体外冲击波联合皮质类固醇注射治疗足底筋膜炎的疗效  

Efficacy of extracorporeal shock wave therapy combined with corticosteroid injection in the treatment of plantar fasciitis

作　　者：李楠 王宏庆 吕雪莹 王虎军 郄淑燕 LI Nan;WANG Hongqing;LYU Xueying;WANG Hujun;QIE Shuyan(Department of Rehabilitation Diagnosis and Treatment Center,Beijing Rehabilitation Hospital Affiliated to Capital Medical University,Beijing 100144,China;Department of Orthopedic Rehabilitation CenterⅡ,Beijing Rehabilitation Hospital Affiliated to Capital Medical University,Beijing 100144,China)

机构地区：[1]首都医科大学附属北京康复医院康复诊疗中心,北京100144 [2]首都医科大学附属北京康复医院骨科二康复中心,北京100144

出　　处：《中南医学科学杂志》2024年第4期570-573,共4页Medical Science Journal of Central South China

基　　金：首都卫生发展科研专项项目(2020-22251)。

摘　　要：目的探究体外冲击波(ESWT)联合皮质类固醇注射(CSI)治疗足底筋膜炎(PF)的疗效。方法选取86例PF患者,随机均分为对照组(CSI治疗)和观察组(ESWT联合CSI治疗)。比较两组临床疗效、简化McGil疼痛问卷(SF-MBQ)评分、美国矫形外科足踝协会踝-后足功能量表(AOFAS-AHS)评分、双足底压力差及血清C反应蛋白(CRP)、白细胞介素-1β(IL-1β)水平。结果观察组治疗有效率高于对照组(95.35%比79.07%,P<0.05)。与对照组比较,观察组治疗1、3个月时的SF-MBQ评分及双足压力差降低,AOFAS-AHS评分升高,观察组治疗1个月时血清CRP、IL-1β水平降低(P<0.05)。结论ESWT联合CSI注射治疗PF疗效显著,可有效减轻患者疼痛程度,改善踝足功能,降低足底压力差,抑制炎症反应。Aim To explore the efficacy of extracorporeal shock wave therapy(ESWT)combined with corticosteroid injection(CSI)in the treatment of plantar fasciitis(PF).Methods 86 patients with PF were randomly and equally divided into control group(CSI treatment)and observation group(ESWT combined with CSI treatment).The clinical efficacy,simplified McGil pain questionnaire(SF-MBQ)score,American orthopaedic foot and ankle society ankle-hindfoot function scale(AOFAS-AHS)score,plantar pressure difference and serum C-reactive protein(CRP),interleukin-1β(IL-1β)were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group(95.35%vs 79.07%,P<0.05).Compared with the control group,the SF-MBQ score,pressure difference of both feet at 1 and 3 months after treatment were decreased,while the AOFAS-AHS score was increased,and the serum CRP,serum IL-1βat 1 month after treatment were decreased(P<0.05).Conclusion ESWT combined with CSI is effective in the treatment of PF,which can effectively reduce the degree of pain,improve ankle foot function,reduce plantar pressure difference and inhibit inflammatory reaction.

关 键 词：体外冲击波 皮质类固醇 足底筋膜炎 疼痛 足底压力 炎症因子 

分 类 号：R686.3[医药卫生—骨科学]