| 谢南海,沈薇,丛鑫宇,郑拥军.超声引导下针刺触发点治疗足底筋膜炎[J].中国医学影像技术,2019,35(8):1128~1132 |
| 超声引导下针刺触发点治疗足底筋膜炎 |
| Ultrasound-guided dry needling for myofascial trigger points in treatment of plantar fasciitis |
| 投稿时间：2019-03-13 修订日期：2019-05-21 |
| DOI：10.13929/j.1003-3289.201903094 |
| 中文关键词: 筋膜炎,足底 超声检查 触发点 干针 |
| 英文关键词:fasciitis,plantar ultrasonography myofascial trigger points dry needling |
| 基金项目:南通市市级科技计划（指导性）项目关键技术研究（GJZ17070）、南通市市级科技计划（指导性）项目民生科技计划（MSZ18169）、上海市科学技术委员会科研项目计划课题（15DZ1940104）、上海市卫生和计划生育委员会面上项目（201540297）。 |
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| 中文摘要: |
| 目的 观察超声引导下针刺触发点治疗足底筋膜炎的临床效果。方法 选取48例足底筋膜炎患者，并随机分为2组，对单纯组（n=24）采用单纯非负重跖腱膜拉伸训练，联合组（n=24）采用超声引导下针刺触发点结合非负重跖腱膜拉伸训练；分别于治疗前（T0）及治疗后1个月（T1）、3个月（T2）对患者进行"第1步"数字疼痛评分（NPRS）、美国矫形外科足踝协会踝-后足功能评分（AOFAS）以及36条目健康调查量表中生理（PCS）和心理（MCS）评分。结果 治疗前后2组NPRS、AOFAS、PCS和MCS评分总体差异均有统计学意义（P均<0.01），治疗后均较治疗前改善。联合组T1和T2的NPRS均低于单纯组（P均<0.01），T1和T2的AOFAS、PCS评分均高于单纯组（P均<0.05），而2组间T1和T2的MCS评分差异均无统计学意义（P均>0.05）。结论 超声引导下针刺触发点联合拉伸训练和单纯非负重跖腱膜拉伸训练对于足底筋膜炎均有效，前者缓解疼痛和改善足踝功能效果更佳。 |
| 英文摘要: |
| Objective To explore the clinical effect of ultrasound-guided dry needling of myofascial trigger points in treatment of plantar fasciitis. Methods Totally 48 patients with plantar fasciitis were randomly divided into 2 groups. Patients in the simple treatment group (n=24) received sole non-weight-bearing plantar fascia stretching training, and the ones in the combined treatment group (n=24) received ultrasound-guided dry needling for myofascial trigger points combined with stretching training. The numeric pain-rating scale (NPRS) of the first move, American Orthopaedic Foot and Ankle Society Hindfoot Score (AOFAS), physical component summary (PCS) and mental component summary (MCS) of 36-item short-form health survey were evaluated before (T0) as well as 1 month (T1) and 3 months (T2) after treatment respectively. Results The overall differences of NPRS, AOFAS, PCS and MCS were significant before and after treatment in both two groups (all P<0.01), and the all scores after treatment were improved compared with those before treatment. NPRS of T1 and T2 in the combined treatment group were lower than those in the simple treatment group (both P<0.01), and AOFAS and PCS of T1 and T2 in the combined treatment group were higher than those in the simple treatment group (all P<0.05). There was no difference in the MCS of T1 and T2 between 2 groups (both P>0.05). Conclusion Ultrasound-guided dry needling for myofascial trigger points combined with stretching training and sole non-weight-bearing plantar fascia stretching training are both effective for treatment of plantar fasciitis, while the former is better for relieving pain and improving ankle function. |
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