综合治疗跟痛症的临床观察(1)
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【摘要】 目的 综合治疗跟痛症的临床疗效观察。方法 将99例患者随机分为:综合治疗组(33例),针灸治疗组(33例),穴位注射治疗组(33例)。3组患者均用陈醋熏蒸患足,针灸治疗组:主穴悬钟、太溪、然谷、阿是穴。穴位注射治疗组:太溪穴位注射。综合治疗组:穴位注射加针灸治疗加陈醋熏蒸。结果 综合治疗组、针灸治疗组、穴位注射治疗组三组总有效率分别为93.9%、72.7%、69.7%,综合治疗组明显优于针灸治疗组、穴位注射治疗组(P<0.01)。结论 综合治疗跟痛症疗效显著而持久。
【关键词】 综合治疗;针灸治疗;穴位注射治疗;陈醋熏蒸;跟痛症
Clinical observation on combined treatment of painful heel syndrome
YANG Yan-jie,ZHANG Li-juan,YIN Yue-lan.Rehabilitation Department,The Fifth Affiliated Hospital of Sun Yat-sen University,Zhuhai 519000,China
【Abstract】 Objective To observe the therapeutic effect of combined treatment of painful heel syndrome.Methods Ninty-nine cases were randomly divided into a combined treatment group(33 cases),an acupuncture group(33 cases),a point injection group(33 cases).The patients in three groups were treated with mature vinegar steaming and washing on the affected foot,and the acupuncture group was also treated with acupuncture on points as Xuanzhong,Taixi,Rangu and Ashi,and the point injection group was treated the injection on the Taixi point,and the combined group was treated with acupuncture on points,combined with injection on the Taixi point.Visual analogue scale(VAS)and clinical effect of three groups were observed before and after treatment.Results The total effective rate of 93.9% in the combined treatment group was superio to that of 72.7% in the acupuncture group(P<0.05)and that of 69.7% in the point injection group(P<0.05).Conclusion Acupuncture combined with point injection and mature vinegar steaming and washing therapy have significant and persistent therapeutic effect for treatment of painful heel syndrome.
【Key words】Combined treatment; Acupuncture therapy; Point injection; Mature vinegar steaming and washing therapy; Painful heel syndrome
作者单位:519000珠海,中山大学附属第五医院
足跟痛又称跟痛症,既足跟底部局限性疼痛,临床上中老年多见,体型肥胖的妇女易患此症,多数患者由慢性损伤引起疼痛,常伴有跟骨结节部的前缘骨刺,偶有外伤史[1]。临床观察,人到中年内分泌、骨代谢的生理紊乱,久站的工作人员以及骨质疏松退行性改变,也易患跟痛症。笔者采用穴位注射、针灸治疗加醋熏洗的综合疗法,效果显著而持久,不易反复。由此将1995年9月至2008年9月共收集到的99例跟痛症的患者,随机分为综合治疗组,针灸治疗组,穴位注射治疗组,采用对照治疗,报告如下。
1 临床资料
1.1 一般资料 1995年9月至2008年9月,对99例(单足)我院门诊就诊并确诊为跟痛症的患者进行治疗观察,以患者就诊顺序做为编号,随机分为3组。综合治疗组33例,其中男15例,女18例;年龄40~70岁,平均(48±8 ......
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