| 何婷,汤紫怡,覃静怡,付磊.基于经筋理论针刀治疗顽固性跖筋膜炎30例[J].浙江中西医结合杂志,2026,36(3): |
| 基于经筋理论针刀治疗顽固性跖筋膜炎30例 |
| 30 cases of refractory plantar fasciitis with acupotomy based on the theory of sinew channels |
| 投稿时间：2025-07-30 修订日期：2025-10-09 |
| DOI： |
| 中文关键词: 经筋理论、针刀疗法、顽固性跖筋膜炎、临床疗效 |
| 英文关键词:Theory of sinew channels acupotomy Refractory plantar fasciitis clinical efficacy |
| 基金项目: |
|
| 摘要点击次数: 57 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的:观察基于经筋理论针刀治疗顽固性跖筋膜炎的近远期疗效。方法:于2025年1月至2025年6月招募顽固性跖筋膜炎患者30例，在经筋理论指导下行针刀治疗，于入组第1天、入组后1周各治疗一次，共2次。观察治疗前、治疗后1天、治疗后1月、治疗后3月的VAS评分、AOFAS评分及足底筋膜厚度，评估其近远期疗效。结果:与治疗前相比，治疗后、1月及3月的VAS、AOFAS评分及足底筋膜厚度均显著下降（p＜0.05）；VAS评分采用Friedman检验，存在时间主效应，且具有统计学意义（p＜0.001），AOFAS评分与足底筋膜厚度根据重复测量方差分析，存在时间主效应，且具有统计学意义（p＜0.001）。治疗后愈显率66.67%，总有效率100%。结论:基于经筋理论针刀治疗顽固性跖筋膜炎的近远期疗效显著，可有效减轻患者的足底疼痛、改善临床症状、生活质量及足底筋膜厚度，且无不良反应。 |
| 英文摘要: |
| Objective: To observe the short-term and long-term effects of acupotomy on lumbosacral myofascitis based on the theory of“Treatment of both neck and sacrum”. Method:30 patients with lumbosacral myofascitis were recruited from January to May in 20242024. The patients were treated with acupotomy once every 5 days. The low back pain (JOA-RRB- scoOswestrysDysfunctiontIndexndODI-RRB-ODI) score and shear wave elastoSwephYoungE) young"s modulus were observed before treatment, 1 day after treatment, 3 months after treatment and 6 months after treatment, the short-term and long-term effects were evaluated. Results: JOA Score, ODI score and Young"s modulus decreased significantly after treatment (p < 0.05) . According to repeated measures analysis of variance, there was a main effect of time, and there was statistical significance (p < 0.001) . After treatment, the recovery rate was 63.33% , the total effective rate was 100% . Conclusion: Based on the theory of“Treatment of both neck and sacrum”, acupotomy has a significant short-term and long-term effect on lumbosacral myofascitis, which can effectively reduce the pain of lumbosacral region, improve the symptoms and signs, quality of life and the hardness of the trigger point, and no adverse reactions. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
