薛氏理筋通络补肾法治疗跟痛症临床研究
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R681.8

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河南省中医药科学研究专项课题(2017JDZX010);河南省中医药青苗人才培养项目(豫中医科教[2018]6号)


Clinical Study on Xue's Lijin Tongluo Bushen Method for Calcaneodynia
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    摘要:

    目的:观察薛氏理筋通络补肾法治疗跟痛症的临床效果及价值。方法:将符合入选标准的120例跟痛症患者作为受试对象开展临床对照研究,采用随机数字表法分为2 组各60 例,对照组给予曲安奈德、利多卡因、维生素B1、维生素B12加入0.9%氯化钠注射液局部封闭治疗;观察组给予薛氏理筋通络补肾法治疗。比较治疗前后临床症状及体征评分和疼痛评分;评价并比较2组临床疗效;比较治疗前后生活质量的变化情况;比较不同方案的安全性。结果:观察期间观察组、对照组脱落率分别为1.67%、5.00%,纳入统计观察组59例,对照组57例。治疗后,2组临床症状及体征评分中疼痛、压痛、行走功能、肿胀评分及总分均升高(P<0.05),且观察组上述评分及总分均高于对照组(P<0.05);2 组疼痛视觉模拟评分法(VAS) 评分均下降(P<0.05),且观察组疼痛评分低于对照组(P<0.05);2组临床疗效分布情况比较,差异有统计学意义(P<0.05),且总有效率观察组96.61%,高于对照组82.46%(P<0.05);治疗后,2组生活质量评分中生理健康、心理健康领域评分及总分均升高,差异均有统计学意义(P<0.05),且观察组治疗后上述评分和总分均高于对照组(P<0.05);2组安全性分级分布情况比较,差异有统计学意义(P<0.05),且观察组不良反应发生率1.69%,低于对照组的14.04%(P<0.05)。结论:对跟痛症患者采用薛氏理筋通络补肾法治疗可有效缓解临床症状及体征,增强疗效,减轻疼痛感,提升生活质量,且安全性高,较常规封闭治疗有明显的优势。

    Abstract:

    Abstract:Objective:To observe the clinical effect and value of Xue's Lijin Tongluo Bushen method for calcaneodynia. Methods:A total of 120 cases of patients with calcaneodynia who met the inclusion criteria were selected as the subjects to conduct a clinical control study,and they were divided into two groups according to the random number table method,60 cases in each group. The control group was given triamcinolone acetonide, lidocaine, vitamin B1 and vitamin B12 in 0.9% sodium chloride injection for local blocking therapy; the observation group was treated with Xue's Lijin Tongluo Bushen method. The scores of clinical symptoms,signs and pain before and after treatment were compared;the clinical effect in the two groups was evaluated and compared; the changes in quality of life before and after treatment were compared; the safety of different schemes was compared. Results: During the observation period, the expulsion rate was 1.67% in the observation group and 5.00% in the control group;a total of 59 cases in the observation group and 57 cases in the control group were involved in the statistics. After treatment,the scores of clinical symptoms and signs including pain,tenderness, walking function and swelling as well as the total scores in the two groups were increased(P<0.05),and the above scores in the observation group were higher than those in the control group(P<0.05); the VAS scores in the two groups were decreased(P<0.05), and the score in the observation group was lower than that in the control group(P<0.05). There was significant difference being found in the comparison of the distribution of clinical effect between the two groups(P<0.05),and the total effective rate was 96.61% in the observation group,higher than that 82.46% in the control group(P<0.05). After treatment,the scores of quality of life including physical health and mental health as well as the total scores in the two groups were increased,differences being significant(P<0.05);the above scores in the observation group were higher than those in the control group(P<0.05);there was significant difference being found in the comparison of distribution and classification of safety between the two groups(P<0.05),and the incidence of adverse reactions was 1.69% in the observation group,lower than that of 14.04% in the control group(P<0.05). Conclusion: The application of Xue's Lijin Tongluo Bushen method for patients with calcaneodynia can effectively relieve the clinical symptoms and signs,enhance the curative effect,relieve the pain and improve the quality of life with high safety, which has obvious advantages when compared with that of routine blocking therapy.

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张向阳,徐鹏,魏薇,王新义,王权亮,王丽娟,李宁,王元新,宋薛艺,薛爱荣.薛氏理筋通络补肾法治疗跟痛症临床研究[J].新中医,2020,52(12):87-91

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  • 在线发布日期: 2020-06-15
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