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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:

第25卷

期數(shù):

2013年12期

頁(yè)碼:

39-41

欄目:

臨床研究

出版日期:

2013-12-30

文章信息/Info

Title:

Clinical study on the semiconductor laser therapy combined with Chinese herbal steaming and washing therapy in the treatment of chronic enthesiopathy of Achilles tendon

作者:

林濤¹; 郭艷幸²; 吳麗芳¹; 張慧銘¹; 鄭梓灌¹

1.福建省廈門市第二醫(yī)院,福建 廈門 361021;
2.河南省洛陽(yáng)正骨醫(yī)院,河南 洛陽(yáng) 471002

Author(s):

Lin Tao^*; Guo Yanxing; Wu Lifang; Zhang Huiming; Zheng Ziguan.^*

The second hospital of Xiamen city,Xiamen 361021,Fujian,China

關(guān)鍵詞:

跟腱 末端病 激光; 半導(dǎo)體 薰洗

Keywords:

Achilles tendon;  Enthesiopathy;  Lasers; semiconductor; Steaming washing therapy

摘要:

目的:觀察半導(dǎo)體激光照射聯(lián)合中藥薰洗治療慢性跟腱末端病的臨床療效和安全性。方法:將76例慢性跟腱末端病患者隨 機(jī)分為治療組和對(duì)照組,每組38例。治療組采用半導(dǎo)體激光照射聯(lián)合中藥薰洗治療,對(duì)照組采用依托芬那酯凝膠局部外涂治療。 記錄并比較2組患者不良反應(yīng)的發(fā)生情況,并于治療1個(gè)月后評(píng)價(jià)2組患者的跟腱末端疼痛情況及臨床療效。分別于治療結(jié)束后3個(gè) 月、6個(gè)月電話隨訪2組患者的復(fù)發(fā)情況。結(jié)果:①跟腱末端疼痛評(píng)分。治療前2組患者跟腱末端疼痛評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義 [(7.26±0.51)分,(7.31±0.43)分,t=0.462,P=0.645]; 治療組治療前后跟腱末端疼痛評(píng)分的差值大于對(duì)照組 [(5.12±0.47)分,(2.68±0.55)分,t=20.790,P=0.000]。②臨床療效。治療組治愈5例、顯效25例、有效8例,對(duì)照組顯 效7例、有效23例、無(wú)效8例。2組患者臨床療效比較,治療組優(yōu)于對(duì)照組(Z=-5.462,P=0.000)。③復(fù)發(fā)率。治療結(jié)束后3個(gè)月隨訪 時(shí),2組患者復(fù)發(fā)率比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(χ²=1.629,P=0.202); 治療結(jié)束后6個(gè)月隨訪時(shí),治療組復(fù)發(fā)率低于對(duì)照 組(χ²=6.333,P=0.012)。④安全性。治療組未出現(xiàn)明顯不良反應(yīng),對(duì)照組4例出現(xiàn)皮膚過(guò)敏反應(yīng)。2組患者不良反應(yīng) 發(fā)生率比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P=0.058)。結(jié)論:采用半導(dǎo)體激光照射聯(lián)合中藥薰洗治療慢性跟腱末端病,能夠緩解跟腱末端疼 痛,療效確切,短期內(nèi)復(fù)發(fā)率低,安全性高,值得臨床推廣應(yīng)用。

Abstract:

Objective:To observe the clinical curative effect and safety of semiconductor laser therapy combined with Chinese herbal steaming and washing therapy in the treatment of chronic enthesiopathy of Achilles tendon.Methods:Seventy-six patients with chronic enthesiopathy of Achilles tendon were randomly divided into treatment group and control group,38 cases in each group.Patients in treatment group were treated with semiconductor laser therapy combined with Chinese herbal steaming and washing therapy,while the others in control group were treated with external application of etofenamate gel.Adverse reactions were recorded and compared between the 2 groups,and the pain scores of Achilles tendon terminal and clinical effects were compared between the 2 groups after one-month treatment.The recurrence rate were assessed by telephone interview questionnaires at 3 and 6 months after the end of the treatment.Results:There was no statistical difference in the Achilles tendon terminal pain scores between the 2 groups before the treatment(7.26+/-0.51 vs 7.31+/-0.43 points,t=0.462,P=0.645).The differences of Achilles tendon terminal pain scores between pre- treatment and post-treatment of treatment group were larger than that of the control group(5.12+/-0.47 vs 2.68+/-0.55 points,t=20.790,P=0.000).Five patients obtained an excellent result,25 good,and 8 fair in the treatment group,while 7 patients obtained an good result,23 fair,and 8 poor in the control group.The treatment group surpassed the control group in the clinical effect(Z=-5.462,P=0.000).There was no statistical difference in recurrence rate between the 2 groups at 3 months after the end of the treatment (χ²=1.629,P=0.202),and the recurrence rate was lower in treatment group compared with the control group at 6 months after the end of the treatment(χ²=6.333,P=0.012).No obvious adverse reactions were found in the treatment group,while 4 cases with cutaneous anaphylaxis were found in the control group.There was no statistical difference in incidence of adverse reaction between the 2 groups (P=0.058).Conclusion:It can relieve the pain in Achilles tendon terminal by application of semiconductor laser therapy combined with Chinese herbal steaming and washing therapy in the treatment of chronic enthesiopathy of Achilles tendon.Furthermore,it has certain curative effects with low recurrence rate in short-term and high safety,so it is worthy of popularizing in clinic.

備注/Memo

備注/Memo:

2012-12-24收稿 2013-01-26修回
通訊作者:郭艷幸 E-mail:[email protected]

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更新日期/Last Update: 2013-12-30