谢攀　白玉　史炎鑫

【摘 要】目的：观察中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%。2组比较，差异有统计学意义﹙P < 0.05﹚。治疗后随访6个月，2组患者未见不良反应，对照组随访期内复发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、有效的方法。

【关键词】 跟痛症；中医综合疗法；封闭；临床疗效

doi：10.3969/j.issn.2095-4174.2016.02.005

Clinical Observation on the Treatment of Heel Pain with TCM Comprehensive Therapy

XIE pan，BAI Yu，ZHANG Meng，SHI Yan-xin

【ABSTRACT】Objective：To observe the clinical effect of comprehensive therapy of traditional Chinese medicine （TCM comprehensive therapy） on the treatment of heel pain.Methods：84 patients with heel pain were randomly divided into a treatment group and a control group，42 cases in each.The treatment group was treated with TCM comprehensive therapy including oral administration，external washing and acupuncture and moxibustion，2 weeks as 1 course of treatment.The control group was given closed local treatment of injection for two weeks as a course，once a week.The clinical efficacy of the 2 groups was compared after a course of treatment.Results：In the treatment group，10 cases were excellent，19 cases were good，11 cases were improved，and 3 cases were ineffective，the total effective rate being 92.85%；while in the control group，7 cases was excellent，

15 cases were good，13 cases were improved，and 7 cases were ineffective，the total effective rate being 83.33%.The difference between the 2 groups was statistically significant （P < 0.05）.After 6 months of follow-up，no adverse reactions were found in the 2 groups.Recurrence in 5 cases was found in the control group during the followed-up，while no recurrence was found in the treatment group.Conclusion：TCM comprehensive therapy can significantly relieve the pain of patients with heel pain and improve their walking condition and quality of life and work，safe and effective.

【Keywords】 heel pain；TCM comprehensive therapy；closed；clinical curative effect

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，发病原因复杂，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，现总结报告如下。

1 临床资料

1.1 一般资料 选取2012年1月至2015年1月在郑州市骨科医院门诊就诊并接受治疗的跟痛症患者84例，按照随机数字表法分为治疗组和对照组，每组42例。治疗组男24例，女18例；年龄27～65岁，平均43.5岁；病程5～120 d，平均62 d；单侧发病27例，双侧15例；X线侧位片示跟骨骨刺者17例。对照组男22例，女20例；年龄24～62岁，平均46.7岁；病程4～150 d，平均67 d；单侧发病25例，双侧17例；X线侧位片示跟骨骨刺者14例。2组患者在性别、年龄、病程等方面比较，差异无统计学意义（P > 0.05），具有可比性。