基于“筋骨辨证”理论探讨推拿手法治疗跖筋膜炎的临床疗效

To Explore the Clinical Effect of Massage on Plantar Fasciitis based on the Theory of"Syndrome Differentiation of Muscles and Bones"

目的:在“筋骨辨证”理论指导下,观察推拿手法治疗跖筋膜炎的临床疗效。方法:选取98例2022年12月—2023年8月辽宁中医药大学附属医院治疗的跖筋膜炎患者,随机分为对照组和观察组各49例。对照组采用西药口服联合体外冲击波疗法,观察组在对照组基础上给予推拿治疗。连续治疗4周。比较患者治疗前后视觉模拟评分(VAS)量表、踝-后足功能(AOFAS)评分以及临床疗效。结果:2组患者治疗后与治疗前相比VAS评分明显下降、AOFAS评分明显升高,且观察组明显优于对照组;观察组有效率93.88%,显著高于对照组79.59%,差异均有统计学意义。结论:“筋骨辨证”理论指导下的推拿手法治疗跖筋膜炎,能够有效缓解患者疼痛症状,改善患者足踝功能,值得临床进一步应用。

Objective:To observe the clinical efficacy of massage in the treatment of plantar fasciitis under the guid-ance of the theory of“muscle and bone differentiation”.Methods:A total of 98 patients with plantar fasciitis treated in the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from December 2022 to August 2023 were selected and randomly divided into an observation group and a control group,49 cases in each group.The control group received oral Western medicine combined with extracorporeal shock wave therapy,and the observation group was given massage treatment on the basis of the control group.The treatment lasted for 4 weeks.The visual analogue scale(VAS)scale,ankle-hindfoot function(AOFAS)score and clinical efficacy of the patients were compared before and after treatment.Results:After treatment,the VAS scores of the two groups of patients decreased significantly,and the AOFAS scores increased significantly compared with those before treatment,and the observation group was significant-ly better than the control group;the effective rate of the observation group was 93.88%,which was significantly higher than that of the control group(79.59%),and the differences were statistically significant.Conclusion:Massage manipu-lation under the guidance of the theory of“muscle and bone differentiation”can effectively relieve the pain symptoms of patients and improve the foot and ankle function of patients,which is worthy of further clinical application.