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1、中医综合疗法治疗跟痛症临床观察【摘要】目的：观察屮医综合疗法治疗跟痛症的临床疗效。方法：将84例跟痛症患者按照随机数字表法分为治疗组和对照组，每组42例。治疗组采用中药内服、外洗和针灸综合治疗，2周为1个疗程；对照组采用局部封闭治疗，每周1次，连续注射2周，2次为1个疗程。比较2组治疗1个疗程后的临床疗效，并观察不良反应和复发情况。结果：治疗组优10例，良19例，好转11例，无效3例，总有效率为92.85%；对照组优7例，良13例，好转15例，无效7例，总有效率为83.33%o2组比较,差异有统计学意义?vP<0.05?wo治疗后随访6个月，2组患者未见不良反应，对
2、照组随访期内复发5例，治疗组无复发。结论：中医综合疗法可以明显改善跟痛症患者的疼痛，行走障碍症状、体征，有效提高患者的工作和生活质量，是一种安全、冇效的方法。【关键词】跟痛症；中医综合疗法；封闭；临床疗效doi：10.3969/j.issn.2095-4174.2016.02.005ClinicalObservationontheTreatmentofHeelPainwithTCMComprehensiveTherapyXTEpan,BATYu,ZHANGMeng,SHTYan-xin【ABSTRACT]Objective:Toobservetheclinicale
3、ffectofcomprehensivetherapyoftraditionalChinesemedicine(TCMcomprehensivetherapy)onthetreatmentofheelpain.Methods:84patientswithheelpainwererandomlydividedintoatreatmentgroupandacontrolgroup,42casesineach.ThetreatmentgroupwastreatedwithTCMcomprehensivetherapyincludingoraladministration，
4、externalwashingandacupunctureandmoxibustion,2weeksas1courseoftreatment・Thecontrolgroupwasgivenclosedlocaltreatmentofinjectionfortwoweeksasacourse,onceaweek.Theclinicalefficacyofthe2groupswascomparedafteracourseoftreatment・Results：Inthetreatmentgroup,10caseswereexcellent,19casesweregood
5、,11caseswereimproved,and3caseswereineffective,thetotaleffectiveratebeing92.85%；whileinthecontrolgroup,7caseswasexcellent,15casesweregood,13caseswereimproved,and7caseswereineffective,thetotaleffectiveratebeing83.33%.Thedifferencebetweenthe2groupswasstatisticallysignificant(P<0.05).After
6、6monthsoffollow-up,noadversereactionswerefoundinthe2groups.Recurrencein5caseswasfoundinthecontrolgroupduringthefollowed-up,whi1enorecurreneewasfoundinthetreatmentgroup.Conclusion:TCMcomprehensivetherapycansignificantlyrelievethepainofpatientswithheelpainandimprovetheirwalkingconditiona
7、ndqualityoflifeandwork,safeandeffective・[Keywords]heelpain；TCMcomprehensivetherapy；closed；clinicalcurativeeffect跟痛症俗称足跟痛，是以足跟周围疼痛为特征的一种慢性疾病，是临床常见病、多发病。本病多见于站立工作者、运动员及中老年体型肥胖者,男性多于女性，一侧或两侧同时发病，发病原因复朵，症状反复，缠绵难愈，影响人们的生活和工作［1］。近年来，随着人们生活习惯的改变，肥胖人群增加，导致跟痛症发病年龄趋于年轻化。笔者采用中医综合疗法治疗跟痛症患者42例，现总
