冲击波联合富血小板血浆治疗跖筋膜炎的临床研究

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Abstract Objective To investigate the clinical efficacy of radial extracorporeal shockwave therapy(ESWT)combined with platelet-rich plasma(PRP)injection in the treatment of chronic plantar fasciitis.Methods In this prospective，single-center，randomized control trial，60 patients with chronic plantar fasciitis treated in our hospital from January 2017 to Dec. 2018 were randomly divided into ESWT group，PRP group and ESWT-PRP combined group，with 20 cases in each group.The visual analogue scale (VAS) and revised foot function index (FFI-R) was compared before treatment，and 4，12 and 24 weeks after treatment.We calculated the thickness of the plantar fascia under the ultrasound localization before treatment and 24 weeks after treatment.Results There were no significant differences of the characteristics，VAS scores or FFI-R scores between 3 groups.After treatment，the VAS scores and FFI-R scores of 3 groups were significantly improved than before treatment (P＜0.05).The improvement of VAS and FFI-R scores in the ESWT group and ESWT-PRP combined group were superior to the PRP group in the 4th week (P＜0.05)，while the improvement of VAS and FFI-R scores in the PRP group and ESWT-PRP combined group were superior to the ESWT group in the 24th week (P＜0.05).There was significant improvement in the thickness of the plantar fascia before treatment and 24 weeks after treatment in all groups (P＜ 0.05).VAS score was positively correlated with the thickness of the plantar fascia.No serious adverse reactions occurred after the treatment.Conclusion Radial extracorporeal shockwave therapy combined with platelet-rich plasma injection is a safe and effective treatment for chronic plantar fasciitis，and it has rapid onset，lasting results and no adverse effect.It’sworthy further clinical research and promotion.

Key words： extracorporeal shock wave therapy platelet rich plasma plantar fasciitis prospective randomized controlled

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	Yang Yong
	Xiong Xiaojiang
	Chen Jian *

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Yang Yong,Xiong Xiaojiang,Chen Jian *. Therapeutic Effectiveness of Radial Extracorporeal Shockwave Therapy Combined with Plateletrich Plasma Injection on Chronic Plantar Fasciitis[J]. sygkzz, 2020, 26(4): 313-316.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2020/V26/I4/313

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