运动性跟腱损伤系统治疗效果分析

Analysis of Therapeutic Effect of Sports Achilles Injury System

目的分析运动性跟腱损伤系统治疗的临床效果。方法回顾性分析2014年6月—2017年1月接受治疗的88例运动性跟腱损伤患者的临床资料,按照随机数字表法将其分为对照组和研究组,对照组给予传统的保守治疗,研究组给予系统治疗,比较两组患者治疗后功能恢复情况(包括背屈角度、跖屈角度、肢体功能恢复时间)以及不同时间段内的VAS疼痛评分。结果治疗后,研究组与对照组背屈角度分别为(30.27±3.76)°、(12.38±1.87)°,跖屈角度分别为(45.38±1.89)°、(25.76±2.76)°,肢体功能恢复时间分别为(6.59±1.49)周、(12.38±1.86)周,两组数据差异有统计学意义(t=2.365,3.011,2.489,P<0.05);研究组患者在治疗1周、2周、3周、4周后VAS疼痛评分分别为(4.61±1.69)、(2.58±1.36)、(1.04±0.44)、(0.23±0.33)均低于对照组的(6.16±1.89)、(4.59±1.37)、(3.47±0.38)、(3.16±0.56),(t=1.965、2.367、3.012、3.625)组间比较差异有统计学意义(P<0.05)。结论给予运动性跟腱损伤患者系统治疗,可以有效地恢复患者肢体功能,使背屈角度以及跖屈角度达到最佳状态,减轻患者的痛苦,缩短患者住院时间,值得临床上推广和应用。

Objective This paper tries to analyze the clinical effect of systemic treatment of sports Achilles tendon injury.Methods The clinical data of 88 patients with exercise-induced Achilles tendon injuries who were treated from June 2014 to January 2017 were retrospectively analyzed. They were divided into control group and study group according to the random number table method. The control group was given traditional conservative for treatment, the study group was given systemic treatment. The functional recovery after treatment（including dorsiflexion angle, plantar flexion angle, and limb function recovery time） and VAS pain scores at different time points were compared between the two groups. Results After treatment, the dorsiflexion angles of the study group and the control group were（30.27±3.76）°,（12.38±1.87）°, and the plantar flexion angles were（45.38±1.89）° and（25.76±2.76）°, respectively, the recovery time of limb function was（6.59 ±1.49）weeks and（12.38±1.86）weeks respectively. There was a significant difference between the two groups（t=2.365,3.011,2.489,P〈0.05）; the study group was in treatment of VAS pain scores were（4.61±1.69）points,（2.58±1.36）points,（1.04±0.44）points,（0.23 ±0.33）points, respectively, lower than those of the control group（6.16 ±1.89）points on week 2, week 2, week 3, and week 4,（4.59±1.37）points,（3.47±0.38）points,（3.16±0.56）points,（t = 1.965, 2.367, 3.012, 3.625） were statistically significant（P〈0.05）. Conclusion Systemic treatment of patients with exercise-induced Achilles tendon injury can effectively restore the patient＇s limb function, make the dorsiflexion angle and the plantar flexion angle reach the best state, reduce the patient＇s pain and shorten the hospitalization time of the patient. It is worthy of promotion and application in clinic.