武警医学2025,Vol.36Issue(9):742-746,5.
红外偏振光照射联合皮质类固醇注射对跖筋膜炎的疗效
Therapeutic effect of infrared polarized light irradiation combined with corticosteroid in-jection on plantar fasciitis
倪娟娟 1刘琳 2赵旦 3冒晓清 3孙立 4高明龙2
作者信息
- 1. 030001 太原,山西医科大学麻醉学院||572013 三亚,解放军总医院海南医院疼痛科
- 2. 572013 三亚,解放军总医院海南医院疼痛科
- 3. 030001 太原,山西医科大学麻醉学院
- 4. 100037 北京,解放军总医院第六医学中心心血管病医学部麻醉与体外循环科
- 折叠
摘要
Abstract
Objective To explore the effect of infrared polarized light combined with corticosteroid injections on plantar fasci-itis(PF).Methods The data of 110 patients with PF admitted to the Pain Management Department of Hainan Hospital of PLA Gen-eral 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 com-bined 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 ob-served.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 bilater-al,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 treat-ment(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 in-fluencing factors of the therapeutic effect.Conclusions Compared with simple corticosteroid injection,infrared polarized light irradia-tion 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分类
医药卫生引用本文复制引用
倪娟娟,刘琳,赵旦,冒晓清,孙立,高明龙..红外偏振光照射联合皮质类固醇注射对跖筋膜炎的疗效[J].武警医学,2025,36(9):742-746,5.