针刀治疗跗骨窦综合征的临床观察

发布时间：2018-08-20 15:27

【摘要】：目的:本研究旨在采用针刀疗法治疗跗骨窦综合征,观察、分析、总结该治法对跗骨窦综合征患者治疗前后的疗效评价数据,以探究跗骨窦综合征的发病机制,为针刀治疗跗骨窦综合征提供客观、科学、真实的临床观察数据,验证针刀治疗跗骨窦综合征的疗效及可行性。方法:60例跗骨窦综合征患者随机分为2组,治疗组30例,对照组30例。治疗组采用针刀治疗,每周一次,三次为一个疗程。对照组采用局部封闭治疗,疗程同治疗组。然后应用视觉模拟疼痛评分(VAS)和美国足踝外科协会(AOFAS)踝-后足评分系统(AHS)进行疗效评定,记录治疗前患者两项评定指标评分,以及治疗后三个月随访时的评分,然后根据疗效评价采用Ridit分析,并用SPSS17.0软件对所得数据进行统计学分析。结果:治疗组和对照组在治疗前和治疗后的VAS评分和AOFAS评分均具有显著性差异,具体的疗效评价通过Ridit分析,得出治疗组和对照组的两种治疗方法存在显著性差异,而从疗效的优良率来看治疗组高于对照组。结论:针刀疗法和局部封闭治疗对跗骨窦综合征均有疗效;针刀疗法明显优于局部封闭疗法;针刀疗法治疗跗骨窦综合征疗效确切,无明显副作用,且具有较好的安全性,具有临床推广价值。
[Abstract]:Objective: the purpose of this study was to treat tarsal sinus syndrome with needle-knife therapy, and to observe, analyze and summarize the curative effect evaluation data of tarsal sinus syndrome before and after treatment, so as to explore the pathogenesis of tarsal sinus syndrome. To provide objective, scientific and true clinical observation data for the treatment of tarsal sinus syndrome with needle knife, and to verify the curative effect and feasibility of needle knife in treating tarsal sinus syndrome. Methods 60 patients with tarsal sinus syndrome were randomly divided into two groups: treatment group (n = 30) and control group (n = 30). The treatment group was treated with needle knife once a week, three times as a course of treatment. The control group was treated with local blocking and the course of treatment was the same as that of the treatment group. Visual analogue pain score (VAS) and (AOFAS) ankle-hind foot scoring system (AHS) were used to evaluate the efficacy. Then Ridit analysis was used to evaluate the curative effect and SPSS17.0 software was used to analyze the data. Results: there were significant differences in VAS score and AOFAS score between the treatment group and the control group before and after treatment. The specific evaluation of curative effect was analyzed by Ridit, and it was concluded that there were significant differences between the treatment group and the control group. The excellent and good rate of the treatment group was higher than that of the control group. Conclusion: both acupuncture knife therapy and local blocking therapy are effective for tarsal sinus syndrome, acupuncture therapy is superior to local blocking therapy, acupuncture therapy is effective in treating tarsal sinus syndrome with no obvious side effects, and has good safety. It has the value of clinical popularization.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9

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