周奕楠,盛逸澜,瞿强,等.体外冲击波联合麻醉剂治疗慢性足底筋膜炎临床疗效的Meta分析[J].中华物理医学与康复杂志,2020,42(9):824-829
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| 体外冲击波联合麻醉剂治疗慢性足底筋膜炎临床疗效的Meta分析 |
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| DOI：10.3760/cma.j.issn.0254-1424.2020.09.013 |
| 中文关键词: 慢性足底筋膜炎 体外冲击波 麻醉剂 Meta分析 |
| 英文关键词: Chronic plantar fasciitis Extracorporeal shock wave therapy Anesthesia Meta-analyses |
| 基金项目:上海市科委生物医药重大创新项目（16411955200） |
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| 中文摘要: |
| 目的 评价体外冲击波治疗联合麻醉剂使用对于慢性足底筋膜炎的有效性。 方法 检索中国知网、万方数据库、Pubmed等数据库自建库至2018年10月所有关于体外冲击波治疗慢性足底筋膜炎的随机对照试验。由两名研究人员独立筛选，对纳入文献进行特征提取，使用Cochrane手册对纳入文献进行偏倚评估。采用RevMan 5.3版软件对纳入文献进行Meta分析。 结果 共纳入8篇文献，受试者共1489例，其中体外冲击波组779例，对照组710例。Meta分析结果显示，体外冲击波组可缓解疼痛（OR=1.93,P<0.00001）和改善功能（OR=1.92,P<0.00001），且麻醉剂的使用并不会影响结局指标（OR=2.19,P<0.01）。不同治疗模式（聚焦式和放射式）或不同治疗强度（中、高能量）的体外冲击波治疗足底筋膜炎均同样有效，疗效均优于对照组，差异均有统计学意义（P<0.01）。 结论 ESWT可显著缓解慢性足底筋膜炎患者的疼痛程度，改善其步行功能，在干预过程中使用麻醉剂不会影响疗效，且不同的治疗模式（聚焦式和放射式）或不同治疗强度（中、高能量）的体外冲击波治疗足底筋膜炎均有效。 |
| 英文摘要: |
| Objective To evaluate the efficacy of combining extracorporeal shock wave therapy (ESWT) with local anesthesia in treating chronic plantar fasciitis. Methods Reports of randomized and controlled trials about treating plantar fasciitis using ESWT were sought in the CNKI, Wanfang, Pubmed, Embase, Cochrane Library and Web of Science databases from their inception until October 2018. Each report found was screened by two independent researchers and the characteristics were abstracted. The risk of bias was assessed according to the methods recommended in the Cochrane Handbook. Version 5.3 of the RevMan software was used for the meta-analysis. Results Eight reports of randomized and controlled trials were identified covering 779 patients treated with shock wave therapy and 710 controls. The meta-analysis showed that ESWT could significantly relieve the pain and improve functioning. Local anesthesia did not affect the outcome. Focued and radial shock wave were both significantly more effective than placebo stimulation, so as the medium and high-intensity. Conclusions ESWT can significantly relieve the pain and improve the walking ability of patients with chronic plantar fasciitis. The use of local anesthesia during the intervention and different ESWT modes and intensities will not affect its efficacy. |
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