中药熏洗治疗跟痛症用药规律分析

目的:分析中药熏洗治疗跟痛症处方的用药特点和组方规律。方法:检索2004~2013年期刊公开发表的治疗跟痛症的中药熏洗方,进行统计分析和数据挖掘。结果:收集方剂57首,共用药88味,累计用药频次为602次。其中用药频次排前3位的依次为透骨草、威灵仙、牛膝;祛风湿药使用频次为230次,其次为活血化瘀药,使用频次180次。结论:中药熏洗治疗跟痛症中祛风湿药和活血化瘀药占重要地位。     

电针阿是穴配合中药内服治疗跟痛症112例临床观察

[目的]观察电针配合中药内服治疗跟痛症的临床疗效。[方法]将112例跟痛症患者予电针足跟部阿是穴,同时根据中医辨证,配合中药内服,观察临床疗效。[结果]总有效率为94.6%。[结论]电针阿是穴配合中药内服治疗跟痛症疗效显著。     

小针刀配合中药热敷治疗跟痛症20例

目的观察小针刀配合中药热敷治疗跟痛症疗效.方法20例患者均用小针刀配合中药热敷治疗.结果临床治愈17例(85%),显效3例(15%).结论小针刀配合中药热敷治疗跟痛症疗效显著.     

中医外治足跟痛560例临床心得

目的 探讨中医外治足跟痛临床心得.方法 采用家传中药验方外敷患处治疗足跟痛(跟痛症).结果 治疗2mo显效率92.8%;半年显效率82.1%.结论 中药外敷治疗跟痛症是一种方法简便、疗效可靠的保守疗法.     

针刀配合中药治疗跟痛症50例临床分析

目的分析针刀配合中药治疗跟痛症的临床效果。方法本文所选100例跟痛症患者均为我院2015年3月至2017年5月所收治,随机将其分成对照组和实验组,每组均为50例;对照组选择中药熏洗治疗,实验组选择针刀配合中药熏洗治疗,观察比较临床疗效。结果实验组的临床治疗总有效率94.0%显著高于对照组的72.0%,比较差异有统计学意义(P0.05)。结论针刀配合中药治疗跟痛症能取得比较理想的效果,能对患者的临床症状进行显著改善,值得临床推广。     

中药外用治疗跟痛症89例

中药外用治疗跟痛症８９例王洪震连云港市第三人民医院（２２２００１）关键词中药外治法跟痛症中图分类号Ｒ２７４．３９跟痛症是指足跟部疼痛为主症的一种症候群，尤其是跟骨跖面着力点疼痛为主，临床上多见，且多见于４０岁以上的中老年人。笔者自１９９４年至今，应用...     

综合外治疗法治疗跟痛症的体会

目的:探讨综合外治疗法对跟痛症的治疗效果和体会。方法:选择跟痛症患者96例(106足)作为研究对象,实施一般治疗、中药熏洗和压痛点注射等综合疗法,疗程结束后评价治疗效果。结果:综合外疗法治疗跟痛症的总有效率为96.22%。结论:综合外疗法治疗跟痛症疗效显著,值得临床推广应用。     

针刺配合中药熏洗治疗跟痛症疗效观察

目的观察针刺配合中药熏洗治疗跟痛症的临床疗效.方法根据随机对照的临床试验原则,将门诊收集的60例跟痛症患者随机分成两组,每组30例.治疗组采用针刺配合中药熏洗的方法,对照组采用单纯针刺法进行治疗.比较两组的治疗效果.结果两组疗效比较,治疗组有效率为93.3%,对照组为80.0%,两组比较差异有统计学意义(P<0.05).结论针刺配合中药熏洗治疗跟痛症疗效显著,取效迅速,值得临床推广应用.     

自拟中药外洗方治疗跟痛症35例

目的观察自拟中药外洗方治疗跟痛症的临床疗效。方法选取2017年11月至2018年10月在本院骨二科就诊的35例跟痛症患者,治疗上予自拟中药外洗方外用。连续治疗3周为1个疗程。结果患者治疗前后的VAS疼痛评分有明显变化,差异有统计学意义(P0.05);治疗后临床疗效评估中,痊愈率57.1%,总有效率达94.3%。对有效的33例患者进行随访,随访时间为2个月,复发率为18.2%。结论自拟中药外洗方治疗跟痛症临床疗效显著。     

针刀松解术后中药熏洗浸泡疗法治疗跟痛症160例

目的:观察针刀松解术后中药熏洗浸泡疗法治疗跟痛症的疗效。方法:跟痛症患者针刀松解术后行中药浸泡。结果:病例160例,痊愈88例,显效32例,有效24例,无效16例,总有效率90%。结论:针刀松解术后中药熏洗浸泡疗法治疗跟痛症效果好。     

TREATMENT OF PAINFUL HEEL WITH COMBINED METHOD OF TRADITIONAL CHINESE MEDICINE AND WESTERN MEDICINE CLINICAL ANALYSIS OF 900 CASES

From 1973 t0 1983, 900 cases of painful heel were treated with traditional Chinese medicine and western medicine, which consisted of local steroid injections, herb medicine and acupuncture. 650 cases were cured by the conservative methods. 250 cases which had been treated with the same method for more than half a year without response were group- ed as persistent painful heels. Of them, 52 cases were treated with drilling operation which was effective in most of the cases. In only a small num ber of cases the etiology was clearly due to trauma, extreme obesity or theumatoid periostitis. In the majority, causes of the disease were unclear and the condition was considered idiopathic. X-ray films of the os calcis were taken for the 250 persistent cases and calcaneal spurs were observed in 229 cases. However, further analysis revealed no direct relation- ship between the spurs and the heel pain.     

