摘要
目的:探讨针刀联合自体富血小板血浆治疗跟痛症的临床疗效。方法:回顾性分析2016年6月至2017年10月解放军总医院第六医学中心康复科医学门诊收治的跟痛症患者68例,分为观察组和对照组,每组34例,观察组予以针刀联合自体富血小板血浆治疗,对照组予以针刀治疗,治疗1次/周,连续治疗2次。记录2组患者治疗前与治疗后1个月、3个月、6个月的疼痛视觉模拟评分(Visual Analogue Scale,VAS)和美国足踝外科协会后足功能评分(American Orthopaedic Foot and Ankle Society,AOFAS),对2组患者治疗前后患足的疼痛和功能进行评估,并计算临床治疗有效率。结果:2组患者在治疗后各个时间点,治疗前后组内比较VAS评分明显下降(P <0. 05); AOFAS后足功能评分显著上升,治疗前后评分差异有统计学意义(P <0. 05)。观察组在治疗后3个月、6个月时VAS评分低于对照组,AOFAS评分高于对照组,差异均有统计学意义(P <0. 05)。治疗后6个月2组痊愈率比较,差异有统计学意义(P <0. 05),总有效率比较差异无统计学意义(P> 0. 05)。结论:针刀联合自体富血小板血浆治疗跟痛症,与单纯使用针刀治疗比较,具有缓解疼痛彻底、疗效持久、不易复发等优点,值得临床推广应用。
Objective: To investigate the efficacy of acupotomy combined with platelet-rich plasma(PRP)on calcaneodynia. Methods: The clinical data of 68 patients with calaneodynia treated in the rehabilitation department of the Sixth Medical Center of PLA General Hospital between June 2016 and October 2017 was retrospective analyzed.They were divided into the control group and the observation group,with 34 cases in each group.The control group were treated with acupotomy combined with PRP,and the observation group were only treated with acupotomy;both groups were treated once a week,2 times consecutively per treatment.The scores of visual analogue scale(VAS)and the AOFAS(Ameirican Orthopaedic Foot and Ankle Society)Ankle Hindfoot Scale of both groups before,1 month,3 months and 6 months after the treatment were documented.The pain level and function before and after the treatment of both groups of patients′ affected foot was evaluated,and the clinical effective rate was then calculated at 6 months after the treatment. Results: All patients showed significantly decreased scores of VAS and increased scores of AOFAS at any time point after the treatment and in intra-group comparisons to the scores before the treatment;the differences before and after treatment were of statistical significance( P <0.05).The curative effects of the observation group had lower VAS scores and higher AOFAS scores than the control group at 3,6 months after the treatment,whose differences had statistical significance( P <0.05). Conclusion: Compared to the simple adoption of acupotomy,the treatment of acupotomy combined with PRP on calcaneodynia can achieve more thorough relief of pain,more enduring curative effect,and lesser incidence of relapse,which is worthy of promoting and clinical application.
作者
沈启明
丁宇
钟毓贤
刘倩
卢正操
杜薇
乔晋琳
Shen Qiming;Qiao Jinlin;Ding Yu;Zhong Yuxian;Liu Qian;Lu Zhengcao;Du Wei(Guizhou University of Traditional Chinese Medicine,Guiyang 550002,China;The Sixth Medical Center of PLA General Hospital,Beijing 100048,China)
出处
《世界中医药》
CAS
2019年第4期1011-1015,共5页
World Chinese Medicine
基金
军事医学科研计划项目(15WSB467)
