体外冲击波联合超声波对运动员跟腱病的短期疗效  

Short-term efficacy of extracorporeal shock wave combined with ultrasound in the treatment of achilles tendinopathy in athletes

作　　者：王彼得 刘刚 WANG Bide;LIU Gang(Shanghai Elite Sport Training Administrative Center,Shanghai 202162,China)

机构地区：[1]上海市竞技体育训练管理中心,上海202162

出　　处：《中国研究型医院》2025年第1期42-47,共6页Chinese Research Hospitals

基　　金：上海市科学技术委员会科研计划项目(22dz1204703)。

摘　　要：目的探讨应用体外冲击波(ESW)联合超声波(US)(ESW-US)治疗运动员跟腱病(AT)的短期临床效果。方法本研究为前瞻性研究。根据纳入和排除标准,选取2023年8月至2024年3月上海市竞技体育训练管理中心门诊部治疗的运动员AT病例60例,随机分为US治疗组(US组)和ESW-US治疗组(ESW-US组),每组30例。治疗时间均为2周。ESW-US组每周2次EWS加3次US治疗,US组每周5次US治疗。采用视觉模拟评分(VAS)、维多利亚运动评估研究所跟腱评分(VISA-A)以及美国足踝外科协会(AOFAS)踝与后足评分综合评价临床效果。结果两组运动员的一般资料(性别、年龄、身高、体重、训练年限、病程、患侧)差异均无统计学意义(P均>0.05)。治疗前,ESW-US组和US组VAS评分分别为(4.73±0.79)、(4.60±0.67)分,VISA-A评分分别为(36.10±2.40)、(35.67±3.42)分,AOFAS踝与后足评分分别为(48.07±9.29)、(51.73±9.39)分,两组差异均无统计学意义(P均>0.05)。治疗2周后,ESW-US组和US组VAS评分分别为(2.77±1.17)、(3.23±0.82)分,(t=2.95、P<0.01);VISA-A评分分别为(81.60±2.74)、(70.70±2.58)分,(t=15.89、P<0.01);AOFAS踝与后足评分分别为(85.77±6.68)、(73.27±6.94)分,(t=7.10、P<0.01),两组治疗后VAS评分、VISA-A评分、AOFAS踝与后足评分均有明显改善,而ESW-US组较US组改善更明显,差异均具有统计学意义。结论ESW-US疗法在跟腱病的短期治疗中有操作简单、无创伤、无辐射、短期疗效显著等特点,可作为高强度训练状态下的AT运动员改善疼痛及运动表现的治疗策略之一。Objective To investigate the short-term clinical results of applying extracorporeal shock wave(ESW)combined with ultrasound(US)(ESW-US)in the treatment of achilles tendinopathy(AT)in athletes.Methods This study was a prospective study.According to the inclusion and exclusion criteria,60 cases of AT in athletes treated in the outpatient department of Shanghai Elite Sport Training Administrative Center from August 2023 to March 2024 were selected and randomly divided into the US treatment group(US group)and the ESW-US treatment group(ESW-US group),with 30 cases in each group.The duration of treatment was 2 weeks in both groups.2 EWS plus 3 US treatments per week in the ESW-US group and 5 US treatments per week in the US group.The visual analogue score(VAS),Victoria Institute for Sports Assessment Achilles Tendon Score(VISA-A),and American Orthopaedic Foot and Ankle Surgery Society(AOFAS)Ankle and Hindfoot Score were used to comprehensively evaluate the clinical outcomes.Results The differences in general information(gender,age,height,weight,years of training,duration of disease,and affected side)between the athletes in the two groups were not statistically significant(all P>0.05).Before treatment,the VAS scores of ESW-US and US groups were(4.73±0.79)and(4.60±0.67),the VISA-A scores were(36.10±2.40)and(35.67±3.42),and the AOFAS ankle and hindfoot scores were(48.07±9.29)and(51.73±9.39),respectively.The differences were not statistically significant(all P>0.05).After 2 weeks of treatment,the VAS scores of the ESW-US and US groups were(2.77±1.17)and(3.23±0.82),respectively(t=2.95,P<0.01);the VISA-A scores were(81.60±2.74)and(70.70±2.58),respectively(t=15.89,P<0.01);and the AOFAS ankle and hindfoot scores were(85.77±6.68),(73.27±6.94),(t=7.10,P<0.01),respectively.VAS scores,VISA-A scores,and AOFAS ankle and hindfoot scores improved significantly in the two groups after treatment,and the improvement was more pronounced in the ESW-US group than that in the US group,and the difference was statistically signific

关 键 词：肌腱病 跟腱 高能量冲击波 超声疗法 运动员 

分 类 号：R68[医药卫生—骨科学]