冲击波治疗腓肠肌损伤致小腿后侧疼痛的疗效分析

EFFICACY OF EXTRACORPOREAL SHOCK WAVE IN TREATING CALF PAIN CAUSED BY GASTROCNEMIUS INJURY.

摘要:

目的 观察体外冲击波治疗腓肠肌损伤致小腿后侧疼痛的疗效分析。方法 采用随机数字表法将68例腓肠肌损伤患者分为冲击波组及对照组。2组患者均给予非甾体抗炎镇痛药治疗,冲击波组在此基础上给予体外冲击波治疗。于治疗前、治疗l周、4周及12周时分别采用视觉模拟疼痛评分法(visual analogue scale,VAS)、压痛阈值 (pressure pain threshold,PPT)评价以及生活质量评估量表(quality of life assessmen-short form 36.QOL-SF36)对各组患者进行疗效评定。结果 治疗前VAS评分[对照组(5.03±1.14)分,治疗组(5.41±1.08)分]、PPT评价[对照组1.79±0.34,治疗组1.71±0.25]及QOL-SF36评分[对照组(55.03±6.07)分,治疗组(54.12±6.59)分]组间差异无统计学意义(P＞O.05),治疗后2组患者疼痛VAS、PPT、及QOL-SF36量表评分均较治疗前改善。在治疗1周时冲击波组患者疼痛VAS评分[2.53±0.83分]、PPT评价[2.82±0.86]、及QOL-SF36评分[67.44±6.63分]与对照组间差异具有统计学意义(P

Abstract:

Objective: To observe the effect of extracorporeal shock wave on gastrocnemius injury caused by posterior calf pain. Methods 68 patients with gastrocnemius injury were divided into shock wave group and control group by random number table method. Both groups of patients were treated with non-steroidal anti-inflammatory analgesics, and the shock wave group was given extracorporeal shock waves. Visualanalogue scale (VAS), pressure pain threshold (PPT) evaluation and quality of life assessmen were used before treatment, at 1 week, 4 weeks and 12 weeks. Results Before treatment, the VAS score [control group (5.03 ± 1.14) points, treatment group (5.41 ± 1.08) points], PPT evaluation [control group 1.79 ± 0.34, treatment group 1.71 ± 0.25], and QOL-SF36 score [control group (55.03 (± 6.07) points, (54.12 ± 6.59) points in the treatment group]. There was no significant difference between the groups (P> O.05). The pain VAS, PPT, and QOL-SF36 scale scores of the two groups after treatment were all higher than those before treatment. Improvement, at 1 week of treatment, patients in the shock wave group had pain VAS scores [2.53 ± 0.83 points], PPT evaluations [2.82 ± 0.86], and QOL-SF36 scores [67.44 ± 6.63 points] and the control group had statistically significant differences (P