基于肌筋膜触发理论的刃针治疗跟痛症与小针刀疗法的临床比较研究

Clinical comparison of efficacy of Renzhen and Xiaozhendao on painful heel syndrome based on the theory of myofascial trigger points

目的:比较基于肌筋膜触发理论的刃针及小针刀疗法治疗跟痛症的临床疗效。方法:将符合标准的61例跟痛症患者随机分成刃针组、小针刀组及药物组,刃针组采用刃针在腓肠肌、比目鱼肌等肌肉处有明显压痛点或结节点进行切割,小针刀组则在足跟压痛最明显处予小针刀行切割松解,药物组予洛索洛芬口服,比较3组患者的视觉模拟(Visual Vnalogue Scale,VAS)评分、Maryland足功能评分、临床疗效分级及患者满意度。结果:与洛索洛芬相比,刃针组及小针刀组均可降低VAS评分,增加Maryland评分,提高临床有效率及患者满意度,差异有统计学意义(P<0.05);但除了在患者满意度上刃针组优于小针刀组(P<0.05),其余几项两组间差异无统计学意义(P>0.05)。说明刃针及小针刀在减轻跟痛症患者的疼痛感,改善患足功能等方面疗效接近,而在患者满意率方面刃针优于小针刀。结论:基于肌筋膜触发点理论的刃针可减少跟痛症患者的疼痛感,提高临床疗效,且患者满意度高,更容易被患者接受。

Objective:To compare the clinical efficacy of Renzhen(刃针)and Xiaozhendao(小针刀)on painful heel syndrome based on the theory of myofascial trigger points.Methods:61 cases were randomly divided to the Renzhen group,the Xiaozhendao group and the drug group.The VAS score,Maryland foot function score,clinical efficacy and patient satisfaction of patients in 3 groups were compared.Results:The VAS scores in the Renzhen group and the Xiaozhendao group were significantly lower than the drug group,and the Maryland score,clinical efficiency,and patient satisfaction were significantly higher;and the satisfaction in the Renzhen group was better than the Xiaozhendao group(P<0.05).It is indicated that Renzhen and Xiaozhendao can reduce the pain in patients with painful heel syndrome and improve the function of the foot,and satisfaction rate of the patients treated by Renzhen is better than that of Xiaozhendao.Conclusion:The Renzhen based on the theory of myofascial trigger points can reduce the pain,improve the clinical efficacy and patient’s satisfaction,and easier to be accepted by the patients.