| 摘要: |
| 目的 观察消痰止痛凝胶对跖筋膜炎性跟痛症的临床疗效。方法 将72例确诊为跖筋膜炎性跟痛症的患者随机分为观察组（36例）和对照组（36例），对照组采用双氯芬酸二乙胺乳胶剂外抹患处、2次/d，观察组采用消痰止痛凝胶外抹患处、2次/d，疗程均为28 d。评估两组患者治疗前后足跟疼痛视觉模拟量表（VAS）评分、跟痛症症状分级量化表评分、美国足与踝关节协会（AOFAS）踝-后足评分，超声测量两组患者治疗前后足底筋膜厚度的变化，统计两组患者治疗有效率及治疗结束3个月后复发率。结果 治疗前，两组患者足跟疼痛VAS评分、跟痛症症状分级量化表评分、AOFAS踝-后足评分、足底筋膜厚度差异均无统计学意义（均P＞0.05）。治疗后，两组上述指标均较治疗前改善（均P＜0.05），且观察组疼痛VAS评分、跟痛症症状分级量化表总分、跟痛症症状分级量化表疼痛评分、跟痛症症状分级量化表压痛评分、跟痛症症状分级量化表功能障碍评分、AOFAS踝-后足评分均较对照组明显改善（均P＜0.05），足底筋膜厚度较对照组变薄（P＜0.05），但跟痛症症状分级量化表失眠评分与对照组相比差异无统计学意义（P＞0.05）。观察组临床有效率（80.6%，29/36）高于对照组（55.6%，20/36），3个月后复发率（16.7%，6/36）低于对照组（41.7%，15/36），差异均有统计学意义（均P＜0.05）。结论 消痰止痛凝胶能减轻跖筋膜炎性跟痛症患者足跟疼痛，改善足功能，减少足底筋膜厚度，且治疗后复发率较低。 |
| 关键词: 消痰止痛凝胶 跖筋膜炎 跟痛症 治疗结果 |
| DOI：10.16781/j.CN31-2187/R.20230659 |
| 投稿时间：2023-11-23修订日期：2024-08-27 |
| 基金项目:上海市综合医院中西医结合专项（ZHYY-ZXYJHZX-202102）;上海市长宁区卫生健康委员会特色专科建设项目（20232009）;上海市长宁区卫生健康委员会中医科研项目（20214Z016）;海军第九〇五医院院管课题（2021Q019）. |
|
| Clinical effect of Xiaotan Zhitong gel in treating heel pain caused by plantar fasciitis: a random controlled study |
| ZHANG Xuan1,LIANG Jiayu1,WANG Ling1,WANG Meiling1,WEI Pinkang2,XU Jingyu2* |
(1. Department of Traditional Chinese Medicine, No. 905 Hospital of PLA Navy, Shanghai 200052, China;
2. Department of Traditional Chinese Medicine, The Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200003, China
*Corresponding author) |
| Abstract: |
| Objective To observe the clinical effect of Xiaotan Zhitong gel on heel pain caused by plantar fasciitis. Methods A total of 72 patients diagnosed with plantar fasciitis heel pain were randomly divided into observation group (36 cases) and control group (36 cases). Patients in the control group were treated with local application of diclofenac diethylamine emulgel twice a day and those in the treatment group were treated with Xiaotan Zhitong gel twice a day, with both treatments lasting for 28 d. The visual analogue scale (VAS) score of heel pain, the quantitative scale score of heel pain symptom grading, and the American Foot and Ankle Society (AOFAS) ankle-hindfoot score were evaluated before and after treatment. The changes of plantar fascia thickness were examined ultrasonographically before and after treatment in the 2 groups. The effective rates of treatment and the 3-month relapse rates were observed in the 2 groups. Results Before treatment, there were no significant differences in heel pain VAS score, heel pain symptom grading quantitative scale score, AOFAS ankle-hindfoot score, or plantar fascia thickness between the 2 groups (all P＞0.05). After treatment, the above indexes were improved in both groups compared with those before treatment (all P＜0.05); and the pain VAS score, heel pain symptom grading quantitative scale total score, heel pain symptom grading quantitative scale pain score, heel pain symptom grading quantitative scale pressure score, heel pain symptom grading quantitative scale dysfunction score, and AOFAS ankle-hindfoot score in the observation group were significantly improved compared with those in the control group (all P＜0.05). The thickness of plantar fascia was significantly thinner than that of the control group (P＜0.05), and the insomnia scores on the heel pain symptom grading quantitative scale were not significantly different between the 2 groups (P＞0.05). The effective rate of the observation group (80.6%, 29/36) was significantly higher than that of the control group (55.6%, 20/36) (P＜0.05), and the 3-month recurrence rate in the observation group (16.7%, 6/36) was significantly lower than that of the control group (41.7%, 15/36) (P＜0.05). Conclusion Xiaotan Zhitong gel can reduce heel pain, improve foot function, and reduce plantar fascia thickness in patients with plantar fasciitis, also with low recurrence rate after treatment. |
| Key words: Xiaotan Zhitong gel plantar fasciitis heel pain outcomes |
