[1]尹萌辰 许金海 莫文 叶洁△.体外冲击波治疗跟痛症的临床疗效分析[J].中国中医骨伤科杂志,2017,25(07):21-25.
　YIN Mengchen XU Jinhai MO Wen YE Jie.Clinical Analysis of Extracorporeal Shock Wave in the Treatment of Heel Pain[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(07):21-25.
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体外冲击波治疗跟痛症的临床疗效分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年07期
页码:
21-25
栏目:
临床研究
出版日期:
2017-07-15

文章信息/Info

Title:
Clinical Analysis of Extracorporeal Shock Wave in the Treatment of Heel Pain
文章编号:
1005-0205(2017)07-0021-05
作者:
尹萌辰1 许金海1 莫文1 叶洁1△
1.上海中医药大学附属龙华医院(上海,200030)
△.通信作者 E-mail:yejie@126.com
Author(s):
YIN Mengchen1 XU Jinhai1 MO Wen1 YE Jie1△
1.Longhua Hospital, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200030, China.
关键词:
不同强度;  体外冲击波治疗;  跟痛症
Keywords:
different intensities;  extracorporeal shock wave therapy;  heel pain
分类号:
R681.8
文献标志码:
A
摘要:
目的:通过临床对照试验研究,探索不同强度下的体外冲击波治疗跟痛症的临床疗效。方法:为观察不同强度下的体外冲击波治疗跟痛症的疗效,以上海中医药大学附属龙华医院的106例跟痛症患者为研究对象,采用完全随机对照的方法,按照随机编码表,随机分为高剂量组(n=36)、中剂量组(n=36)和低剂量组(n=34),基线资料差异无统计学意义(P>0.05)。冲击频率为20 Hz,治疗探头为15 mm.能流密度0.2 mJ/mm2为低剂量治疗,能流密度0.4 mJ/mm2为中剂量治疗,能流密度0.6 mJ/mm2为高剂量治疗。冲击次数为3 200次。治疗次数:每周2次,治疗2周。治疗前及治疗后第1,2,4及12周记录临床症状及体征变化等情况,评价其疗效。结果:患者接受高剂量、中剂量、低剂量的体外冲击波治疗后均能获得满意的总体疗效,行走功能、患肢压痛及肿胀均能得到有效改善,Roles and Maudsley评分也有显著下降,但高剂量组、中剂量组和低剂量组间差异均无统计学意义(P>0.05)。对于疼痛改善,第1次治疗后即时疼痛改善情况高剂量组、中剂量组和低剂量组间差异均有统计学意义(P<0.05),高剂量组的改善情况最明显,其次为中剂量组,低剂量组最不明显。结论:体外冲击波治疗能有效缓解行走疼痛、肿胀等临床症状,对治疗跟痛症有良好的临床疗效。
Abstract:
Objective: To explore the clinical efficacy of extracorporeal shock wave in the treatment of heel pain at different intensities through clinical controlled trial research. Methods: To observe the efficacy of different intensities of extracorporeal shock wave in the treatment of heel pain. All 106 patients with heel pain in Longhua hospital affiliated to Shanghai university of traditional Chinese medicine, were chosen as the research object. They were randomly divided into high dose group(n=36), middle dose group(n=36), and low dose group(n=34)according to the random code table, a completely randomized control method was used. There was no significant difference in baseline data. The frequency of impact was 20 Hz, the treatment probe was 15mm. Energy flow density of 0.2 mJ/mm2 for the low dose treatment, energy flow density of 0.4 mJ/mm2 for the middle dose treatment, and energy flow density of 0.6 mJ/mm2 for the high dose therapy. The times of impact was 3 200. Treatment times: 2 times a week for 2 weeks. Before treatment, and 1, 2, 4 and 12 weeks after treatment, the changes of clinical symptoms and signs were recorded, and the efficacy was evaluated. Results: Patients received high dose, medium dose, low-dose of extracorporeal shock wave treatment were obtained satisfactory overall effect. Walking function, limb tenderness and swelling were improved effectively. Roles and Maudsley score was also decreased significantly, but the high dose group, the middle dose group and the low dose group were not significant different in each other. The improvement of immediate pain after the first treatment in high dose group, middle dose group and low dose group were significantly different than base line. And the most obvious improvement was the high dose group, followed by the middle dose group, the low dose group was the least obvious. Conclusion: Extracorporeal shock wave therapy can effectively relieve walking pain, swelling and other clinical symptoms, which has a good clinical effect on the treatment of heel pain.

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备注/Memo

备注/Memo:
基金项目:上海市卫生与计划生育委员会科研项目:基于人 工神经网络模型的体外冲击波治疗跖筋膜炎的疗 效预测(140822111537934)
上海市中医药事业发展三年行动计划(2014年- 2016年):上海市骨退行性病中医临床研究基地 建设(ZY3-LCPT-1-1003)
浦东新区名中医及名中医工作室建设项目:浦东 新区莫文名中医及名中医工作室建设 (PDZYXK-3-2014018)
更新日期/Last Update: 2017-07-15