中国中西医结合外科杂志2024，Vol.30Issue(2)：204-208,5.DOI:10.3969/j.issn.1007-6948.2024.02.011
针刀配合中医正骨手法治疗拇外翻的临床效果
Clinical observation on treatment of hallux valgus by needle-knife combined with traditional Chinese medicine bone-setting technique
摘要
Abstract
Objective To explore the curative effect of needle knife combined with traditional Chinese medicine bone setting manipulation in the treatment of hallux valgus and its influence on the gait changes of patients.Methods A total of 60 patients with bunion valgus who met the selection criteria from August 2020 to April 2021 were randomly divided into observation group and control group,with 30 cases in each group.The control group was treated with minimally invasive osteotomy,and the observation group was treated with needle knife combined with traditional Chinese medicine bone setting manipulation.The American Association of foot and ankle surgeons(AOFAS)scores and hallux valgus angle(HVA)before and after treatment and clinical efficacy of the two groups were compared.The gait changes of patients were evaluated by spatio-temporal parameters(step length,pace,frequency and width)in gait analysis.Results AOFAS scores at 3 months and 1 year after surgery were higher than those before surgery(P＜0.05),scores at 1 year after surgery were higher than those at 3 months after surgery(P＜0.05),scores in the observation group were higher than those in the control group at 3 months and 1 year after surgery(P＜0.05).HVA at 3 months and 1 year after surgery in both groups was lower than that before surgery(P＜0.05),and there was no difference between 3 months and 1 year after surgery(P＞0.05),but HVA at 3 months and 1 year after surgery in the observation group was lower(P＜0.05).Three months after operation,the excellent and good rate of observation group was higher than that of control group(P＜0.05).The step length,step speed and step frequency of the two groups at 3 months and 1 year after surgery were higher than those before surgery,and those in the observation group were higher at 3 months and 1 year after surgery(P＜0.05).The step width was smaller than that before surgery(P＜0.05),and the observation group was smaller at 3 months and 1 year after surgery(P＜0.05).Conclusion The treatment of hallux valgus with needle knife combined with bone setting manipulation of traditional Chinese medicine can improve the symptoms of hallux valgus deformity and improve the gait of patients.The curative effect is significant,which is worth popularizing.关键词
针刀/中医正骨手法/拇外翻/疗效/步态变化Key words
Needle knife/Traditional Chinese medicine bone setting manipulation/hallux valgus/curative effect/gait change分类
医药卫生引用本文复制引用
朱祺,王壮,李小凯,王雷,郑志永,赵挺..针刀配合中医正骨手法治疗拇外翻的临床效果[J].中国中西医结合外科杂志,2024,30(2):204-208,5.基金项目
秦皇岛市科学技术研究与发展计划项目(202004A067) （202004A067）
