针刺风池穴配合中药外用治疗跟痛症的临床观察
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摘要
目的：阐述跟痛症的现代研究进展,评价针刺风池穴配合中药外用治疗跟痛症的临床效果,并与跟痛症痛点封闭治疗对比,分析观察结果,为跟痛症的临床治疗提供科学依据。
方法：按照严格的诊断标准,选择2010年03月-2010年10月来黑龙江中医药大学第一附属医院门诊求治的跟痛症患者60例为研究对象,随机分成两组,每组30例,即治疗组(针刺风池穴配合中药外用组)和对照组(痛点封闭组)。治疗前后分别给予评价并打分,并对其评测结果进行比较分析与疗效评价。
结果：治疗3周后,因不可抗力60例研究对象脱落5例,其中治疗组脱落2例,对照组脱落3例。治疗组28例,治愈9例,占32.14%；显效10例,占35.17%；有效7例,占25.00%；无效2例,占7.15%,总有效率92.86%。对照组27例,治愈7例,占25.92%；显效10例,占37.04%；有效10例,占37.04%；无效0例,占0%,总有效率100%。经统计学处理,卡方为1.9650,P=O.1610,P>0.05,两组之间无显著差异,说明治疗组和对照组在改善跟痛症患者足底部肿痛及行走障碍等方面疗效基本一致。
结论：1.针刺风池穴配合中药外用治疗跟痛症在改善患者足底部肿胀及行走功能障碍方面有显著疗效。
2.针刺风池穴配合中药外用治疗跟痛症具有无创、经济实用、易被患者接受等诸多优点,且具有较好的疗效,应用前景广阔。
Objective:Elaborated the modern research progress planter heel pain evaluation acupuncture fengchi topical treatment with Chinese medicine for planter heel pain, and the clinical effect with painful disease spot seal treatment contrast, analysis observation results, and provide scientific basis for clinical treatment
Methods:Strictly in accordance with the criteria for diagnosis, choose 2010 March-2010 October 1st affiliated to heilongjiang university of Chinese medicine outpatient 60 cases of patients with planter heel pain as the research object, into two groups at random, each group of 30 cases, namely the treatment group (with Chinese medicine acupuncture fengchi topical group) and the control group (painful disease spot seal treatment group). Before and after treatment were given and assessment, and its evaluation score result was analyzed and efficacy evaluation.
Result:Treatment 3 weeks,60 cases of force majeure study in 5 cases, among them off in treatment group in 2 cases, fall off 3 cases of control group. The treatment group, cure 28 cases of 9 cases,32.14%; Powerfully 10 cases, accounting for 35.17%; 7 cases, accounting for effective 25.00%; Invalid in 2 cases, the total effective rate, which rose 92.86%.27 cases, cure group of 7 cases,25.92%; Powerfully 10 cases, accounting for 37.04%; Effective 37.04% 10 cases, accounting for; Invalid 0 examples, occupies 0%, with the total effective rate was 100%. By statistical processing, chi-square for 1.9650, P= 0.1610, P>0.05, no significant differences between groups in treatment group and control group that with painful disease patients in improving vola sore and mobile obstacles, etc. Is basically the same effect
Conclusion:1.Acupuncture fengchi topical treatment with Chinese medicine for planter heel pain in improve patients'vola swelling and walking function disorder have remarkable curative effect.
2. Acupuncture fengchi topical treatment with Chinese medicine planter heel pain with noninvasive, economical and practical, easy to be patients received, and many other advantages, and has good curative effect and broad prospect of application
方法：按照严格的诊断标准,选择2010年03月-2010年10月来黑龙江中医药大学第一附属医院门诊求治的跟痛症患者60例为研究对象,随机分成两组,每组30例,即治疗组(针刺风池穴配合中药外用组)和对照组(痛点封闭组)。治疗前后分别给予评价并打分,并对其评测结果进行比较分析与疗效评价。
结果：治疗3周后,因不可抗力60例研究对象脱落5例,其中治疗组脱落2例,对照组脱落3例。治疗组28例,治愈9例,占32.14%；显效10例,占35.17%；有效7例,占25.00%；无效2例,占7.15%,总有效率92.86%。对照组27例,治愈7例,占25.92%；显效10例,占37.04%；有效10例,占37.04%；无效0例,占0%,总有效率100%。经统计学处理,卡方为1.9650,P=O.1610,P>0.05,两组之间无显著差异,说明治疗组和对照组在改善跟痛症患者足底部肿痛及行走障碍等方面疗效基本一致。
结论：1.针刺风池穴配合中药外用治疗跟痛症在改善患者足底部肿胀及行走功能障碍方面有显著疗效。
2.针刺风池穴配合中药外用治疗跟痛症具有无创、经济实用、易被患者接受等诸多优点,且具有较好的疗效,应用前景广阔。
Objective:Elaborated the modern research progress planter heel pain evaluation acupuncture fengchi topical treatment with Chinese medicine for planter heel pain, and the clinical effect with painful disease spot seal treatment contrast, analysis observation results, and provide scientific basis for clinical treatment
Methods:Strictly in accordance with the criteria for diagnosis, choose 2010 March-2010 October 1st affiliated to heilongjiang university of Chinese medicine outpatient 60 cases of patients with planter heel pain as the research object, into two groups at random, each group of 30 cases, namely the treatment group (with Chinese medicine acupuncture fengchi topical group) and the control group (painful disease spot seal treatment group). Before and after treatment were given and assessment, and its evaluation score result was analyzed and efficacy evaluation.
