体外冲击波联合激光针刀治疗跟痛症的临床研究  

Clinical Study on Calcaneodynia Treated with Extracorporal Shock Wave and Laser Needle Knife

作　　者：黄芳[1] 陈雄[2] 穆敬平[1] 彭力[1] 喻霜[1] 

机构地区：[1]湖北医药学院附属太和医院,湖北十堰442000 [2]湖北中医药大学,湖北武汉430065

出　　处：《世界中西医结合杂志》2014年第4期395-398,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：湖北省医学临床研究中心项目(No.JX4C182)

摘　　要：目的观察体外冲击波技术联合激光针刀治疗跟痛症的临床疗效,并探讨其治疗机制。方法将符合纳入标准的90例患者随机分为激光针刀组、体外冲击波(EWST)组及联合治疗组,每组30例。激光针刀组采用激光针刀治疗,EWST组采用体外冲击波疗法,联合治疗组采用激光针刀和体外冲击波联合治疗。三组患者在治疗1个疗程后1、3、6个月采用Maryland评分表,进行足部疼痛及功能评分比较。结果三组患者治疗后,Maryland疼痛及功能评分比较,联合治疗组分数高于激光针刀组及EWST组,三组比较差异有统计学意义(P<0.05)。结论激光针刀疗法联合体外冲击波治疗跟痛症疗效显著。Objective To observe the clinical efficacy on calcaneodynia treated with extracorporal shock wave therapy（ESWT） and laser needle knife （LNK）and explore the therapeutic mechanism. Methods Ninety cases were collected according to the inclusive criteria and were randomized into LNK group, ESWT group and a combined therapy group,30 cases in each. In LNK group,the laser needle knife therapy was a- dopted. ESWT group,the extracorporal shock wave therapy was applied. In the combined therapy group, the laser needle knife therapy and extracorporal shock wave therapy were combined. In 1,3 and 6 months after 1 session treatment, Maryland scale was used to evaluate the foot pain and function, and the clinical efficacy was compared in the patients among the groups. Results After treatment, in comparison of Maryland pain and function scores, the result in the combined therapy group was higher than that in LNK group and ESWT, indicating the significant difference（P 〈 0.05 ）. Conclusion The combined therapy of ESWT and LNK a- chieves the significant efficacy on ealeaneodynia.

关 键 词：体外冲击波疗法 激光针刀 跟痛症 

分 类 号：R323.72[医药卫生—人体解剖和组织胚胎学] R441.1[医药卫生—基础医学]