经皮神经电刺激治疗跟痛症的临床研究  

Clinical study on transcutaneous electrical nerve stimulation(TENS)in the treatment of calcaneodynia

作　　者：樊燕鸽[1] 鲁稳梁[1] 马莉[1] 王志涛[1] 董铁立[1] FAN Yange;LU Wenliang;MA Li;WANG Zhitao;DONG Tieli(The Second AffiliatedHospital of Zhengzhou University,Zhengzhou 450014,China)

机构地区：[1]郑州大学第二附属医院,河南郑州450014

出　　处：《中国实用神经疾病杂志》2018年第19期2184-2189,共6页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨经皮神经电刺激(TENS)治疗跟痛症的临床疗效。方法将70例跟痛症患者随机分为对照组和治疗组,对照组采用牵伸锻炼,治疗组在对照组的基础上采用TENS治疗,分别于治疗前、治疗后1周、1个月和3个月时采用视觉模拟评法分(VAS)对晨起第一步和一天中最痛时进行疼痛程度评定。结果治疗后1周、1个月、3个月时,2组晨起VAS评分和最痛VAS评分均较治疗前明显降低,治疗组降低更为显著;治疗组在治疗后各时间点的晨起VAS评分和最痛VAS评分均低于对照组。结论经皮神经电刺激治疗跟痛症疗效确切,优于单纯应用牵伸锻炼。Objective To investigate the clinical efficacy of transcutaneous electrical nerve stimulation （TENS） in the treatment of heel pain. Methods Seventy patients with hepatic pain were randomly divided into control group and treatment group.The control group was treated with stretching.The treatment group was treated with TENS on the basis of the control group.Before treatment,1 week after treatment and 1 month and 3 months after treatment,visual analogue scale （VAS） was used to assess the pain level in the first morning of the morning and the most painful day. Results At 1 week,1 month and 3 months after treatment,the VAS score and the most painful VAS score of the morning group were significantly lower than those before treatment,and the treatment group was more significant.At each time after treatment,the VAS score and the most painful VAS score in the treatment group were lower than those of the control group. Conclusion Transcutaneous electrical nerve stimulation is effective in the treatment of heel pain,which is better than the simple application of stretching exercise.

关 键 词：跟痛症 疼痛 经皮神经电刺激 牵伸锻炼 足底跖腱膜 生物力学失衡 

分 类 号：R454.1[医药卫生—治疗学]