Result:Treatment 3 weeks,60 cases of force majeure study in 5 cases, among them off in treatment group in 2 cases, fall off 3 cases of control group. The treatment group, cure 28 cases of 9 cases,32.14%; Powerfully 10 cases, accounting for 35.17%; 7 cases, accounting for effective 25.00%; Invalid in 2 cases, the total effective rate, which rose 92.86%.27 cases, cure group of 7 cases,25.92%; Powerfully 10 cases, accounting for 37.04%; Effective 37.04% 10 cases, accounting for; Invalid 0 examples, occupies 0%, with the total effective rate was 100%. By statistical processing, chi-square for 1.9650, P= 0.1610, P>0.05, no significant differences between groups in treatment group and control group that with painful disease patients in improving vola sore and mobile obstacles, etc. Is basically the same effect
Conclusion:1.Acupuncture fengchi topical treatment with Chinese medicine for planter heel pain in improve patients'vola swelling and walking function disorder have remarkable curative effect.
2. Acupuncture fengchi topical treatment with Chinese medicine planter heel pain with noninvasive, economical and practical, easy to be patients received, and many other advantages, and has good curative effect and broad prospect of application
引文
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[2]查炜.实用穴位疗法全书.江苏科学技术出版社,2004：332
[3]杨毓华.现代中医诊疗丛书.中国中医药出版社,1999：504
[4]Rammelt S,Zwipp H.calcaneus fractures:facts,controwersies and recent develop-pments[J].Injure,2004,35 (5):443-461
[5]Aldridge t Diagnosing heel pain in adults[J].Am Fam Physician,2004,70(2): 332-338.
[6]孙宏丽,赵志华.中药熏洗法治疗跟痛症43例.四川中医.2005：23(5)：76
[7]王惠,韩力.针灸刀治疗“痛症”102例分析.中国骨伤,1994：7(5)：19
[8]孙国剑,庄海英,吕金兰等.直线偏光近红外线治疗跟痛症的疗效观察.现代康复,2001：5(8)：87
[9]Hepford CA Minimal in cision Surgical aPPeocah to mechemical heel pain clin podiatr Med surg,1991:8(1):167-185
[10]Perelamn GK, Figura MA. Sandberg NS the medial in step Plartar fasciotomy J foot Ankle Surg,1995:34(4):447-457
[11]Kinley S Frascone 5 Calderone D Wertheinler SJ Squire Maetal EndoscoPic plantar fasciotoy Versus traditional heel spur surgery:a ProsPective study J foot Ankle surg,1993:32(6):595-603
[12]perelman Gk Figura MA Sandberg NS The medial instep plantar fasciotomy J Foot Ankle Surg,1995:34(5):447-457
[13]Intenzo CM Wapner KL Park CL Kim SM Evaluation of Plantar fascitis by three phase bone scintigraphy clin nucl med。1991:16:325-328
[14]Perelman GK Figure MA Sandberg Sandberg NS The medial instep Plantar fasciotomy J foot ankle surg.1995:34(5):447
[15]毛宾尧.足外科.北京：人民卫生出版社,1992：179
[16]郭士钹.足部软组织解剖郭士钹著《临床骨科解剖学》.天津：科学技术出版社,1986：953
[17]王义生.穿刺治疗跟骨内高压症.中华骨科杂志,1989：4：34
[18]马瑞雪.跟痛症的病因探讨研究.中华骨科杂志,1988；8：72
[19]邦召民.川芍对骨内高压状态下血流变的影响.中国骨伤,1996：6：12
[20]陈宝兴.用跟骨钻孔减压术治疗有跟痛症.中华骨科杂志,1986：12(3)：207
[21]He shuzheng Xuzhenghua Hansen ES etal aeta orthop stand,1990; 61:195
[22]Hassab HK Drillins of the es calciS fol painful heel with calcaneal spur acta orthop seand,1974:45:152
[23]Wangyisheng al persitent painful heel and intracalcanean pressure J Acad ambul foot surg,1984:2:26
[24]Fornlan WN Green MA The role of intrinsic musculature in the formation of inferior calacaneal exostoses clin podiatr Med Surg,1990:7(2):217-223
[25]范炳华.推击法治疗增生陛跟痛症.中国骨伤,1995；8(4)：40
[26]郭杰林.跟痛症得分型治疗.中国骨伤,1999；1：25
[27]梁军,钱洁,周家钤等.跟内、外侧皮神经支的局部解剖与临床应用[J].实用骨科杂志,2002；8(2)：98.
[28]谭光胜,邢振峰.跟痛症的病因及治疗探讨[J].中国社区医师(综合版),2005,(16)：34.
[29]张云庆.足底外侧神经第一分支的应用解剖探讨.南京医科大学学报,2000：3：156
[30]雷载权.中药学.上海：上海科技出版社,1995：15
[31]Soberer PR.Heel SPur Syndrolne, patllomeehaniCS and non-surgical treatmen JAPMA,1991:81:68
[32]white DL plantar fascial release JAPMA,1994:82(12):607-613
[33]Lichniak JE The heel in systemic disease clin podiatr med surg 1990:7(2):225-241
[34]刘红先,田新红,李道五.中医辨治足跟痛43例临床体会.中国中医急症,2005,14(10)：919
[35]郭天彬,刘洪.当归鸡血藤汤治疗跟痛症240例.河南中医学院学报,2004,1(19)：57
[36]张丽,针刺三阴交治疗足跟痛46例.陕西中医,1993,14(10)：466
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