中医循经理筋手法结合离心运动训练治疗跟痛症的临床效果  

Clinical effect of traditional Chinese medicine massage along meridian and eccentric exercise training for patients with heel pain

作　　者：吴穗琼 潘永雄 WU Suiqiong;PAN Yongxiong(The Eighth Ward of Orthopaedics,Guangzhou Orthopedic Hospital,Guangdong Province,Guangzhou 510000,China)

机构地区：[1]广州市正骨医院骨伤八区,广东广州510000

出　　处：《中国当代医药》2024年第30期101-104,共4页China Modern Medicine

摘　　要：目的观察中医循经理筋手法结合离心运动训练治疗跟痛症的临床效果。方法选取2022年1月至2023年3月广州市正骨医院收治的60例跟痛症患者作为研究对象,按照随机数字表法将患者分为观察组(30例)和对照组(30例)。对照组采用中药熏洗及常规跟腱训练治疗,观察组采用中医循经理筋手法结合离心运动训练治疗,均持续1个月。比较两组患者的视觉模拟评分法(VAS)评分、临床疗效及美国矫形足踝协会踝-后足评分(AO-FAS-AH)。结果两组患者治疗后的VAS评分均低于本组治疗前,AOFAS-AH评分均高于本组治疗前,差异有统计学意义(P<0.05)。观察组治疗后的VAS评分低于对照组,AOFAS-AH评分高于对照组,差异有统计学意义(P<0.05)。观察组治疗后的痊显率高于对照组,差异有统计学意义(P<0.05)。结论中医循经理筋手法结合离心运动训练治疗跟痛症具有一定效果,能改善患足跟腱及足底的疼痛及功能,安全有效。Objective To evaluate the clinical effect of traditional Chinese medicine massage along meridian and eccentric exercise training for patients with heel pain.Methods A total of 60 patients with heel pain in Guangzhou Orthopedic Hospi-tal from January 2022 to March 2023 were selected as research objects,and they were divided into observation group(30 cases)and control group(30 cases)according to the random number table method.The control group was treated with tradi-tional Chinese medicine fumigation and conventional achilles tendon training,and the observation group was treated with traditional Chinese medicine massage along meridian and eccentric exercise training.The visual analogue scale(VAS)score,clinical efficacy and American Orthopaedic Foot and Ankle Association ankle-hindfoot score(AOFAS-AH)were compared between the two groups.Results The VAS scores of the two groups after treatment were lower than those before treatment,and the AOFAS-AH scores were higher than those before treatment,and the differences were statistically significant(P<0.05).After treatment,the VAS score of the observation group was lower than that of the control group,and the AOFAS-AH score was higher than that of the control group,and the differences were statistically significant(P<0.05).The recovery rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical effect of traditional Chinese medicine massage along meridian and eccentric exercise training for patients with the heel pain is good,which can ease the heel pain and improve the function of foot.

关 键 词：循经理筋手法 离心运动训练 跟痛症 中药熏洗 

分 类 号：R274[医药卫生—中医骨伤科学]