冲击波治疗骨膜炎的疗效对比观察

Clinical observation on therapeutic effect of shock wave therapy for periostitis

目的:观察分析冲击波治疗骨膜炎的疗效。方法:对90例骨膜炎患者按随机数字表法随机分为冲击波治疗组、超声波治疗组、中频治疗组,每组各30例。治疗1周后,采用疼痛视觉模拟评分法(VAS)和临床疗效分级比较各组治疗效果。结果:冲击波治疗组VAS评分由6.35±0.72降为2.38±0.42,超声波治疗组VAS评分由6.29±0.68降为3.05±0.58,中频治疗组VAS评分由6.31±0.73降为3.42±0.69,经单因素方差分析,F=25.29,P=0.000(P<0.01);冲击波治疗组总有效率为87%,高于超声波治疗组总有效率80%,经χ~2检验,χ~2=2.206 4,P=0.006 9(P<0.01);高于中频治疗组总有效率77%,经χ~2检验,χ~2=2.167 9,P=0.002 7(P<0.01)。结论:冲击波治疗骨膜炎效果较超声波和中频治疗效果更好。

Objective To observe and analyze the therapeutic effect in the treatment of periostitis with shock wave therapy. Methods Ninety patients with periostitis were randomly divided into 3 groups, 30 cases in each group, treated with shock wave therapy,ultrasonic therapy, intermediate frequency therapy, separately. The comparison of visual analogue scale（VAS） and clinical efficacy were performed to evaluate the therapeutic effect in each group. Results The VAS score decreased from 6.35±0.72 to 2.38±0.42 in shock wave group, from 6.29±0.68 to 3.05±0.58 in ultrasonic group, from 6.31±0.73 to 3.42±0.69 in intermediate frequency group. The one-way analysis of variance showed the comparison of VAS score among 3 groups showed F=25.29, P=0.000（P〈0.01）. The total effective rate was 87% in shock wave group, higher than 80% in ultrasonic group [（ χ~2=2.206 4, P=0.006 9（P〈0.01）] and 77% in intermediate frequency group [ χ~2=2.167 9, P=0.002 7（P〈0.01）]. Conclusion Shock wave therapy can achieve better therapeutic effects for periostitis than ultrasonic therapy and intermediate frequency therapy.