目的 探讨红外偏振光照射联合皮质类固醇注射对跖筋膜炎(PF)的效果。方法 回顾性分析2022-10至2024-10解放军总医院海南医院疼痛科收治的110例PF患者的资料。按照治疗方法分为:皮质类固醇注射组(A组)56例,红外偏振光照射联合皮质类固醇注射组(B组)54例。观察治疗前、治疗后1个月、3个月的视觉模拟评分(VAS) 及美国足踝矫形协会(AOFAS) 踝-后足功能评分;根据治疗后3个月的AOFAS评分,建立回归模型分析疗效的影响因素。结果 两组年龄、性别、患侧、病程、是否伴有骨刺、治疗前VAS及AOFAS评分差异均无统计学意义 (P>0.05)。两组治疗后的VAS评分与AOFAS评分较治疗前均显著改善(P<0.01)。B组治疗后1个月、3个月的VAS评分显著低于A组(P=0.019,P<0.01);B组治疗后1个月、3个月的AOFAS评分显著高于A组(P=0.036,P=0.014)。回归分析表明,单双侧(P=0.038)、是否伴有骨刺(P<0.001)、治疗前的VAS评分(P=0.008)和治疗方式(P=0.01)可能是疗效的影响因素。结论 与单纯皮质类固醇注射相比,红外偏振光照射联合皮质类固醇注射治疗PF效果更显著,缓解患者的疼痛并对改善足踝功能有明显作用。
Abstract
Objective To explore the effect of infrared polarized light combined with corticosteroid injections on plantar fasciitis (PF). Methods The data of 110 patients with PF admitted to the Pain Management Department of Hainan Hospital of PLA General Hospital from October 2022 to October 2024 were retrospectively analyzed, and the patients were divided into two groups according to the treatment methods: the corticosteroid injection group (Group A) with 56 cases and the infrared polarization light irradiation combined with corticosteroid injection group (Group B) with 54 cases. The visual analogue scale (VAS) and the American Orthopedic Foot and Ankle Society Score (AOFAS) of ankle-hindfoot function before treatment,1 month and 3 months after treatment were observed. Based on the AOFAS score at 3rd month after treatment, a regression model was established to analyze the influencing factors of the therapeutic effect. Results The two groups did not differ significantly in terms of age, gender, affected side unilateral or bilateral, disease duration, occurrence of heel spurs, pre-treatment VAS scores, or pre-treatment AOFAS ankle-hindfoot function scores (P>0.05). The VAS scores and AOFAS scores were significantly improved in both groups after treatment compared with those before treatment (P＜0.01). The VAS scores of Group B at 1st and 3rd month after treatment were noticeably lower than those of Group A (P=0.019, P＜0.01); the AOFAS scores of Group B at 1st month and 3rd month after treatment were noticeably higher than those of Group A (P=0.036,P=0.014). Regression analysis showed that the unilateral or bilateral of the affected foot (P=0.038), the presence or absence of bone spurs (P＜0.001), the pre-treatment VAS score(P=0.008), and the treatment method (P=0.01) might be the influencing factors of the therapeutic effect. Conclusions Compared with simple corticosteroid injection, infrared polarized light irradiation combined with corticosteroid injection has a more significant effect on PF, which can alleviate patients’ pain and has a significant effect on improving foot and ankle function.
关键词
跖筋膜炎 /
偏振光 /
皮质类固醇 /
观察性研究 /
影响因素分析
Key words
plantar fasciitis /
polarized light /
corticosteroid /
observational study /
analysis of influencing factors
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