小剂量曲安奈德痛点注射联合硅胶足跟垫治疗跟痛症的临床效果

Clinical effect of low dose Triamcinolone Acetonide pain-spot injection combined with silica gel heel pad in the treatment of calcaneodynia

目的探讨小剂量曲安奈德痛点注射联合硅胶足跟垫治疗跟痛症的临床效果。方法选取2016年1月～2017年12月我院收治的60例跟痛症患者作为研究对象,按照随机数字表法分为研究组和对照组,每组各30例,研究组采用小剂量曲安奈德+2%利多卡因4 ml痛点注射联合硅胶跟垫治疗,对照组采用40 mg曲安奈德+2%利多卡因4 ml痛点注射。比较两组患者的临床治疗总有效率、复发率及视觉模拟(VAS)评分。结果研究组患者的临床治疗总有效率(96.67%)高于对照组(80.00%),研究组患者的复发率(3.33%)低于对照组(23.33%),差异均有统计学意义(P<0.05);研究组患者治疗后的VAS评分为(2.22±1.03)分,低于对照组的(5.36±1.23)分,差异有统计学意义(P<0.05)。结论跟痛症患者给予小剂量曲安奈德痛点注射与硅胶足跟垫联合治疗的临床效果显著,能减轻患者的疼痛,值得临床推广应用。

Objective To explore the clinical effect of low dose Triamcinolone Acetonide pain-spot injection combined with silicone heel pad in treatment of calcaneodynia. Methods Sixty patients with calcaneodynia admitted to our hospital from January 2016 to December 2017 were selected as the study subjects, according to the random number table method, they were divided into study group and control group the study group and the control group, with 30 cases in each group, the study group was treated with low dose Triamcinolone Acetonide + 2% Lidocaine 4 ml pain point injection combined with silicone heel pad, while the control group was treated with 40 mg Triamcinolone Acetonide + 2% Lidocaine 4 ml pain point injection. The total effective rate, recurrence rate and visual analogue scale (VAS) were compared between the two groups. Results The total effective rate of clinical treatment in the study group (96.67%) was higher than that in the control group (80.00%). The recurrence rate in the study group (3.33%) was lower than that in the control group (23.33%), the differences were statistically significant (P<0.05). The VAS score of the study group after treatment was (2.22±1.03) points, which was lower than (5.36±1.23) points of the control group, the difference was statistically significant (P<0.05). Conclusion The clinical effect of low dose Triamcinolone Acetonide pain-spot injection combined with silicone heel pad in the treatment of patients with calcaneal pain is remarkable, which can relieve the pain of patients and is worthy of clinical popularization and application.