超声引导下臭氧注射联合偏振光照射治疗足底筋膜炎的效果

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摘要目的观察超声引导下臭氧注射联合偏振光照射治疗足底筋膜炎的临床效果。方法纳入2016年10月～2017年7月在首都医科大学宣武医院疼痛科接受治疗的足底筋膜炎患者90例，采用随机数字表法分为三组，每组各30例。A组予足底痛点注射治疗，B组予足底痛点注射+红外偏振光照射治疗，C组予超声引导下足底痛点注射+臭氧注射+红外偏振光照射治疗。比较三组患者治疗前和治疗后1周、3个月、6个月的疼痛缓解程度和生活质量评分（QOL）。结果三组患者治疗后1周、3个月、6个月的疼痛均较治疗前显著缓解。治疗后1周，B、C组治疗效佳的患者人数显著大于A组（P ＜ 0.05）。治疗后3个月，C组治疗痊愈的人数显著多于A、B组，B、C组治疗效佳的患者人数显著大于A组（P ＜ 0.05）。治疗后6个月，C组治疗痊愈的人数显著多于A、B组，C组治疗效佳的患者人数显著多于A组（P ＜ 0.05）。三组治疗后1周、3个月及6个月的QOL评分均显著高于治疗前（P ＜ 0.01），治疗后6个月C组QOL评分高于A组（P ＜ 0.05）。结论超声引导下臭氧注射联合偏振光照射治疗足底筋膜炎，是一种安全有效的治疗方案，值得在临床推广应用。

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	郭玉娜1 严伟2 张杰3 窦智1 李小琳1 刘京杰1 杨立强1▲ 倪家骧1

关键词 ：超声引导, 臭氧, 偏振光, 足底筋膜炎

Abstract：Objective To observe the clinical effect of ultrasound-guided ozone injection combined with polarized light irradiation in treatment of plantar fasciitis. Methods A total of 90 patients with plantar fasciitis treated in Department of Pain Management, Xuanwu Hospital, Capital Medical University from October 2016 to July 2017 were collected and divided into three groups by random number table method, with 30 cases in each group. Group A was treated with injection therapy of plantar pain point, Group B was treated with the pain point injection + infrared polarized light irradiation, Group C was treated by ultrasound-guided pain point injection + ozone injection+ infrared polarized light irradiation. The pain relief degree and quality of life (QOL) score were compared among the three groups before and after treatment for 1 week, 3 months, 6 months. Results The pain of the three groups was significantly relieved after treatment for 1 week, 3 months, 6 months. After treatment for 1 week, amount of cases with superior effect in Group B and C were larger than that in Group A (P ＜ 0.05). After treatment for 3 months, amount of cure cases in Group C was larger than that in Group A and B, and amount of cases with superior effect in Group B and C were larger than that in Group A (P ＜ 0.05). After treatment for 6 months, amount of cure cases in Group C was larger than that in Group A and B, and amount of cases with superior effect in Group C was larger than that in Group A (P ＜ 0.05). The QOL scores in the three groups after treatment for 1 week, 3 months, 6 months were higher than those before treatment (P ＜ 0.01), and after treatment for 6 months, the QOL score in Group C was higher than that in Group A (P ＜ 0.05). Conclusion Ultrasound-guided ozone injection combined with polarized light irradiation is a safe and effective therapy in treating plantar fasciitis, that is worth of clinical promotion.

Key words： Ultrasonic guidance Ozone Polarized light Plantar fasciitis

基金资助:北京市医院管理局临床医学发展专项经费资助项目（ZYLX201507）。

通讯作者: ▲通讯作者

引用本文:

郭玉娜1 严伟2 张杰3 窦智1 李小琳1 刘京杰1 杨立强1▲ 倪家骧1. 超声引导下臭氧注射联合偏振光照射治疗足底筋膜炎的效果[J]. 中国医药导报, 2018, 15(31): 83-86.
GUO Yu′na1 YAN Wei2 ZHANG Jie3 DOU Zhi1 LI Xiaolin1 LIU Jingjie1 YANG Liqiang1▲ NI Jiaxiang1. Effect of ultrasound-guided ozone injection combined with polarized light irradiation in treatment of plantar fasciitis. 中国医药导报, 2018, 15(31): 83-86.

