摘要
目的:比较放散状与聚焦状冲击波治疗足底筋膜炎的疗效。方法:52例足底筋膜炎患者被分为放散状冲击波治疗组(放散组)与聚焦状冲击波治疗组(聚焦组),每组26例。放散组患者治疗频率为5 Hz,治疗探头15 mm,治疗压力2～3bar,冲击波次数2000,手持压力中-高。聚焦组患者治疗电压7～8 kV,冲击频率60次/min,冲击次数1200次。所有患者均治疗3次,每次治疗间隔7天,治疗部位均为患侧跟骨内侧结节。治疗前和末次治疗后4周后和12周后,采用视觉模拟评级法(VAS)评估患者治疗前后疼痛强度。结果:治疗前两组患者VAS评分相近,末次治疗4周后及12周后,VAS评分均显著低于治疗前,两组之间的差异有统计学意义(P<0.05);本次治疗4周后放散组VAS评分显著低于聚焦组,两组之间差异有统计学意义(P<0.05),放散组的治愈率和有效率分别为26.9%和100%,聚焦组的治愈率和有效率分别为15.4%和84.6%;12周时两组之间差异无统计学意义(P>0.05),放散组的治愈率和有效率分别为76.9%和100%,聚焦组的治愈率和有效率分别为73.1%和96.6%。结论:放散状冲击波治疗足底筋膜炎显效快,但远期疗效与聚焦状冲击波无明显差异。
Objective To compare the curative effect of radial and focused extracorporeal shock waves in the treatment of plantar fasciitis. Methods Fifty two patients with plantar fasciitis were included in the study,26 of them received radial extraeorporeal shock waves therapy（group R） and the others re ceived focused extraeorporeal shock waves therapy （group F）. 5 Hz impulses of radial extracorporeal shock waves was applied for group R for 15 mm,2,000 impulses per session,and 2-3 bar air pressure. 1 Hz impulses was applied for group F for 15 mm, 1,200 impulses per session,and at the voltage of 7-8 kV. Each patient received three sessions of treatment with an interval of 1 week. Visual Analog Scale （VAS） score was used to evaluate the extent of pain before the therapy and 4 or 12 weeks after the last therapy. Results Prior to the therapy,the VAS scores were similar for both groups. VAS scores of 4 and 12 weeks after the therapy were significantly lower than before therapy （P 〈 0.05）,and were lower in group F than in group R 4 weeks after the therapy （P 〈 0.05）. The curative rate and effective rate were 26.9% and 100% in group R,and 15.4% and 84.6% in group F,respectively. The curative rate and effective rate were similar between group R （76.9% and 100%）and group F （73.1% and 96.6%） after 12 weeks ofter therapy （P 〉 0.05）. Conclusion Radial extracorporeal shock waves therapy showed a bettereffectiveness for treating plantar fasciitis in short-term,while there was no significant long-term difference in therapeutic effect between the two groups.
出处
《中国运动医学杂志》
CAS
CSCD
北大核心
2012年第6期523-525,532,共4页
Chinese Journal of Sports Medicine
关键词
放散状冲击波
聚焦状冲击波
足底筋膜炎
疼痛
radial extracorporeal shock waves,focused extracorporeal shock waves,plantar fasciiris, pain
