体外冲击波联合电针治疗慢性足底筋膜炎  

Clinical effectiveness of extracorporeal shock wave treatment combined with electric acupuncture for chronic plantar fasciitis

作　　者：王俊华[1] 徐远红[1] 王刚[1] 李海峰[1] 朱小虎[1] 谢谨[1] 

机构地区：[1]湖北医药学院附属太和医院康复科,湖北十堰442000

出　　处：《中国康复》2012年第3期191-193,共3页Chinese Journal of Rehabilitation

基　　金：湖北省十堰市科技攻关项目(2010-043S)

摘　　要：目的:观察体外冲击波联合电针治疗慢性足底筋膜炎的临床疗效。方法:60例慢性足底筋膜炎患者随机分为电针组、冲击波组(ESWT组)及联合治疗组(联合组)各20例。电针组只接受电针治疗,ESWT组只接受ES-WT治疗,联合组同时接受电针和ESWT联合治疗,3组患者在治疗前、治疗后2周、4周及3个月行VAS疼痛评分,治疗3个月后采用VAS加权值评定临床疗效。结果:3组患者VAS评分在治疗后各时间点均较治疗前明显下降,且联合组更低于电针组及ESWT组(P<0.05);ESWT组在治疗后3月VAS改善优于电针组(P<0.05);ESWT组及联合组VAS评分逐渐下降,但电针组3月后VAS评分却有升高;联合组治愈率明显优于电针组及冲击波组,冲击波组治愈率优于电针组(P<0.05)。结论:ESWT和电针对慢性足底筋膜炎均具有临床疗效,但二者联合治疗明显优于单一治疗,具有近期及远期疗效方面的共同优势。Objective： To observe the clinical effect of extracorporeal shock wave treatment （ESWT） combined with electric acupuncture for chronic plantar fasciitis. Methods： 60 patients with chronic plantar fasciitis were ran- domly divided into electric acupuncture group, ESWT group and combined group, with 20 cases in each group. Visu- al analog scale （VAS） was used to evaluate the pain degree before,2 weeks,4 weeks and 3 months after treatment, and VAS weighted value was used to evaluate the clinical effect 3 months after treatment in all 3 groups. Results： VAS scores were dramatically declined after treatment at all phases in 3 groups, and those in combined group were declined more significantly than in electric acupuncture group and ESWT group （P〈0.05）. Improvement in ESWT group was more significant than in electric acupuncture group at 3rd month after treatment （P〈0.05）. VAS scores were gradually decreased in combined group and ESWT group, but increased at 3rd month after treatment in electric acupuncture group. The curative rate in combined group was obviously higher than in electric acupuncture group and ESWT group, and that in ESWT group was higher than in electric acupuncture group （P〈0.05）. Conclusion： ES- WT and electric acupuncture are both effective in treating chronic plantar fasciitis, and combined use of them shows more satisfactory short-term as well as long-term effects.

关 键 词：体外冲击波 电针 慢性足底筋膜炎 

分 类 号：R686[医药卫生—骨科学] R246.2[医药卫生—外科学]