中药熏洗联合小针刀治疗老年跟痛症的近远期疗效观察

Effect of Traditional Chinese Medicine Fumigation Combined with Small Needle-Knife in Treatment of Elderly Patients with Calcaneodynia

目的观察中药熏洗联合小针刀治疗老年跟痛症的近远期疗效。方法选取57例跟痛症患者,按随机数字表分为观察组(n=29)与对照组(n=28)。对照组采取小针刀松解术治疗,观察组在对照组基础上联合中药熏洗,连续治疗2周。比较两组治疗总有效率、治疗前与治疗后1个月的足前掌内侧缘(MFF)、足弓(MF)、足前掌外侧缘(LFF)、足跟内侧缘(MHEEL)、足跟外侧缘(LHEEL)压力,治疗前、治疗后1个月及1年的疼痛情况(采用VAS评估)。结果观察组治疗总有效率为93.10%,显著高于对照组67.86%(P<0.05)。对照组治疗后的LFF较治疗前显著下降、LHEEL较治疗前显著升高(P<0.05),观察组LFF较治疗前显著下降,MF、MHEEL、LHEEL较治疗前显著升高(P<0.05)。观察组治疗后的LFF显著低于对照组、MF、MHEEL、LHEEL显著高于对照组(P<0.05)。两组治疗后的VAS评分均显著减小(P<0.01);观察组治疗后1个月及1年的疼痛评分显著低于对照组(P<0.01)。结论小针刀联合中药熏洗治疗老年跟痛症可有效缓解肌肉组织的紧张与痉挛,改善足底压力与疼痛,近远期疗效优于单纯小针刀治疗,值得推广。

Objective To observe the effect of traditional Chinese medicine fumigation combined with small needle-knife in treatment of elderly patients with calcaneodynia.Methods A total of 57 patients with calcaneodynia were randomly divided into the observation group(n=29)and control group(n=28).The control group was received small needle-knife release surgery,the observation group was additional given traditional Chinese medicine fumigation on the basis of control group,continuous treatment for 2 weeks.The total effective rate,the MFF,MF,LFF,MHEEL,LHEEL before treatment and one month after treatment,the pain(assessed by VAS)before treatment,one month and one year after treatment were compared between the two groups.Results The total effective rate of the observation group was 93.10%,which was significantly higher than that of the control group 67.86%(P<0.05).The LFF in the control group was significantly lower than that before treatment,and LHEEL was significantly higher than that before treatment(P<0.05).The LFF in the observation group was significantly lower than that before treatment,and MF,MHEEL and LHEEL were significantly higher than those before treatment(P<0.05).The LFF in observation group was significantly lower than that in control group,and MF,MHEEL and LHEEL were significantly higher than those in control group(P<0.05).The VAS scores of both groups decreased significantly after treatment(P<0.01).The pain scores at one month and one year after treatment in the observation group were significantly lower than the points in the control group(P<0.01).Conclusion Small needle-knife combined with traditional Chinese medicine fumigation can relieve tension and muscle spasm in muscle tissue and improve plantar stress and pain in treatment of senile calcaneodynia.The short-term and long-term efficacy of combination therapy were better than simple small needle-knife,worthy of promotion.