针刺悬钟合中药热敷治疗跟骨骨刺症疗效观察

Observation on therapeutic effect of acupuncture at Xuanzhong(GB 39) combined with Chinese herbs pyrogenic dressing therapy for treatment of calcaneus spur

目的:比较针刺悬钟合中药热敷法与常规选穴针刺法治疗跟骨骨刺症的临床疗效差异。方法:采用单盲、随机、对照的方法,将66例患者随机分为悬钟合中药热敷组(34例)和常规针刺组(32例)。悬钟合中药热敷组给予针刺悬钟合中药热敷法治疗,常规针刺组按常规选穴针刺治疗,穴取阳陵泉、昆仑等。比较治疗前后两组患者足跟疼痛积分、足跟肿胀积分、足跟灼热感积分、行走功能活动情况积分变化及愈显率。结果:悬钟合中药热敷组的愈显率为64.7%(22/34),常规针刺组为37.5%(12/32),悬钟合中药热敷组优于常规针刺组(P<0.05)。悬钟合中药热敷组在疼痛积分、肿胀积分、灼热感积分、行走功能活动情况及总积分方面的改善程度均优于常规针刺组(均P<0.05)。结论:针刺悬钟合中药热敷法治疗跟骨骨刺症疗效优于常规选穴针刺法。

Objective To compare therapeutic effects of acupuncture at Xuanzhong （GB 39） combined with Chinese herbs pyrogenic dressing therapy and common acupuncture on calcaneus spur. Methods A single-blind, ran- domized and controlled trial was adopted. Sixty-six cases were randomly divided into an observation group （n= 34） and a common acupuncture group （n = 32）. The observation group was treated with acupuncture at Xuanzhong （GB 39） combined with Chinese herbs pyrogenic dressing therapy and the common acupuncture group with common acupuncture, Yanglingquan （GB 34）, Kunlun （BL 60） etc. selected. The markedly effective rate and the changes of heel pain scores, heel swelling scores, heel burning sensation scores, and walking function scores were compared be- tween the two groups before and after treatment. Results The markedly effective rate of 64.7%（22/34） in the ob- servation group was higher than 37.5 % （12/32） in the common acupuncture group （P〈0.05）. After treatment, all the scores in the two groups were significantly improved as compared with before treatment （all P〈0.05）, and the observation group was better than the common acupuncture group （all P〈0.05）. Conclusion The therapeutic effect of acupuncture at Xuanzhong （GB 39） combined with Chinese herbs pyrogenic dressing therapy on calcaneus spur is superior to that of common acupuncture.