摘要
目的:探讨中药足浴联合关节镜下微创手术在顽固性跟痛症患者中的应用价值。方法:选择2020年7月-2022年1月赣州市中医院收治的顽固性跟痛症患者72例,按随机数字表法分为两组,每组36例。对照组采用关节镜下微创手术治疗,治疗组采用中药足浴联合关节镜下微创手术治疗,两组均于术后3个月评估效果。对比分析两组足功能、疼痛程度、足底压力情况、术后并发症。结果:术后3个月,治疗组美国足与踝关节协会(AOFAS)踝与后足功能评分中疼痛维度[(32.15±3.29)分]、功能维度[(36.95±4.11)分]、足部对线维度评分[(7.02±1.03)分]及总评分[(76.12±5.72)分]和足跟内侧缘[(143.54±9.25)N/cm^(2)]、足跟外侧缘[(133.04±6.01)N/cm^(2)]均高于对照组[(27.67±3.56)分、(30.14±3.78)分、(6.16±1.17)分、(63.97±5.20)分、(137.04±9.02)N/cm^(2)、(127.61±6.79)N/cm^(2)],视觉模拟评分法[(1.83±0.42)分]及足前掌外侧缘[(120.10±5.26)N/cm^(2)]均低于对照组[(2.68±0.51)分、(125.46±6.34)N/cm^(2)],差异均有统计学意义(P<0.05);两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:中药足浴联合关节镜下微创手术用于顽固性跟痛症患者可改善其足底压力,缓解疼痛,促进足部功能恢复,且安全性高。
Objective:To explore the application value of TCM foot bath combined with arthroscopic minimally invasive surgery in patients with intractable heel pain.Method:A total of 72 patients with intractable heel pain who were admitted to Ganzhou Hospital of Traditional Chinese Medicine from July 2020 to January 2022 were selected and divided into two groups according to the random number table method,with 36 cases in each group.The control group was treated with arthroscopic minimally invasive surgery,and the treatment group was treated with TCM foot bath combined with arthroscopic minimally invasive surgery.The effects of both groups were evaluated 3 months after surgery.The foot function,pain degree,plantar pressure conditions and postoperative complications of the two groups were compared and analyzed.Result:3 months after surgery,the dimension scores of pain[(32.15±3.29)scores],function[(36.95±4.11)scores],foot alignment[(7.02±1.03)scores]and total scores[(76.12±5.72)scores]in the ankle hindfoot scale of American Foot and Ankle Society(AOFAS)and the medial heel margin[(143.54±9.25)N/cm^(2)],lateral heel margin[(133.04±6.01)N/cm^(2)]in the treatment group were higher than those in the control group[(27.67±3.56)scores,(30.14±3.78)scores,(6.16±1.17)scores,(63.97±5.20)scores,(137.04±9.02)N/cm^(2),(127.61±6.79)N/cm^(2)],and the visual analogue scale[(1.83±0.42)scores]and lateral forefoot margin[(120.10±5.26)N/cm^(2)]in the treatment group were lower than those in the control group[(2.68±0.51)scores,(125.46±6.34)N/cm^(2)],the differences were statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion:TCM foot bath combined with arthroscopic minimally invasive surgery can improve the plantar pressure,relieve pain and promote the recovery of foot function for patients with intractable heel pain,and it is highly safe.
作者
钟钿
孙小波
李昱鸿
ZHONG Dian;SUN Xiaobo;LI Yuhong(Ganzhou Hospital of Traditional Chinese Medicine,Jiangxi Province,Ganzhou 341000,China;不详)
出处
《中国医学创新》
CAS
2023年第12期95-98,共4页
Medical Innovation of China
关键词
顽固性跟痛症
关节镜下微创手术
中药足浴
足功能
疼痛程度
并发症
Intractable heel pain
Arthroscopic minimally invasive surgery
TCM foot bath Foot function
Pain degree
Complications
