足踝洗方联合体外冲击波治疗跖筋膜炎的临床疗效研究

Clinical Efficacy Research of Ankle Wash Party Combined with Extracorporeal Shock Wave Therapy on Plantar Fasciitis

目的:研究足踝洗方联合体外冲击波治疗跖筋膜炎的临床疗效。方法:采用随机分组对照的试验研究方法,将2018年5月至2021年1月收集的123例跖筋膜炎患者随机分为三组,每组41例。三组患者分别为足踝洗方组、体外冲击波组和足踝洗方联合体外冲击波组。三组患者均治疗4周,随访12周,观察指标由视觉模拟量表(VAS)评分和口述评分法(VRS)等级评分得出临床疗效评价结果(治愈、显效、有效、无效)。结果:足踝洗方组总有效率为67.50%,体外冲击波组总有效率为76.92%,足踝洗方联合体外冲击波组总有效率为92.31%。经统计学检验,三组间疗效差异有统计学意义(P=0.010)。结论:三组方法临床治疗跖筋膜炎均有效,其中足踝洗方联合体外冲击波组治疗跖筋膜炎疗效最优,值得临床推广应用。

Objective:To investigate the clinical efficacy of ankle wash party combined with extracorporeal shock wave therapy in the treatment of plantar fasciitis.Methods:A total of 123 patients with plantar fasciitis were collected from May 2018 to January 2021.The patients were randomly divided into three groups,with 41 cases in each group.The three groups included an ankle wash party group,an extracorporeal shock wave group,and a combination of ankle wash party and extracorporeal shock wave therapy group.The treatment duration was 4 weeks,and the patients were followed up for 12 weeks.The clinical efficacy was evaluated based on the visual analogue scale(VAS)score and verbal rating scale(VRS)score,using criteria of cure,significant improvement,improvement,and ineffectiveness.Results:The total effective rates were 67.50%,76.92%,and 92.31%in the ankle wash party group,extracorporeal shock wave group,and combination of ankle wash party and extracorporeal shock wave therapy group,respectively.Statistical analysis revealed a significant difference in efficacy among the three groups(P=0.010).Conclusion:All three treatment methods showed effectiveness in the clinical treatment of plantar fasciitis.The combination of ankle wash party and extracorporeal shock wave therapy demonstrated the highest therapeutic efficacy for plantar fasciitis and is a promising treatment approach that warrants clinical promotion.