was superior to that in the control group,and the difference was statistically significant(P<0.05).(3)After treatment,VAS scores of the heel pain in the morning and after long-time walking and standing and VAS scores of heel tenderness in the two groups were much improved in comparison with those before treatment(P<0.05),and the improvement of VAS scores in the observation group was superior to that in the control group(P<0.05).(4)After treatment,the scores of physical health and mental health as well as the overall SF-3

关 键 词：中药熏洗方 玄府气液说 跟痛症 足跟疼痛 生活质量 黄永明 

分 类 号：R274.9[医药卫生—中西医结合]