放散状体外冲击波疗法治疗慢性足底筋膜炎的疗效

Effect of radial extracorporeal shock wave therapy on chronic plantar fasciitis

目的研究放散状体外冲击波治疗慢性足底筋膜炎的临床效果。方法 42例慢性足底筋膜炎患者随机均分为放散状体外冲击波组(A组)和局封组(B组),采用视觉模拟评分法(VAS)评估两组临床疗效,并观察不良反应的发生情况。结果两组治疗后VAS评分均较治疗前下降(P<0.05),且A组治疗后VAS评分低于B组(P<0.05)。与治疗后1周相比,A组治疗后3个月时的VAS评分降低(P<0.05),而B组VAS评分无明显变化(P>0.05)。A组临床有效率高于B组(85.71%vs.57.14%)(P<0.05)。两组均未发生严重不良反应。结论放散状体外冲击波疗法治疗慢性足底筋膜炎疗效显著,具有操作简单、无需麻醉、非侵入性和疗效持久可靠等优势。

Objective To investigate the clinical effect of radial extracorporeal shock wave therapy（ESWT）on chronic plantar fasciitis.Methods A total of 42 patients with chronic plantar fasciitis was equally randomized into two groups of A（treated with radial ESWT）and B（injected with corticosteroid）.The clinical efficacy was evaluated by VAS scoring,and adverse effect was observed.Results VAS scores in the 1st week and 3rd month after treatment in both groups were lower than those before treatment（P〈0.05）,which in group A were lower than those in group B（P〈0.05）.Compared with those in the 1st week after treatment,VAS scores in the 3rd month after treatment were decreased in group A（P〈0.05）,but were not significantly changed in group B（P〉0.05）.The effectiveness rate in group A was higher than that in group B（85.71% vs.57.14%）（P〈0.05）.There was no serious adverse effect in both groups.Conclusion Application of radial ESWT in the treatment of chronic plantar fasciitis can achieve satisfactory outcomes with the advantages of simple operation,without need of anesthesia,non-invasion and durable clinical efficacy.