Ultrasonographic evaluation of plantar fascia bands. A retrospective study of 211 symptomatic feet

The authors measured the thickness of the medial, central, and lateral bands of the plantar fascia using ultrasonographic techniques in 109 symptomatic patients with 211 painful heels. Plantar fasciitis was diagnosed by the presence of plantar heel pain and tenderness of the plantar fascia on palpation and was correlated with plantar fascia thickness. All of the symptomatic feet had medial band tenderness, with an average thickness of 5.9 mm, 68% had central band tenderness, with an average thickness of 5.3 mm, and 26% had lateral band tenderness, with an average thickness of 4.4 mm. The average thickness of all symptomatic bands was 5.35 mm, which was significantly greater than that for all asymptomatic bands, which was 2.70 mm. There were also significant differences in the thickness of the three plantar fascia bands in symptomatic patients. A plantar fascia index was established consisting of the ratio of the mean thickness of symptomatic medial, central, and lateral plantar fascia bands to that of asymptomatic bands; for this study, the index value is 1.98 (5.35/2.70 mm).     

延期手术治疗跟骨骨折的疗效观察

目的:探讨延期手术切开复位钢板内固定治疗跟骨骨折的临床疗效.方法:对32例36足跟骨骨折,采用石膏临时固定后7-14d,择期行切开复位钢板内固定及髂骨(或人工骨)植骨进行治疗.通过手术将跟距关节面解剖复位,恢复Bohler角和Gissane角.结果:36足均获得随诊,平均随诊26个月.按Maryland足部功能评分系统...     

手术治疗顽固性跟痛症(附66例疗效观察)

目的　观察顽固性跟痛症的手术治疗效果。方法　 6 6例 74足跟痛症患者 ,依据其不同的临床表现 ,分别采用不同的手术方法治疗 (包括跖腱膜切断与跟骨刺摘除、跟骨钻孔减压、胫后神经跟骨内侧枝切断等手术方法 )。结果　随访 6个月～ 10年 ,平均 4年 3个月。按疗效评定标准 ,优 5 0例 ,5 4足 ,良 15例 19足 ,差 1例。优良率 98 6 4%。结论　依据不同的临床表现而采用不同的手术方法治疗顽固性跟痛症 ,疗效满意     

足跟部组织缺损的显微外科修复

目的 :探讨显微外科技术修复足跟部组织缺损的适应证与治疗效果。方法 :应用 14种组织瓣修复足跟部皮肤、跟骨、跟腱与皮肤等缺损 6 1例。结果 :经随访半年～ 15年 ,除 1例皮瓣部分坏死外 ,其余均成活。2例因皮瓣臃肿 ,术后 1年行皮瓣成形术。所有皮瓣均具有感觉功能 ,修复跟腱者小腿三头肌功能良好。结论 :应用显微外科技术修复足跟部组织缺损 ,疗程短 ,疗效好 ;尽量选择局部带血管蒂组织瓣转位 ;能用非主干血管组织瓣者不用主干血管组织瓣。     

Partial calcanectomy in the treatment of chronic heel ulceration

Chronic decubitus ulceration of the heels is a common condition encountered by podiatric physicians, especially in diabetic patients. Very often these ulcerations can progress to osteomyelitis of the calcaneus. Many times, this in turn leads to a below-the-knee amputation. A partial calcanectomy is a viable alternative to below-the-knee amputation. A more functional limb both mechanically and cosmetically is achieved, and the morbidity and mortality associated with the calcanectomy is less than with a below-the-knee amputation. A brief overview of the history and outcomes associated with this procedure is outlined and a case utilizing a partial calcanectomy is presented.     

手术治疗与封闭治疗输精管结扎后痛性结节57例疗效比较

目的　比较输精管结扎术后痛性结节手术治疗和非手术治疗疗效优劣。方法　手术治疗采用痛性结节切除术 ,非手术治疗采用普鲁卡因加地塞米松痛性结节周围封闭 ,所获数据经 χ2 检验。结果　手术切除治愈率为 10 0 % ,非手术治疗组治愈率为 58.3% ,两组比较 ,P <0 .0 1。结论　输精管结扎术后痛性结节手术治疗优于非手术治疗     

Acupuncture Treatment of Heel Pain

CASE HISTORY A female patient, 46 years old, an officer from Hong Kong, paid her first visit on September 18, 2007,with the chief complaint of pain in both heels,especially the left one, for 3 weeks, with unknown reason. She stated that the pain would occur in the morning upon getting up when the foot stepped on the ground. It would get worse while walking and became severe when walking long.     

全身麻醉后肌阵挛1例及临床分析

全身麻醉期间出现四肢或全身性肌阵挛及躁动、抽搐、头颈后仰、牙关紧闭、脚弓反张等癫痫样现象（SLP）并不常见。其中肌阵挛是指一定时间内主动肌快速、反复地收缩,带有一定的节律性,不受意识控制。过去,有一些病例报告显示,不同的麻醉药物（如丙泊酚）和围手术期治疗药物（如注射用亚胺培南西司他丁钠,即泰能）可能诱发癫痫样现象。现将我院在实施全身麻醉后出现肌阵挛一例报道如下。     

痛性眼肌麻痹1例

[背景 ]痛性眼肌麻痹临床较少见 ,且易误诊 .[病例报告 ]报道 1例痛性眼肌麻痹 .[讨论 ]通过其临床表现、实验室检查及影像学检查进一步探讨痛性眼肌麻痹的临床特点