摘要
【目的】观察四藤外洗方外洗联合冲击波治疗足底筋膜炎的临床疗效。【方法】将78例足底筋膜炎患者随机分为治疗组和对照组,每组各39例。2组患者均给予常规基础治疗,在此基础上,对照组给予冲击波治疗,治疗组给予四藤外洗方外洗联合冲击波治疗,疗程为4周。观察2组患者治疗前后疼痛视觉模拟量表(VAS)评分、日常生活活动能力量表(ADL)评分、美国矫形外科足踝协会踝-后足功能评分系统(AOFAS)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)治疗4周后,治疗组的总有效率为94.9%(37/39),对照组为69.2%(27/39),组间比较,治疗组的疗效明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的VAS评分均较治疗前明显降低,ADL评分和AOFAS评分均较治疗前明显升高,差异均有统计学意义(P<0.05),且治疗组对VAS评分的降低作用及对ADL评分和AOFAS评分的升高作用均明显优于对照组,差异均有统计学意义(P<0.05)。(3)治疗过程中,2组患者均无明显不良反应发生,患者的血、尿、大便常规和肝肾功能等安全性指标也均无异常变化。【结论】四藤外洗方外洗联合冲击波治疗足底筋膜炎疗效显著,有利于减轻疼痛,改善足踝功能。
Objective To observe the clinical effect of Siteng External Washing Prescription combined with shock wave therapy for the treatment of plantar fasciitis.Methods Seventy-eight patients with plantar fasciitis were randomly divided into treatment group and control group,39 cases in each group.The patients of both groups were given conventional basic treatment,and additionally the control group was given shock wave therapy and the treatment group was given Siteng External Washing Prescription combined with shock wave therapy,the course of treatment lasting 4 weeks.The changes of visual analogue scale(VAS)pain scores,activities of daily living(ADL)scores and American Orthopedic Foot and Ankle Society(AOFAS)Ankle and Hindfoot Scale(AHS)scores were observed in the two groups before and after treatment,and the clinical efficacy and safety of the two groups were evaluated after treatment.Results(1)After 4 weeks of treatment,the total effective rate of the treatment group was 94.9%(37/39),and that of the control group was 69.2%(27/39).The intergroup comparison showed that the curative effect of the treatment group was significantly superior to that of the control group,and the difference was statistically significant(P<0.05).(2)After treatment,VAS scores of the two groups were significantly decreased,while ADL scores and AOFAS-AHS scores were significantly increased compared with those before treatment,and the differences were statistically significant(P<0.05).The effects on decreasing VAS scores and on increasing ADL scores and AOFAS-AHS scores in the treatment group were significantly superior to those in the control group,and the differences were statistically significant(P<0.05).(3)During the treatment,no obvious adverse reaction was found in the patients of the two groups,or there were no abnormal changes occurring in the routine test for blood,urine,and stool,and in the safety indexes such as liver and kidney function.Conclusion Siteng External Washing Prescription combined with shock wave therapy has significant eff
作者
位春巍
陈嘉怡
吴郁锐
郭柱能
郑臣校
WEI Chun-Wei;CHEN Jia-Yi;WU Yu-Rui;GUO Zhu-Neng;ZHENG Chen-Xiao(Graduate School of Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528400 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2021年第10期2127-2131,共5页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
中山市医学科研基金资助项目(编号:2020J138)。
