基于中医经筋理论运用放散状冲击波治疗慢性跟腱炎63例

Radial Extracorporeal Shock Wave Therapy in the Treatment of Chronic Tendinitis Based on Meridian Theory of Traditional Chinese Medicine for 63 Cases

目的基于中医经筋理论运用放散状冲击波治疗慢性跟腱炎,从而更好地对慢性跟腱炎进行治疗。方法选取在我院门诊就诊的慢性跟腱炎患者63例,将其随机分为对照组32例和治疗组31例,对照组给予常规放散状冲击波治疗,治疗组在给予常规放散状冲击波治疗的同时加入对足太阳经筋上定点的冲击波治疗。结果治疗组有效率90.3%,对照组有效率71.9%,2组间差异性具有统计学意义(P<0.05);治疗前后患者VAS比较,具有统计学意义(P<0.01);而治疗组较对照组更为明显(P<0.01);运动功能评定分级中治疗前后,差异有统计学意义(P<0.01);治疗后治疗组功能评定比较更为明显(P<0.05)。结论基于中医经筋理论运用放散状冲击波治疗慢性跟腱炎比单纯运用冲击波治疗更加有效,值得推广。

Objectiv e Based on traditional Chinese med icine meridian theory of radial extracorporeal shock wave therapy for treatment of chronic achilles tendinitis, in order to better treatment of chronic achilles tendinitis. Methods A total of 63 cases of outpatients with chronic tendinitis patients were randomly divided into control group of 32 cases and treatment group of 31 cases. The control group was given conventional radial extracorporeal shock wave therapy. In the treatment group, patients were treated with conventional radial extracorporeal shock wave therapy and meridian tendons fixed point of shock wave the frequency of treatment.Results The effective rate of the treatment group and the control group was 90.3 % and 71.9% respectively, and the difference was statistically significant（ P 0.05）. The comparison of VAS patients before and after treatment was statistically significant（ P 0.01）. VAS of the treatment group was more significant than the control group（ P 0.01）. The motor function assessment grading before and after treatment had statistically significant difference（ P 0.01）. The functional assessment of the treatment group was more obvious than that of the control group（ P 0.05）. Conclusion The radial extracorporeal shock wave therapy in the treatment of chronic tendinitis based on meridian theory of traditional Chinese medicine is more effective, and is worthy of promotion.