Clinical Observation of Electrosurgical Energy Platform Combined with Acupotomy in Treatment of Calcaneodynia under DSA
LI Yuan-dong,WANG Ping,ZHANG Xiao-yu,LIU Ai-feng,SU Jin,LI Jia-yu
Department of Orthopedics, First Af?liated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin (300383), China
Abstract:
Objective To investigate the clinical efficacy and safety of electrosurgical energy platform combined with acupotomy in the treatment of calcaneodynia under DSA. Methods The 74 patients with calcaneodynia were divided into treatment group and control group by random number table method, 37 cases in each group. Both groups were treated with DSA, electrosurgical energy platform combined with acupotomy was used into the treatment group, acupotomology was used into the control group, once a week, a total of twice, and the follow-up was conducted at 3 months after treatment. VAS score of heel pain, Maryland score of foot function and total effective rate were compared between the two groups before treatment, after treatment and at follow-up. Results In the treatment group, the VAS and Maryland scores were 6.95±1.14 and 50.70±8.34 before treatment, 2.45±1.33 and 70.46±8.97 after treatment and 1.91±1.01 and 78.46±7.65 during follow-up. In the control group, the VAS and Maryland scores were 6.35±1.34 and 50.52±9.76 before treatment, 3.16±1.82 and 65.21±9.78 after treatment, and 2.12±1.44 and 70.32±7.85 during follow-up. VAS and Maryland scores were significantly different between the two groups after treatment and during follow-up (P < 0 . 05 ). There was no significant difference between VAS and Maryland scores before treatment between the two groups (P > 0 . 05). VAS and Maryland scores were compared between the two groups after treatment and at follow-up, the treatment group was superior to the control group (P<0.05). The total effective rate of the treatment group was 97% after treatment and at follow-up, and that of the control group was 91% and 75%, respectively. The total effective rate of the treatment group was better than that of the control group (P <0.05, P < 0 . 01). No adverse reactions occurred in either group. Conclusion The electrosurgical energy platform combined with acupotomy in the treatment of calcaneodynia under DSA showed significant efficacy, high safety and more lasting effect.
