手法配合跟痛外洗方治疗跟痛症疗效观察
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摘要
目的:观察手法配合跟痛外洗方治疗跟痛症的临床疗效。方法:将80例跟痛症患者随机分为治疗组和对照组各40例,治疗组采用手法配合跟痛外洗方治疗,对照组单纯采用手法治疗。10天为1疗程,2组均治疗1疗程。治疗前后评定2组患者的疼痛视觉模拟评分法(VAS)评分和临床表现与功能评分(CMFS),比较2组的临床疗效。结果:治疗1疗程后,总有效率治疗组95.00%,对照组72.50%,2组比较,差异有统计学意义(P <0.05)。2组VAS评分、CMFS均较治疗前下降(P <0.01,P <0.05);治疗组VAS评分、CMFS均低于对照组(P <0.05)。结论:手法配合跟痛外洗方治疗跟痛症可有效缓解患者的疼痛,改善行走功能,疗效优于单纯手法治疗,患者依从性高,可推广使用。
Objective:To observe the clinical effect of manipulation combined with Gentong external washing formula for calcaneodynia. Methods: Divided 80 cases of patients with calcaneodynia into the treatment group and the control group randomly,40 cases in each group. The treatment group was given manipulation combined with Gentong external washing formula,while the control group was given the manipulation alone. The treatment for both groups lasted for one course,10 days a course. Evaluated the scores of visual analogue scale(VAS) and clinical manifestations and functional score(CMFS) of the two groups before and after treatment and compared the clinical effect in the two groups. Results:After one course of treatment, the total effective rate was 95.00% in the treatment group and 72.50% in the control group, difference being significant(P < 0.05). The scores of VAS and CMFS in the two groups were decreased when compared with those before treatment(P < 0.01, P < 0.05). The scores of VAS and CMFS in the treatment group were lower than those in the control group(P < 0.05). Conclusion: The application of manipulation combined with Gentong external washing formula for calcaneodynia can effectively alleviate the pain of patients and improve their walking function. Its curative effect,accompanied with high compliance of patients,is superior to that of manipulation treatment alone,which can be promoted and applied.
Objective:To observe the clinical effect of manipulation combined with Gentong external washing formula for calcaneodynia. Methods: Divided 80 cases of patients with calcaneodynia into the treatment group and the control group randomly,40 cases in each group. The treatment group was given manipulation combined with Gentong external washing formula,while the control group was given the manipulation alone. The treatment for both groups lasted for one course,10 days a course. Evaluated the scores of visual analogue scale(VAS) and clinical manifestations and functional score(CMFS) of the two groups before and after treatment and compared the clinical effect in the two groups. Results:After one course of treatment, the total effective rate was 95.00% in the treatment group and 72.50% in the control group, difference being significant(P < 0.05). The scores of VAS and CMFS in the two groups were decreased when compared with those before treatment(P < 0.01, P < 0.05). The scores of VAS and CMFS in the treatment group were lower than those in the control group(P < 0.05). Conclusion: The application of manipulation combined with Gentong external washing formula for calcaneodynia can effectively alleviate the pain of patients and improve their walking function. Its curative effect,accompanied with high compliance of patients,is superior to that of manipulation treatment alone,which can be promoted and applied.
引文
[1]唐传其,陆强益,梁燕芳,等.中医药治疗跟痛症临床研究进展[J].河北中医,2010,32(2):302-306.
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[4]黄和涛,潘碧琦,洪坤豪,等.基于数据挖掘的跟痛症熏洗用药规律研究[J].中国中医急症,2015,24(10):1741-1742,1771.
[5]张建峰.手法配合中药熏洗治疗跟痛症30例[J].浙江中医杂志,2014,49(1):50.
[6]陈荣庄,阮紫娟,周敏.手法舒筋配合中药熏泡治疗跟痛症30例[J].北方药学,2015,12(3):141-142.
[2]中华医学会.临床诊疗指南:骨科分册[M].北京:人民卫生出版社,2009:83.
[3]中华人民共和国卫生部.中药新药临床研究指导原则:第3辑[S].1997:125-126.
[4]黄和涛,潘碧琦,洪坤豪,等.基于数据挖掘的跟痛症熏洗用药规律研究[J].中国中医急症,2015,24(10):1741-1742,1771.
[5]张建峰.手法配合中药熏洗治疗跟痛症30例[J].浙江中医杂志,2014,49(1):50.
[6]陈荣庄,阮紫娟,周敏.手法舒筋配合中药熏泡治疗跟痛症30例[J].北方药学,2015,12(3):141-142.