温针灸联合髋周筋膜手法治疗慢性足底筋膜炎的临床研究  

Clinical Study of Needle-Warming Moxibustion Combined with Perihip Fascia Manipulation in Treatment of Chronic Plantar Fasciitis

作　　者：吴成钢 刘飞[1] 郑浩 WU Chenggang;LIU Fei;ZHENG Hao(Taihe Hospital Affiliated to Hubei Medical College,Shiyan 442000,China)

机构地区：[1]湖北医药学院附属太和医院,湖北十堰442000

出　　处：《针灸临床杂志》2023年第12期15-19,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：湖北省卫生健康委员会中医药科研项目,编号:ZY2021M057。

摘　　要：目的:探讨温针灸联合髋周筋膜手法治疗慢性足底筋膜炎的疗效。方法:选取2020年6月—2022年6月来本院治疗的慢性足底筋膜炎患者104例,采用区组随机法分为对照组54例和观察组50例,对照组给予髋周筋膜手法,观察组在此基础上联合温针灸疗法,对比两组治疗后临床疗效、治疗前后SF-36评分、AOFAS、NPRS评分和足底筋膜厚度、中医症候积分及血清TNF-α、IL-1β和IL-6水平变化。结果:治疗后观察组疗效明显较高(P<0.05);两组中医主症、次症和总积分较治疗前均明显降低(P<0.05),且观察组降低更显著(P<0.01);治疗后两组AOFAS、NPRS评分和足底筋膜厚度较治疗前均明显改善(P<0.05),且观察组改善更显著(P<0.01);两组患者SF-36量表各条目评分显著升高(P<0.05),并且观察组升高更明显(P<0.01);两组血清TNF-α、IL-1β和IL-6水平较治疗前均明显降低(P<0.05),且观察组降低更显著(P<0.01)。结论:采用温针灸联合髋周筋膜手法治疗慢性足底筋膜炎具有较好的疗效。Objective:To investigate the effect of needle-warming moxibustion combined with perihip fascia manipulation in treatment of chronic plantar fasciitis.Methods:A total of 104 patients with chronic plantar fasciitis were randomly divided into the control group(n=54)and the observation group(n=50)according to block randomized method.The control group was treated with perihip fasciitis manipulation;on which basis,the observation group was also treated with needle-warming moxibustion.Clinical efficacy was compared between the two groups.The scores of SF-36,AOFAS and NPRS,plantar fascia thickness,TCM symptoms score and serum levels of TNF-α,IL-1βand IL-6 were compared between before the treatment and after the treatment in the two groups.Results:The curative effect of the observation group was significantly higher than that of the control group(P<0.05).The scores of main symptoms and secondary symptoms,as well as the total scores of TCM symptoms were significantly decreased after the treatment compared with those before the treatment in the two groups(P<0.05),and the decreases were more significant in the observation group than those in the control group(P<0.01).The scores of AOFAS and NPRS,as well as the plantar fascia thickness were significantly improved after the treatment compared with those before the treatment in the two groups(P<0.05),and the improvements were more significant in the observation group than those in the control group(P<0.01).The scores of SF-36 scale were significantly increased after the treatment compared with those before the treatment in the two groups(P<0.05),and the increases were more obvious in the observation group than those in the control group(P<0.01).The serum levels of TNF-α,IL-1βand IL-6 were significantly decreased after the treatment compared with those before the treatment in the two groups(P<0.05),and the decreases were more significant in the observation group than those in the control group(P<0.01).Conclusion:Needle-warming moxibustion combined with perihip fascia manipul

关 键 词：温针灸疗法 髋周筋膜手法 慢性足底筋膜炎 

分 类 号：R246.2[医药卫生—针灸推拿学]