钟钿 孙小波 李昱鸿

    【摘要】 目的：探讨中药足浴联合关节镜下微创手术在顽固性跟痛症患者中的应用价值。方法：选择2020年7月-2022年1月赣州市中医院收治的顽固性跟痛症患者72例，按随机数字表法分为两组，每组36例。对照组采用关节镜下微创手术治疗，治疗组采用中药足浴联合关节镜下微创手术治疗，两组均于术后3个月评估效果。对比分析两组足功能、疼痛程度、足底压力情况、术后并发症。结果：术后3个月，治疗组美国足与踝关节协会(AOFAS)踝与后足功能评分中疼痛维度[(32.15±3.29)分]、功能维度[(36.95±4.11)分]、足部对线维度评分[(7.02±1.03)分]及总评分[(76.12±5.72)分]和足跟内侧缘[(143.54±9.25)N/cm2]、足跟外侧缘[(133.04±6.01)N/cm2]均高于对照组[(27.67±3.56)分、(30.14±3.78)分、(6.16±1.17)分、(63.97±5.20)分、(137.04±9.02)N/cm2、(127.61±6.79)N/cm2]，视觉模拟评分法[(1.83±0.42)分]及足前掌外侧缘[(120.10±5.26)N/cm2]均低于對照组[(2.68±0.51)分、(125.46±6.34)N/cm2]，差异均有统计学意义(P0.05)。结论：中药足浴联合关节镜下微创手术用于顽固性跟痛症患者可改善其足底压力，缓解疼痛，促进足部功能恢复，且安全性高。

    【关键词】 顽固性跟痛症 关节镜下微创手术 中药足浴 足功能 疼痛程度 并发症

    Effect of TCM Foot Bath Combined with Arthroscopic Minimally Invasive Surgery on Foot Function and Postoperative Complications in Patients with Intractable Heel Pain/ZHONG Dian， SUN Xiaobo， LI Yuhong. //Medical Innovation of China， 2023， 20(12)： 0-098

    [Abstract] Objective： To explore the application value of TCM foot bath combined with arthroscopic minimally invasive surgery in patients with intractable heel pain. Method： A total of 72 patients with intractable heel pain who were admitted to Ganzhou Hospital of Traditional Chinese Medicine from July 2020 to January 2022 were selected and divided into two groups according to the random number table method ......