针刀治疗跟痛症35例的的疗效观察.docVIP

针刀治疗跟痛症35例的的疗效观察 　　摘 要 目的：探讨针刀治疗跟痛症的应用及疗效。方法：将67例跟痛症患者（左足29例，右足36例，双侧5例）随机分为两组，治疗组33例，采用针刀治疗，7 d 1次，3次为1个疗程，1～2个疗程。对照组34例，采用电针联合特定电磁波谱治疗，隔日1次，5次为1个疗程，共2个疗程。疗程结束后，采用视觉模拟评分（VAS）比较疗效结果。结果：治疗组治疗后及4个月后的VAS值分别为（1.06±1.27）分和（1.03±1.26）分，低于治疗前的（6.39±0.56）分，差异有统计学意义（P0.01）；对照组则分别为（3.94±1.37）分和（3.94±1.28）分，低于治疗前的（6.71±0.80）分，差异有统计学意义（P0.01）。两组间VAS值差异亦有统计学意义（P0.001）。结论：针刀治疗跟痛症有较好的临床疗效，明显优于电针联合特定电磁波谱治疗。 　　关键词 跟痛症 针刀疗法 电针疗法 特定电磁波谱 　　中图分类号：R246.2/R274.9 文献标识码：A 文章编号：1006-1533（2016）06-0030-02 　　Observation of the effect of acupotomy in the treatment of 35 cases of calcanodynia 　　ZHU Jing， CHEN Hua， PENG Lei， WANG Guohua 　　（Jinze Community Health Service Center of Qingpu District， Shanghai 201718， China） 　　ABSTRACT Objective： To explore the application and efficacy of acupotomy in the treatment of the calcanodynia. Methods： Sixty-seven of calcanodynia （29 cases of left foot， 36 cases of right foot， and 5 cases of bilateral feet） were randomly divided into two groups. The treatment group with 33 cases were treated with acupotomy， 1 time per week， 3 times for a course， 1-2 courses. The control groups with 34 cases were treated with the electro-acupuncture instrument combined with specific electromagnetic spectrum （TDP）， qod， 5 times for a course， 2 courses in total. After the termination of the treatment courses， the results were compared by visual analogue scale （VAS）. Results： The VAS value in the treatment group was decreased from（6.39±0.56）before treatment to （1.06±1.27） and （1.03±1.26） after the treatment and 4 months later， respectively， with significant dirrerence （P0.01）， while the ones in the control group was decreased from （6.71±0.80）before treatment to （3.94±1.37） and（3.94±1.28）， respectively， with significant dirrerence （P0.01）. The differences had the statistical significance between the two groups （P0.001）. Conclusion： Acupotomy has the good clinical effect in the treatment of calcanodynia， and is better than the electro-acupuncture instrument combined with TDP