[1]龚志贤 吴泳蓉 凌上清 卢敏 邝高艳△.体外冲击波循经取穴治疗慢性跖筋膜炎随机对照研究[J].中国中医骨伤科杂志,2019,27(02):21-23.
　GONG Zhixian WU Yongrong LING Shangqing LU Min KUANG Gaoyan.A Randomized Controlled Clinical Trial on Treatment ofChronic Metatarsal Fasciitis with ExtracorporealShock Wave Along Meridian[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(02):21-23.
点击复制

体外冲击波循经取穴治疗慢性跖筋膜炎随机对照研究()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年02期
页码:
21-23
栏目:
临床研究
出版日期:
2019-02-15

文章信息/Info

Title:
A Randomized Controlled Clinical Trial on Treatment ofChronic Metatarsal Fasciitis with ExtracorporealShock Wave Along Meridian
文章编号:
1005-0205(2019)02-0021-03
作者:
龚志贤1 吴泳蓉1 凌上清1 卢敏1 邝高艳1△
1湖南中医药大学第一附属医院(长沙,410007)
Author(s):
GONG Zhixian1 WU Yongrong1 LING Shangqing1 LU Min1 KUANG Gaoyan1△
1The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha 410007,China.
关键词:
冲击波;  循经取穴;  跖筋膜炎;  随机对照;  临床研究
Keywords:
extracorporeal shock wave;  acupoints along meridian;  metatarsal fasciitis;  randomized control trial;  clinical study
分类号:
R686.3
文献标志码:
A
摘要:
研究发散式体外冲击波循经取穴治疗慢性跖筋膜炎的疗效及安全性。方法:选取72例慢性跖筋膜炎患者为研究对象,按随机数字表法,随机分为对照组和试验组,每组36例,对照组对足底区痛点进行常规冲击波治疗,试验组在对照基础上对同侧循经取穴进行冲击波治疗。采用MASTERPULS MP-100冲击波机型治疗,5 d/次,5次1个疗程,疗程结束后即刻、疗程结束后6个月视觉模拟标尺法(VAS)评分、AOFAS踝-后足评分系统评分及安全性评估。结果:试验组总有效率94.44%,对照组总有效率83.33%,两组比较差异有统计学意义(P<0.05),治疗前后VAS评分、治疗前后AOFAS踝-后足评分系统评分差异有统计学意义(P<0.05)。治疗过程中试验组发生1例不良反应。结论:发散式体外冲击波循经取穴治疗跖筋膜炎具有良好临床疗效,操作简便、安全性高,充分显示了现代医学结合传统医学技术的特色及优势,值得临床推广。
Abstract:
To study the efficacy and safety of diverging extracorporeal shock wave along meridian point in the treatment of chronic metatarsal fasciitis.Methods: 72 patients with chronic plantar fasciitis were randomly divided into two groups: control group(n=36)and test group(n=36). The test group treated the ipsilateral meridian acupoints with shock wave on the basis of control. MASTERPULS MP-100 shock wave machine was used for 5 d/time, 5 times a course of treatment. The visual analogue scale(VAS)score, the AOFAS ankle-hind foot scoring system and the safety were obtained immediately after the end of the course and 6 months after the end of the course of treatment.Results:The total effective rate in the trial group was 94.44%.The total effective rate in the control group was 83.33%. The difference between the two groups was statistically significant(P<0.05). The VAS score before and after treatment was significantly higher than that in the control group. There was significant difference in AOFAS ankle-hind foot scoring system before and after treatment(P<0.05). Adverse reactions occurred during treatment.Conclusion: The treatment of metatarsal fasciitis by diverging extracorporeal shock wave along meridian points has good clinical efficacy, simple operation and high safety. It fully shows the characteristics and advantages of modern medicine combined with traditional medical technology, and is worthy of clinical promotion.

参考文献/References:

[1] 张康,孔庆喆,徐凡平,等.中医药治疗跖筋膜炎的研究进展[J].北京中医药,2016,35(9):898-900.
[2] LIM A T,HOW C H,TAN B.Management of plantar fasciitis in the outpatient setting[J].Singapore Med J,2016,57(4):168-170.
[3] RITCHIE J D,SHAVER J C,ANDERSON R B,et al.Excision of symptomatic nonunions of proximal fifth metatarsal avulsion fractures in elite athletes.[J].American Journal of Sports Medicine,2011,39(11):2466.
[4] 蔡宇,周华军,朱朋飞,等.肌肉能量训练联合智能脉冲枪治疗慢性跖筋膜炎的疗效观察[J].中华物理医学与康复杂志,2016,38(10):752-754.
[6] 蒋继乐,刘亚军.体外冲击波疗法治疗肩关节慢性劳损型疾病的研究进展[J].中华创伤骨科杂志,2017,19(7):637-640.
[6] 郭晓华,陈董董,朱庆军.针灸治疗跟痛症研究进展[J].中医药临床杂志,2018,30(4):779-782.
[7] 史栋梁,史桂荣,张仲博,等.射频针刀治疗跖筋膜炎的临床研究[J].中国疼痛医学杂志,2017,23(1):74-76.
[8] 冯超,晏圣松,许剑,等.跖筋膜炎的中医治疗概况[J].临床医药文献电子杂志,2017,4(7):1378-1378.
[9] 李永文.跖腱膜炎跖筋膜炎的治疗进展[J].现代中西医结合杂志,2016,25(7):792-795.
[10] 闵红巍,刘克敏,徐峰,等.关节镜下骨刺切除结合射频消融术治疗跖筋膜炎[J].实用骨科杂志,2015,21(4):370-373.
[11] 赵明宇,赵启,鲍铁周.董氏奇穴配合骨盆调整治疗顽固性跖筋膜炎21例[J].中国针灸,2015,35(5):459-460.
[12] CHU C H,YEN Y S,CHEN P L,et al.Repair of articular cartilage in rabbit osteochondral defects promoted by extracorporeal shock wave therapy[J].Shock Waves,2015,25(2):1-10.[13] SPRINGER J,BADGETT R G.Optimized extracorporeal shock-wave therapy improved pain and functioning in chronic plantar fasciitis[J].Annals of Internal Medicine,2015,163(10):8.
[14] 王李丽,白莺,金建慧,等.放散式冲击波联合偏振光照射治疗跖筋膜炎的临床观察[J].中国疼痛医学杂志,2016,22(12):916-918.
[15] 周增华,蒋宗滨,张爱民,等.不同次数冲击波治疗对跖筋膜炎的临床疗效研究[J].中国康复医学杂志,2017,32(2):226-228.
[16] 王帅,刘水涛,杨军,等.发散式体外冲击波不同方案治疗跖筋膜炎型跖筋膜炎的效果对比[J].中国医学前沿杂志:电子版,2016,8(1):29-32.
[17] 何煜才,王涛.针刺配合艾灸治疗跖筋膜炎临床观察[J].山西中医,2011,27(1):29-29.
[18] 王吉华,董德河,杜新枝.补肾汤治疗跖筋膜炎249例[J].中医学报,2009,24(5):80-81.
[19] 苏佳灿.骨与关节损伤评分[M].上海:第二军医大学出版社,2013.
[20] 李娟红,程斌,李桂英.冲击波配合跖腱膜牵拉训练治疗顽固性跖筋膜炎的疗效研究[J].中国康复医学杂志,2012,27(9):854-856.
[21] 任映梅.体外冲击波治疗足跟痛的疗效观察[J].中国医药指南,2017,15(4):152-153.
[22] 李剑峰,刘福云.两种冲击波方法治疗慢性跖筋膜炎疗效的比较[J].中国矫形外科杂志,2018,26(5):401-404.
[23] 郑志新,高谦,王军,等.气动弹道式体外冲击波治疗慢性非特异性下腰痛的效果[J].中国康复理论与实践,2013,25(7):666-668.
[24] 刘沐青,郭霞,邝适存,等.冲击波在骨折不愈合或延迟愈合中的应用[J].北京大学学报:医学版,2004,36(3):327-329.
[25] 徐廷胜,李钊.气压弹道式体外冲击波设备在骨肌系统疾病治疗中的应用[J].医疗装备,2012,25(3):48-49.
[26] 崔若玫.肌肉骨骼超声在评估慢性足底筋膜炎中的临床应用[J].医药前沿,2016,6(11):113-114.
[27] 杨燕华,余雪玲.高频超声在慢性足底筋膜炎诊断中的临床应用[J].中国现代医药杂志,2017,19(11):97-98.
[28] 陈春花,雷丽芳,肖芳,等.针刺结合艾炷直接灸治疗跟痛症[J].吉林中医药,2018,38(2):230-233.
[29] 邓青军.温针疗法治疗跟下型跟痛症26例疗效观察[J].青海医药杂志,2011,41(11):41-41.
[30] 俞萍,林洁,李凤,等.涌泉穴对足跟痛的临床疗效[J].按摩与康复医学,2017,8(19):28-29.
[31] 阚俊微,陆伟慧,徐静艳,等.穴位注射结合麦粒灸治疗跟痛症临床观察[J].现代中西医结合杂志,2017,26(25):2812-2814.
[32] 陈永成.亚甲蓝穴位注射配合针刀治疗跟痛症72例[J].现代中医药,2017,37(6):48-49.
[33] 黄桂忠,王少伟,蔡俊通,等.中药外敷配合手法推拿治疗跟痛症疗效观察[J].新中医,2017,49(11):60-62.

备注/Memo

备注/Memo:
基金项目:湖南省中医药管理局课题(2017146)1湖南中医药大学第一附属医院(长沙,410007)△通信作者 E-mail:kuangyi0109@126.com
更新日期/Last Update: 2019-02-15