肌骨超声引导下理筋通络补肾法治疗跖筋膜炎型跟痛症  

Treatment of Metatarsal Fasciitis-Type Heel Pain with Myoskeletal Ultrasound-Guided Kidney Tonic Method with Regulating Tendon and Dredging Collateral

作　　者：李宁 张向阳 徐鹏 卜俊成[2,3] 魏薇[1] 张晓红 苗吉显 薛爱荣 LI Ning;ZHANG Xiangyang;XU Peng;BU Juncheng;WEI Wei;ZHANG Xiaohong;MIAO Jixian;XUE Airong(Henan Integrative Medicine Hospital,Zhengzhou Henan China 450008;Henan University of Chinese Medicine,Zhengzhou Henan China 450046;Medical and Health Newspaper,Zhengzhou Henan China 450046;Luoyang Orthopedic Bone Hospital/Henan Orthopedic Hospital,Zhengzhou Henan China 450046)

机构地区：[1]河南省中西医结合医院,河南郑州450008 [2]河南中医药大学,河南郑州450046 [3]医药卫生报社,河南郑州450046 [4]河南省洛阳正骨医院/河南省骨科医院,河南郑州450046

出　　处：《中医学报》2025年第2期447-452,共6页Acta Chinese Medicine

基　　金：河南省中医药科学研究专项课题项目(20-21ZY2090);河南省中医药青苗人才培养项目{豫卫中医函[2021]16号};河南省中医药拔尖人才培养项目{豫中医科教[2021]15号}。

摘　　要：目的:观察肌骨超声引导下理筋通络补肾法治疗跖筋膜炎型跟痛症的临床疗效。方法:90例跟痛症患者按照随机数字表法分为观察组及对照组各45例。对照组给予传统小针刀行足跟痛点局部松解治疗;观察组给予肌骨超声引导下理筋通络补肾法治疗。比较两组患者治疗前后视觉模拟量表(visual analogue scale,VAS)评分、临床症状及体征总积分、跖筋膜厚度、临床疗效、安全性和满意度。结果:治疗后,观察组有效率为95.55%(43/45)、满意度为88.89%(40/45),高于对照组的77.78%(35/45)、86.67%(39/45),差异均有统计学意义(P<0.05)。治疗后,两组患者VAS评分、临床症状及体征总积分均显著降低(P<0.05),且观察组低于同期对照组(P<0.05)。治疗后,两组患者跖筋膜厚度均显著降低(P<0.05),观察组跖筋膜厚度低于同期对照组(P<0.05)。观察组不良反应发生率为2.23%,明显低于对照组的8.89%(P<0.05)。结论:理筋通络补肾法治疗跖筋膜炎型跟痛症临床疗效显著,可有效减轻跟痛症患者的疼痛感,改善其临床症状及体征,且安全性高。Objective:to observe the clinical efficacy of myoskeletal ultrasound-guided tendon management and kidney tonic method in the treatment of metatarsophalangeal fasciitis-type achalasia.Methods:90 cases of heel pain patients were divided into 45 cases each in the observation group and the control group according to the method of randomized numerical table.In the control group,traditional small needle knife was used for localized release of heel pain;in the observation group,myoskeletal ultrasound-guided treatment was used to treat metatarsal fasciitis with the method of tonifying the kidneys.We compared the visual analogue scale(VAS)score,total score of clinical symptoms and signs,metatarsal fascia thickness,clinical efficacy,safety and satisfaction before and after treatment in the two groups.Results:After treatment,the observation group had an effective rate of 95.55%(43/45)and a satisfaction rate of 88.89%(40/45),which were higher than the 77.78%(35/45)and 86.67%(39/45)of the control group,and the differences were statistically significant(P<0.05).After treatment,VAS scores,total points of clinical symptoms and signs were significantly reduced in both groups(P<0.05),and the observation group was lower than the control group in the same period(P<0.05).After treatment,the thickness of the metatarsal fascia was significantly reduced in both groups(P<0.05),and the thickness of the metatarsal fascia in the observation group was lower than that in the control group during the same period(P<0.05).The incidence rate of adverse reactions in the observation group was 2.23%,which was significantly lower than that of 8.89%in the control group(P<0.05).Conclusion:The treatment of metatarsal fasciitis-type achalasia with the method of regulating tendons and collaterals and tonifying kidneys has remarkable clinical efficacy,which can effectively alleviate the pain of patients with achalasia,improve their clinical symptoms and signs,and has high safety.

关 键 词：跖筋膜炎型 跟痛症 理筋通络补肾法 肌骨超声 

分 类 号：R259.86[医药卫生—中西医结合]