围冲击波期综合疗法治疗慢性跟痛症105例临床观察

摘要

ObjectiveTo investigate the clinical effect in the treatment of chronic calcaneodynia under comprehensive therapy in shock-wave-period.MethodFrom January 2014 to January 2015, 230 cases of patients underwent severe chronic calcaneodynia were reviewed, and divided into two groups randomly. Group A patients (n=105) received comprehensive therapy in shock-wave-period, group B patients (n=125) received nothing in shock-wave-period. The perioperative period was 1 month, patients were treated for 4 times, once a week. During 6 months of follow-up, the VAS scores were recorded and compared between the two groups.Result230 patients were all followed-up, and the following-up time was (6.10±1.06) months. After 2 weeks, the VAS scores of group A were (1.25±0.33) points, group B were (2.18±1.29) points, there were signiifcant differences between the two groups (P<0.05). After 6 months, the VAS scores of group A were (0.35±0.46) points, group B were (0.85±0.95) points, there were signiifcant differences between the two groups (P<0.05).ConclusionThe clinical effect in the treatment of chronic calcaneodynia under comprehensive therapy in shock-wave-period is remarkable, and the therapy has short hospitalization time, less perioperative complications and less expense.%目的：观察围冲击波期综合疗法治疗慢性跟痛症的临床效果。方法选取2014年1月至2015年1月本院收治的230例采用冲击波疗法治疗的跟痛症患者为研究对象，并将其随机分为两组。A组（105例）患者采用围冲击波期综合疗法治疗，B组（125例）患者在围冲击波期未采取其他治疗措施。围冲击波期为1个月，患者接受每周1次共4次冲击波疗法治疗。两组患者均随访6个月，记录并比较两组患者视觉模拟评分法（VAS）评分。结果230例患者全部得到随访，平均随访时间为（6.10±1.06）个月。治疗后2周，A组患者VAS评分为（1.25±0.33）分，B组为（2.18±1.29）分，两组比较差异具有显著性（P＜0.05）。术后6个月，A组患者VAS评分为（0.35±0.46）分，B组为（0.85±0.95）分，两组比较差异具有显著性（P＜0.05）。结论慢性跟痛症围冲击波期采用综合疗法治疗，临床效果确切，简单易行，值得推广。