推拿手法配合体外冲击波治疗跟痛症

Clinical observation on the therapeutic effect of massage manipulations combined with an extracorporeal shock wave therapy for heel pain

目的探讨推拿手法配合体外冲击波治疗跟痛症的临床疗效。方法选择2022年6月-2023年7月我院诊治的跟痛症患者60例,按照随机数表法分为对照组与观察组,各30例。对照组接受体外冲击波等常规西医治疗,观察组在对照组基础上联合推拿手法治疗。观察比较2组视觉模拟评分法(VAS)评分、健康调查简表评分(SF-36)、Maryland足功能评分、MCSS评分改善状况,比较2组治疗总有效率、复发状况及治疗安全性。结果2组治疗后VAS评分均降低(P<0.05),且观察组低于对照组(P<0.05);2组治疗后MCSS评分、SF-36评分、Maryland足功能评分均升高(P<0.05),且观察组高于对照组(P<0.05);观察组总有效率(93.3%,28/30)高于对照组(73.3%,22/30)(P<0.05);观察组复发率低于对照组(P<0.05);2组治疗期间均未发生与治疗相关的不良反应。结论推拿手法配合体外冲击波能够有效减轻跟痛症患者疼痛症状,提高足部功能,改善生活质量,复发率较低,疗效明显。

Objective To explore the clinical efficacy of massage manipulations combined with a extracorporeal shock wave therapy for heel pain.Methods Sixty patients with heel pain who were treated in our hospital from June 2022 to July 2023 were selected and randomly divided into two groups,each with 30 cases,using a random number table method.The control group received a conventional western medicine treatment such as extracorporeal shock wave,while the observation group received a combined massage therapy for 2 weeks on the basis of the control group.The improvement of visual analogue scale(VAS)score,SF-36 health survey questionnaire score,Maryland foot function score,and MCSS score were observed and compared between the two groups,and the total effective rate,recurrence,and treatment safety were compared between the two groups.Results The VAS scores of both groups were decreased after treatment(P<0.05),and the observation group was lower than the control group(P<0.05).After treatment,the MCSS scores,SF-36 scores,and Maryland foot function scores were all increased in both groups(P<0.05),and the observation group was higher than the control group(P<0.05).The total effective rate of the observation group was 93.3%(28/30),higher than that of the control group(73.3%,22/30)(P<0.05).The recurrence rate of 3.6%(1/28)was lower in the observation group than that of 22.7%(5/22)in the control group(P<0.05).No treatment-related adverse reactions occurred during the treatment in both groups.Conclusion Tuina manipulations combined with extracorporeal shock waves can effectively alleviate pain symptoms in patients with heel pain,improve foot function,and improve their quality of life,with a lower recurrence rate and a more significant therapeutic effect.