摘要
目的:初步探讨针刀加局阻辅以手法治疗跟痛症的方法及疗效,为临床推广此治疗方法供同道以参考。方法我院自2010年以来,综合分析跟痛症所形成的病因,运用针刀加局部阻滞辅以手法松解治疗跟痛症35例。在跟部痛点部位施行针刀铲削剥离纵疏横剥后,行局部阻滞,外加推拿手法。一般治疗3次为1疗程,1次/w。结果本组35例均经上述方法治疗1~3次,随访1年。结果优占26例,74%,良7例,占20%,有效2例,占6%,无效0例,优良效占94.28%。结论局部阻滞是治疗无菌性炎症的良好方法之一,在局阻中加入庆大霉素,既可以治疗有菌性炎症,又能预防感染。而手法松解又弥补了针刀松解的不足,经临床验证,此方法治疗跟痛症,具有操作简便,易于推广等优点,该方法不失为治疗跟痛症的良好方法。适宜在农村基层医疗机构推广。
Objective:To explore the method and curative ef ect of acupotomy plus local resistance combined with manipulation in the treatment of heel pain,for clinical popularization of the method of treatment for fel ow to reference.Methods:our hospital since 2010,the comprehensive analysis of cause of formation with pain,use of acupotomy combined with local block combined with massage in treatment of 35 cases of calcaneodynia.In the heel pain points by needle knife skiving of longitudinal drainage transverse strip,local block,plus massage.The general treatment of the three times for a course of treatment,once a week.Results:35 cases were treated by the method of 1-3,one year of fol ow-up.Results excellent 26 cases,good in 7 cases,accounting for 74%,20%,ef ective in 2 cases,accounting for 6%,0 cases are invalid,the excellent ef ect accounted for 94.28%.Conclusion:local anesthesia is a good way for treating aseptic inflammation,adding gentamicin in local resistance,can be treated with bacteria,inflammation,and can prevent infection.The manipulation and make up for the deficiency of the acupotomy,after clinical validation,this method for the treatment of heel pain,and has the advantages of simple operation,easy to spread,the good method to treat heel pain.Suitable for promotion in the primary medical institutions in rural areas.
作者
宋飞跃
张扬
王庆
SONG Fei-yue;ZHANG Yang;WANG Qing(Yingshan County People's Hospital,Department of Rehabilitation Medicine,Yingshan Hubei 438700,China)
关键词
针刀
局阻
手法
跟痛症
疗效
Acupotomy
Local resistance
Manipulation
Heel pain
Curative ef ect
