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赵奇林邓玲程紫良温馨胜陈青红杨苏舜黄长军.浮针疗法配合牵伸训练治疗足底筋膜炎的临床疗效观察[J].江西中医药大学学报,2026,38(1):56-61.

浮针疗法配合牵伸训练治疗足底筋膜炎的临床疗效观察

Observation on the Clinical Efficacy of Fu's Subcutaneous Needling Therapy Combined with Stretching Exercises in the Treatment of Plantar Fasciitis

DOI：10.20140/j.2095-7785.2026.01.13

中文关键词: 浮针疗法；牵伸训练；足底筋膜炎；临床疗效观察

英文关键词: Fu's Subcutaneous Needling Therapy; Stretching Exercises; Plantar Fasciitis; Clinical Efficacy Observation

基金项目:江西省卫生健康委科技计划项目（202210793）

作者	单位
赵奇林¹ 邓玲¹ 程紫良¹ 温馨胜¹ 陈青红¹ 杨苏舜² 黄长军¹	1 . 江西中医药大学附属医院南昌 330006；2 . 萍乡市妇幼保健院江西萍乡 337000

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中文摘要:

目的：比较浮针疗法配合牵伸训练与单纯牵伸训练治疗足底筋膜炎的临床疗效。方法：将60 例足底筋膜炎患者随机分成观察组（浮针疗法配合牵伸训练组，30 例）与对照组（单纯牵伸训练组，30 例）。对照组牵伸训练由康复师指导进行，对跖筋膜、腓肠肌、比目鱼肌进行牵伸；观察组在相同的牵伸训练基础上结合浮针疗法，浮针疗法针对相关患肌行扫散和再灌注活动。分别于治疗前、首次治疗后及治疗第12 天（2 个疗程结束后）观察足跟部疼痛视觉模拟评分表（VAS）评分情况；分别于治疗前、首次治疗后、治疗第6 天（1 个疗程结束后）及治疗第12 天（2 个疗程结束后）观察美国足踝外科协会踝- 后足评分表（AOFAS-AH）评分；并于治疗后进行临床疗效评定。结果：2 组治疗后各时间节点的VAS 评分较治疗前均减少（P<0 .001），治疗第12 天较首次治疗后的VAS 评分均减少（P<0 .001），且观察组首次治疗后各时间节点的VAS 评分均低于对照组（P<0 .001）。 2 组治疗后各时间节点的AOFAS-AH 评分较治疗前均增加（P<0 .001），治疗第6、12 天较首次治疗后的AOFAS-AH 评分均增加（P<0 .001），且观察组首次治疗后各时间节点的AOFAS-AH 评分均高于对照组（P<0 .001）。治疗后，2 组主观疼痛评分均逐渐减少，AOFAS-AH 评分均逐渐提高，至治疗第12 天，2 组改善主观疼痛和AOFAS-AH 评分方面的效应差距逐渐变大。结论：与单纯的牵伸训练组比较，浮针疗法配合牵伸训练在改善足跟疼痛、日常功能、足踝功能方面具有优势。

英文摘要:

Objective: To compare the clinical efficacy of Fu's subcutaneous needling therapy combined with stretching exercises versus stretching exercises alone in the treatment of plantar fasciitis. Methods: A total of 60 patients with plantar fasciitis were randomly divided into an observation group (Fu's subcutaneous needling therapy plus stretching exercises, 30 cases) and a control group (stretching exercises alone, 30 cases). Patients in the control group received stretching exercises under the guidance of a rehabilitation therapist, targeting the plantar fascia, gastrocnemius and soleus muscles. On the basis of the same stretching exercises, the observation group was additionally treated with Fu's subcutaneous needling therapy, which included scanning and reperfusion movements on the affected relevant muscles. The Visual Analogue Scale (VAS) scores for heel pain were recorded before treatment, immediately after the first treatment, and on the 12th day after treatment (upon completion of two courses). The American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS-AH) scores were evaluated before treatment, immediately after the first treatment, on the 6th day after treatment (upon completion of one course), and on the 12th day after treatment (upon completion of two courses). Clinical efficacy was assessed after the entire treatment course. Results: At all post-treatment time points, the VAS scores of both groups were significantly lower than those before treatment (P<0.001). The VAS scores on the 12th day were significantly lower than those immediately after the first treatment in both groups (P<0.001). Moreover,the VAS scores of the observation group were significantly lower than those of the control group at all time points after the first treatment (P<0.001). The AOFAS AH scores of both groups were significantly higher at all post-treatment time points compared with those before treatment (P<0.001). The scores on the 6th and 12th days were significantly higher than those immediately after the first treatment (P<0.001). Furthermore,the AOFAS AH scores of the observation group were significantly higher than those of the control group at all time points after the first treatment (P<0.001). After treatment, the subjective pain scores of both groups decreased gradually, while the AOFAS-AH scores increased progressively. By the 12th day of treatment, the difference in the improvement effects of subjective pain and AOFAS-AH scores between the two groups widened gradually. Conclusion: Compared with stretching exercises alone, Fu's subcutaneous needling therapy combined with stretching exercises has more significant advantages in relieving heel pain and improving daily functions as well as ankle-hindfoot functions.

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