摘要
【目的】观察关节肿痛散熏洗联合体外冲击波治疗气滞血瘀型跖腱膜炎的临床疗效。【方法】将60例气滞血瘀型跖腱膜炎患者随机分为对照组和观察组,每组各30例。对照组给予体外冲击波治疗,观察组给予体外冲击波联合关节肿痛散熏洗治疗,疗程为4周。观察2组患者治疗前后足跟部疼痛视觉模拟量表(VAS)评分和患侧足部功能美国足踝外科协会踝-后足评分系统(AOFAS-AH)评分的变化情况,并评价2组的临床疗效。【结果】(1)治疗4周后,观察组的总有效率为93.3%(28/30),对照组为80.0%(24/30);组间比较,观察组的总体疗效(秩和检验)和总有效率(卡方检验)均明显优于对照组,差异均有统计学意义(P<0.05)。(2)治疗后,2组患者的VAS评分均较治疗前明显降低(P<0.05),且观察组对VAS评分的降低作用明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者AOFAS-AH各维度评分及其总分均较治疗前明显提高(P<0.05),且观察组对AOFAS-AH各维度评分及其总分的提高作用均明显优于对照组,差异均有统计学意义(P<0.05)。【结论】关节肿痛散熏洗联合体外冲击波治疗跖腱膜炎的临床疗效显著,能有效缓解足跟疼痛症状和改善患侧足部功能,其疗效优于单纯体外冲击波治疗。
Objective To observe the therapeutic effect of Guanjie Zhongtong Powder fuming and washing combined with extracorporeal shock wave therapy for the treatment of plantar fasciitis of qi stagnation and blood stasis type. Methods Sixty patients with plantar fasciitis of qi stagnation and blood stasis type were randomly divided into control group and observation group, 30 cases in each group. The patients in the control group received the treatment of extracorporeal shock wave therapy,and the patients in the observation group received the treatment of Guanjie Zhongtong Powder fuming and washing combined with extracorporeal shock wave therapy. The treatment in the two groups lasted for 4 continuous weeks. Before and after treatment,the heel pain visual analogue scale(VAS)scores and the scores of American Orthopaedic Foot and Ankle Society Ankle Hindfoot Scale(AOFAS-AH)in the two groups were observed. After treatment,the clinical efficacy of both groups were evaluated. Results (1)After treatment for 4 weeks,the total effective rate in the observation group was 93.3%(28/30),and that in the control group was 80.0%(24/30). The intergroup comparison showed that the overall efficacy by rank sum test and the total effective rate by Chi-square test in the observation group were obviously superior to those in the control group,and the differences were statistically significant(P<0.05).(2)After treatment,the VAS scores in the two groups were obviously decreased in comparison with those before treatment(P < 0.05),and the decrease in the observation group was superior to that in the control group,the difference being statistically significant(P <0.05).(3)After treatment,the scores of each dimension of AOFAS-AH and the overall AOFAS-AH scores in the two groups were obviously increased in comparison with those before treatment(P < 0.05),and the increase of the scores of each dimension of AOFAS-AH and the overall AOFAS-AH scores in the observation group was superior to that in the control group, the difference being statistically sig
作者
叶达成
庞瑞明
邱世诚
李艺文
曲震
YE Da-Cheng;PANG Rui-Ming;QIU Shi-Cheng;LI YI-Wen;QU Zhen(Bao'an Traditional Chinese Medicine Hospital Afiliated to Guangzhou University of Chinese Medicine,Shenzhen 518100 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2021年第6期1143-1148,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
关节肿痛散
体外冲击波
气滞血瘀型
跖腱膜炎
Guanjie Zhongtong Powder
extracorporeal shock wave
qi stagnation and blood stasis type
plantar fasciitis
