Therapeutic effect of electro-acupuncture in the treatment of Achilles tendonitis  

电针治疗跟腱炎疗效观察（英文）

作　　者：余红利 徐琳琳[2] 马铁明[2] 

机构地区：[1]Lily中医针灸诊所 [2]辽宁中医药大学,沈阳100847

出　　处：《World Journal of Acupuncture-Moxibustion》2015年第2期17-22,共6页世界针灸杂志（英文版）

摘　　要：Objective To investigate the clinical efficacy of electroacupuncture for the treatment of Achilles tendonitis. Methods Sixty patients with Achilles tendonitis at the age of 18-55 years old were randomly divided into electroacupuncture group （group A） and low frequency impulse group （group B） according to the random number table with 30 patients in each group. Chengshan （承山 BL 57）, Ashi point, Taixi （太溪 KI 3） and Kunlun （昆仑 BL 60） were selected as main acupoints, local point selection was adopted as main method and distal point selection as supplement. Patients in group A were treated with electroacupuncture and in group B were treated with low frequency impulse therapeutic apparatus. Patients in both groups were treated for 12 times, 3 times per week in the 1st and 2nd weeks, twice a week in the 3rd and 4th weeks, and once a week in the Sth and 6th weeks, with a total of 6 weeks. The heel pain VAS scores, tenderness and efficacy of dysfunction in two groups were comparatively analyzed. Results Pain： there was significant difference in pain scores in group A before and after treatment （1.67±0.71 vs 3.03±1.81, P〈0.01）, and the difference in pain scores was not significant in group B before and after treatment （2.13±1.17 vs 2.87±1.57, P〉0.05）. Tenderness： In group A, 13 patients had mild tenderness, 15 had moderate tenderness and 2 had severe tenderness before treatment. After treatment, 26 patients had mild tenderness, 4 had moderate tenderness and no patients had severe tenderness. In group B, 15 patients had mild tenderness, 14 had moderate tenderness and 1 had severe tenderness before treatment. After treatment, 24 patients had mild tenderness, 5 had moderate tenderness and one patient had severe tenderness. Dysfunction： in group A, 12 patients had mild dysfunction, 16 had moderate dysfunction and 2 had severe dysfunction before treatment. After treatment, 24 patients had mild dysfunction, 6 had moderate dysfunction and no patients had severe dysfunction. In 目的：观察电针治疗跟腱炎的临床效果。方法：60例年龄在18--55岁之间的跟腱炎患者按照随机数字表随机分为电针组与低频脉冲组，每组各30例。取穴承山、阿是穴（疼痛最甚处）、太溪、昆仑为主穴，方法以局部取穴为主，辅以远端取穴。电针组采用电针，低频脉冲组采用低频脉冲治疗仪。两组均治疗12次。第1、2周，每周3次；第3、4周，第周2次；第5、6周，第周1次，共计6周。对两组患者足跟部疼痛视觉模拟量表（VAS）分数、压痛及功能障碍的疗效进行对照分析。结果：疼痛：电针组疼痛治疗后比治疗前VAS评分差异有统计学意义（1．67±0．71vs3．03±1．81，P〈0．05），低频脉冲组疼痛治疗后比治疗前评分差异无统计学意义（2．13±1．17VS2．87±1．57，P〉0．05）。压痛：电针纽治疗前轻度13例，中度15例，重度2例，治疗后轻度26例，中度4例，重度0例；低频脉冲组治疗前轻度15例，中度14例，重度1例，治疗后轻度24例，中度5q4，重度1例。功能障碍：电针组治疗前轻度12例，中度16F4，重度2F4，治疗后轻度24，中度6例，重度0例；低频脉冲组治疗前轻度13F4，中度15例，重度2例，治疗后轻度14例，中度13F4，重度1例。两组的总有效率差异有统计学意义[100％（30／30）vs86．67（26／30），P〈0．051。结论：电针治疗跟腱炎疗效较好，优于单纯应用低频脉冲治疗，能消除或改善症状，提高患者生活质量。

关 键 词：ELECTROACUPUNCTURE low frequency impulse therapy Achillestendonit-is 

分 类 号：R246.9[医药卫生—针灸推拿学]