中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
42期
6844-6848
,共5页
组织构建%组织工程%跖筋膜炎%机制%治疗%牵引%激素%富含血小板血浆
組織構建%組織工程%蹠觔膜炎%機製%治療%牽引%激素%富含血小闆血漿
조직구건%조직공정%척근막염%궤제%치료%견인%격소%부함혈소판혈장
fasci tis%traction%hormones
背景：跖筋膜炎作为跟痛症的重要病因，各级医疗机构治疗方法不尽相同，治疗效果也出入较大。<br> 目的：总结跖筋膜的各种治疗，结合跖筋膜炎的发病机制及病理力学，探讨各种治疗方法的效果及适应证。方法：检索PubMed数据库、中国科技期刊数据库(万方)1993年1月至2014年1月有关跖筋膜炎的相关研究。英文关键词为“Plantar fasci tis，Mechanism，Treatment”；中文关键词为“跖筋膜炎；机制；治疗”。阅读标题及进行筛查，保留其中34篇归纳总结。<br> 结果与结论：跖筋膜炎的治疗需遵循无创到有创的原则，核心的理念为跖筋膜特殊牵引治疗、矫形器及夜间夹板的固定。对于急性期的患者，如果能够接受激素治疗带来的不良反应，局部注射激素可以作为一线治疗。富含血小板血浆注射治疗的前景看似美好，但现在还缺少大量的实验证据。对于反复发作的慢性顽固性跖筋膜炎，可以考虑体外震波治疗。手术治疗需严格筛选，因为它并不能缓解所有患者的疼痛，这是治疗跖筋膜炎的最后一道防线。
揹景：蹠觔膜炎作為跟痛癥的重要病因，各級醫療機構治療方法不儘相同，治療效果也齣入較大。<br> 目的：總結蹠觔膜的各種治療，結閤蹠觔膜炎的髮病機製及病理力學，探討各種治療方法的效果及適應證。方法：檢索PubMed數據庫、中國科技期刊數據庫(萬方)1993年1月至2014年1月有關蹠觔膜炎的相關研究。英文關鍵詞為“Plantar fasci tis，Mechanism，Treatment”；中文關鍵詞為“蹠觔膜炎；機製；治療”。閱讀標題及進行篩查，保留其中34篇歸納總結。<br> 結果與結論：蹠觔膜炎的治療需遵循無創到有創的原則，覈心的理唸為蹠觔膜特殊牽引治療、矯形器及夜間夾闆的固定。對于急性期的患者，如果能夠接受激素治療帶來的不良反應，跼部註射激素可以作為一線治療。富含血小闆血漿註射治療的前景看似美好，但現在還缺少大量的實驗證據。對于反複髮作的慢性頑固性蹠觔膜炎，可以攷慮體外震波治療。手術治療需嚴格篩選，因為它併不能緩解所有患者的疼痛，這是治療蹠觔膜炎的最後一道防線。
배경：척근막염작위근통증적중요병인，각급의료궤구치료방법불진상동，치료효과야출입교대。<br> 목적：총결척근막적각충치료，결합척근막염적발병궤제급병리역학，탐토각충치료방법적효과급괄응증。방법：검색PubMed수거고、중국과기기간수거고(만방)1993년1월지2014년1월유관척근막염적상관연구。영문관건사위“Plantar fasci tis，Mechanism，Treatment”；중문관건사위“척근막염；궤제；치료”。열독표제급진행사사，보류기중34편귀납총결。<br> 결과여결론：척근막염적치료수준순무창도유창적원칙，핵심적이념위척근막특수견인치료、교형기급야간협판적고정。대우급성기적환자，여과능구접수격소치료대래적불량반응，국부주사격소가이작위일선치료。부함혈소판혈장주사치료적전경간사미호，단현재환결소대량적실험증거。대우반복발작적만성완고성척근막염，가이고필체외진파치료。수술치료수엄격사선，인위타병불능완해소유환자적동통，저시치료척근막염적최후일도방선。
BACKGROUND:The treatments of plantar fasci tis as an important cause of calcaneodynia are different in medical institutions, as wel as the therapeutic results. <br> OBJECTIVE:To summarize various treatments of plantar fascia, and based on the pathogenesis and pathological mechanics of plantar fasci tis, to investigate the effect of various treatment methods and indications. <br> METHODS:A computer-based online search of PubMed database and Wanfang database was performed for articled related to plantar fasci tis published between January 1993 and January 2014. The keywords were <br> “plantar fasci tis, mechanism, treatment”in English and Chinese, respectively, by screening the titles and abstracts. Final y, 34 articles were included in result analysis. <br> RESULTS AND CONCLUSION:The treatment of plantar fasci tis needs to fol ow the principle from noninvasive to invasive treatment. Stretching the plantar fascia and heel cord, using prefab-ricated orthotics, and wearing night splints are crucial for the treatment of plantar fasci tis. Local hormone injection can be used as first-line therapy for patients with acute plantar fasci tis if they can tolerate the adverse reactions due to hormone therapy. Platelet-rich plasma therapy has a promising prospect, but there is lack of experimental evidences. Extracorporeal shock wave therapy can be a choice for recurrent chronic intractable plantar fasci tis. Surgical intervention remains the last line of therapy, for which, rigorous screening is important, but it is not always effective at reducing pain.
