CAJ | 학술논문

目的：观察针刀疗法和封闭疗法治疗跖筋膜炎的临床疗效。方法将跖筋膜炎患者60例随机分为2组，治疗组采用单纯针刀疗法治疗，对照组采用封闭疗法治疗。2组均只治疗1次。于治疗前、治疗后1周、治疗后1个月分别进行SF－MPQ及JOA评分以评价疗效，于治疗后2个月观察复发情况。结果2组总有效率比较差异无统计学意义。治疗组各中医证型间疗效比较差异无统计学意义。治疗后2个月，治疗组复发率为7％，对照组复发率为17％，2组比较差异有统计学意义（P＜0．05）。2组治疗后1周、1个月时SF－MPQ评分及JOA评分均比治疗前明显改善（P均＜0．05），但2组间比较差异无统计学意义。治疗组中SF－MPQ评分改善情况与患者年龄有显著性关联。结论针刀疗法和封闭疗法治疗跖筋膜炎疗效相当且安全，而针刀疗法复发率更低。但随着患者年龄的增长，针刀疗法的疗效降低。
목적：관찰침도요법화봉폐요법치료척근막염적림상료효。방법장척근막염환자60례수궤분위2조，치료조채용단순침도요법치료，대조조채용봉폐요법치료。2조균지치료1차。우치료전、치료후1주、치료후1개월분별진행SF－MPQ급JOA평분이평개료효，우치료후2개월관찰복발정황。결과2조총유효솔비교차이무통계학의의。치료조각중의증형간료효비교차이무통계학의의。치료후2개월，치료조복발솔위7％，대조조복발솔위17％，2조비교차이유통계학의의（P＜0．05）。2조치료후1주、1개월시SF－MPQ평분급JOA평분균비치료전명현개선（P균＜0．05），단2조간비교차이무통계학의의。치료조중SF－MPQ평분개선정황여환자년령유현저성관련。결론침도요법화봉폐요법치료척근막염료효상당차안전，이침도요법복발솔경저。단수착환자년령적증장，침도요법적료효강저。
Objective It is to observe the clinical curative effects of needle knife therapy and blocking treatment on plantar fasciitis.Methods 60 patients with plantar fasciitis were randomly divided into two groups, the treatment groups was treated with simple needle knife therapy, and the control group was treated with blocking treatment.Both the groups were treated for once time.The curative effects were assessed according to SF-MPQ and JOA scores before treatment and one week and one month after treatment, the occurrence in both groups were observed after two months'treatment.Results There was no signifi-cant difference in the total effective rate between the two groups.The differences in curative effect among every Chinese medi-cine syndrome in treatment group were not significant.In two months after treatment, the occurrence rate in treatment group was 7%, and that in control group was 17%, compared with each other, the difference was significant (P<0.05).In one week and one month after treatment, the S-MPQ scores and JOA scores were obviously improved compared with that before treatment in both groups (P all<0.05), but the differences between both groups were not significant.The improvement of SF-MPQ scores was significantly related with patients'age in the treatment group.Conclusion The curative effects of needle knife therapy and blocking treatment are similar and safe, but the former therapy has a lower occurrence rate.When the age of the patients increase, the curative effect of needle knife therapy is reduced.