[1]朱祺,王壮,李小凯,等.针刀配合中医正骨手法治疗足外翻的临床研究[J].中国中医骨伤科杂志,2023,31(02):29-34.
　ZHU Qi WANG Zhuang LI Xiaokai WANG Lei ZHENG Zhiyong ZHAO Ting.Clinical Study of Acupotomy Combined with Traditional Chinese Bone-Setting Technique on the Treatment of Bunion[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(02):29-34.
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针刀配合中医正骨手法治疗足外翻的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年02期
页码:
29-34
栏目:
临床研究
出版日期:
2023-02-15

文章信息/Info

Title:
Clinical Study of Acupotomy Combined with Traditional Chinese Bone-Setting Technique on the Treatment of Bunion
文章编号:
1005-0205(2023)02-0029-06
作者:
朱祺1; 王壮1; 李小凯2; 王雷3; 郑志永1; 赵挺1
1秦皇岛市中医医院骨伤一科(河北 秦皇岛,066000) 2秦皇岛市中医医院治未病中心 3秦皇岛市中医医院针灸科
Author(s):
ZHU Qi1 WANG Zhuang1 LI Xiaokai2 WANG Lei3 ZHENG Zhiyong1 ZHAO Ting1
1Department of Orthopedics,Qinhuangdao Traditional Chinese Medicine Hospital,Qinhuangdao 066000,Hebei China; 2The Treatment Center of Qinhuangdao Traditional Chinese Medicine Hospital,Qinhuangdao 066000,Hebei China; 3Department of Acupuncture and Moxibustion,Qinhuangdao Traditional Chinese Medicine Hospital,Qinhuangdao 066000,Hebei China.
关键词:
足外翻;  中医;  正骨手法;  针刀;  足功能;  截骨手术
Keywords:
bunion;  Ttraditional Chinese Medicine;  bonesetting technique;  needle knife;  foot function;  bone cutting operation
分类号:
R682.1
文献标志码:
A
摘要:
目的:探讨针刀配合中医正骨手法治疗外翻的临床疗效,为临床治疗提供参考。方法:选择2020年8月至2021年8月收治的80例足外翻患者,用随机数字表法将患者分为两组,对照组(40例)接受微创截骨手术治疗,观察组(40例)接受针刀配合中医正骨手法治疗。比较两组疗效、足功能、复位效果、疼痛程度、生活质量及不良反应差异。结果:两组治疗优良率(90.00% vs 85.00%)比较差异无统计学意义(P>0.05)。两组治疗后美国足与踝关节协会(AOFAS)评分、Maryland足部评分、健康状况调查简表(SF-36)评分均较治疗前增高(P<0.05),外翻角(HVA)、第一、二跖骨夹角(IMA)、第一跖骨远端关节面角(DMAA)、疼痛视觉模拟量表(VAS)评分均较治疗前降低,差异有统计学意义(P<0.05)。观察组治疗后AOFAS评分、Maryland足部评分、SF-36评分高于对照组,差异有统计学意义(P<0.05); VAS评分低于对照组,差异有统计学意义(P<0.05); HVA、IMA、DMAA与对照组比较差异无统计学意义(P>0.05)。观察组感染、关节僵硬发生率低于对照组,差异有统计学意义(P<0.05)。结论:针刀配合中医正骨手法治疗外翻具有和微创截骨手术同样的复位效果,且更有助于术后足功能恢复,减轻疼痛程度,提高生活质量,降低并发症发生率。
Abstract:
Objective:To investigate the clinical efficacy of acupotomy combined with traditional Chinese bone-setting manipulation on bunion valgus,and to provide reference for clinical treatment.Methods:80 patients with bunions admitted from August 2020 to August 2021 were selected.The patients were divided into two groups by random number table method.The control group(40 cases)received minimally invasive osteotomy,and the observation group(40 cases)received acupotomy combined with traditional Chinese bone-setting manipulation.The differences of efficacy,foot function,reduction efficacy,pain degree,quality of life and adverse reactions between the two groups were compared.Results:There was no significant difference in the rate of excellent and good treatment between the two groups(90.00% vs 85.00%,P>0.05).American Orthopedic Foot and Ankle Society(AOFAS)score,Maryland foot score and SF-36 score in two groups after treatment were higher than those before treatment(P<0.05).Compared with before treatment,HVA,IMA,DMAA and VAS scores were all decreased(P<0.05).AOFAS score,Maryland foot score and SF-36 score in the observation group were higher than those in the control group(P<0.05),while VAS score was lower than those in the control group(P<0.05)after treatment.There were no significant differences in HVA,IMA and DMAA between the observation group and the control group(P>0.05).The incidence of infection and joint stiffness in observation group was lower than that in control group(P<0.05).Conclusion:Acupotomy combined with traditional Chinese bone-setting technique has the same reduction efficacy as minimally invasive osteotomy for bunion valgus,and is more helpful to promote postoperative foot function recovery,relieve pain,improve quality of life,and reduce the incidence of complications.

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备注/Memo

备注/Memo:
基金项目:秦皇岛科学技术研究与发展计划项目(202004A067)
更新日期/Last Update: 2023-02-10