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[1] Crawford F，Thomson C. Interventions for treating plantar heel pain [J]. John Wiley & Sons，Ltd.，2003，11（1）：CD000416.
[2] Palomo-Lopez P，Becerro-de-Bengoa-Vallejo R，Losa-Iglesias ME，et al. Impact of plantar fasciitis on the quality of life of male and female patients according to the Foot Health Status Questionnaire [J]. J Pain Res，2018，11：875-880.
[3] McNally EG，Shetty S. Plantar fascia ： imaging diagnosis and guided treatment [J]. Semin Musculoskelet Radiol，2010， 14（3）：334-343.
[4] Hawke F，Burns J，Radford JA，et al. Custom-made foot orthoses for the treatment of foot pain [J]. Cochrane Database Syst Rev，2008，16（3）：CD006801.
[5] Ribeiro AP，Trombini-Souza F，Tessutti VD，et al. The effects of plantar fasciitis and pain on plantar pressure distribution of recreational runners [J]. Clin Biomech （Bristol，Avon），2011，26（2）：194-199.
[6] Carek PJ，Edenfield KM，Michaudet C，et al. Foot and Ankle Conditions：Plantar Fasciitis [J]. FP Essent，2018， 465：11-17.
[7] Chen CM，Chen JS，Tsai WC，et al. Effectiveness of device-assisted ultrasound-guided steroid injection for treating plantar fasciitis [J]. Am J Phys Med Rehabil，2013，92（7）：597-605.
[8] 李志云，倪喆，邵增务.足底筋膜炎治疗的进展[J].中华物理医学与康复杂志，2012（9）：702-704.
[9] Buchanan BK，Kushner D. Plantar Fasciitis [J]. Connecticut Medicine，2017，79（3）：159.
[10] Petraglia F，Ramazzina I，Costantino C. Plantar fasciitis in athletes ：diagnostic and treatment strategies. A systematic review [J]. Muscles Ligaments Tendons J，2017，7（1）：107-118.
[11] Horgas AL. Pain Assessment in Older Adults [J]. Nurs Clin North Am，2017，52（3）：375-385.
[12] Schwartz EN，Su J. Plantar fasciitis：a concise review [J]. Perm J，2014，18（1）：e105-e107.
[13] Wearing SC，Smeathers JE，Urry SR，et al. The pathomechanics of plantar fasciitis [J]. Sports Med，2006，36（7）：585-611.
[14] Lemont H，Ammirati KM，Usen N. Plantar fasciitis：a degenerative process（fasciosis）without inflammation [J]. J Am Podiatr Med Assoc，2003，93（3）：234-237.
[15] Huang D，Gu YH，Liao Q，et al. Effects of linear-polarized near-infrared light irradiation on chronic pain [J]. ScientificWorldJournal，2012，2012：567496.
[16] Demura T，Demura S，Aoki H，et al. Effect of linear polarized near-infrared light irradiation and light exercise on muscle performance [J]. J Physiol Anthropol，2011，30（3）：91-96.
[17] Braidy N，Izadi M，Sureda A，et al. Therapeutic relevance of ozone therapy in degenerative diseases：Focus on diabetes and spinal pain [J]. J Cell Physiol，2018，233（4）：2705-2714.
[18] 李海燕，周连军，朱炳奇，等.医用臭氧联合玻璃酸钠局部注射治疗32例膝骨性关节炎的临床研究[J].中国医药导报，2011，8（31）：95-96.
[19] 黄霄汉.神经肌肉电刺激联合臭氧、透明质酸治疗膝关节骨性关节炎的临床观察[J].医学综述，2016，22（5）：1023-1025.
[20] Bonetti M，Fontana A，Martinelli F，et al. Oxygen-ozone therapy for degenerative spine disease in the elderly：a prospective study [J]. Springer Vienna，2011，108：137-142.
[21] 柴俊龙，刘亚妹，郑继会.关节腔注射消炎镇痛液联合臭氧治疗股骨头坏死的临床疗效及安全性评价[J].临床和实验医学杂志，2016，15（8）：780-783.
[22] 王斌.臭氧在医学中的应用研究进展[J].医学综述，2010， 16（20）：3044-3046.
[23] 李进.肌肉骨骼超声在评估慢性足底筋膜炎中的临床应用[J].江苏医药，2016，42（23）：2619-2620.