足跟骨刺的皮质类固醇注射与保守治疗比较
Comparison of corticosteroid injections and conservative treatments for heel spurs.
作者信息
Heydari Sina, Hosseini Hasan, Sardou Amirhossein Omrani, Raesi Rasoul, Hushmandi Kiavash, Daneshi Salman
机构信息
School of Medicine, Imam Khomeini Hospital, Jiroft University of Medical Science, Jiroft, Iran.
Department of Orthopedics, Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
BMC Musculoskelet Disord. 2025 Apr 17;26(1):380. doi: 10.1186/s12891-025-08648-2.
BACKGROUND
Managing heel spurs presents challenges due to multiple treatment options and varying patient satisfaction. This study was conducted to compare the results of heel spur treatment with corticosteroid injections and conservative treatments in patients with heel spurs.
METHODS
This retrospective cohort study was conducted using convenience sampling on seventy patients with heel spurs in 2022. Among them, forty-four patients were in the treatment group, receiving local corticosteroid injections, and twenty-six patients were in the conservative treatment group. Data were collected using a checklist and analyzed using SPSS-26 statistical software. Both descriptive and inferential statistics were applied, with a significance level set at less than 0.05.
RESULTS
The average age of patients with heel spurs was 43 ± 11.2 years. 88.6% of patients were female. Among forty-four individuals receiving corticosteroid injections, 18 (40.9%) experienced favorable outcomes. out of the twenty-six individuals undergoing conservative treatment, 8 (30.8%) also had favorable outcomes. No statistically significant difference was found between the two treatment approaches (P > 0.05). Among the sixty-two women studied, twenty-six experienced positive outcomes; 18 (69.2%) underwent corticosteroid injections, while 8 (30.8%) received conservative treatment. None of the men examined showed any impact from the treatment and expressed dissatisfaction with it. Statistically, a significant association exists between the treatment results of the two groups studied and the gender of patients with heel spurs (P < 0.05).
CONCLUSION
The results highlight the importance of considering demographic factors, particularly gender, when selecting treatment strategies for heel spurs. Both corticosteroid injections and conservative treatments were effective in treating heel spurs; however, corticosteroid injections are recommended as the preferred option due to higher patient satisfaction. Longer follow-up periods are needed to confirm these findings and explore additional variables that may influence treatment efficacy.
TRIAL REGISTRATION
Not applicable.
背景
由于多种治疗选择以及患者满意度各不相同，足跟骨刺的治疗颇具挑战。本研究旨在比较足跟骨刺患者接受皮质类固醇注射治疗与保守治疗的效果。
方法
本回顾性队列研究于2022年采用便利抽样法对70例足跟骨刺患者进行。其中，44例患者为治疗组，接受局部皮质类固醇注射，26例患者为保守治疗组。使用检查表收集数据，并使用SPSS - 26统计软件进行分析。同时应用描述性统计和推断性统计，显著性水平设定为小于0.05。
结果
足跟骨刺患者的平均年龄为43±11.2岁。88.6%的患者为女性。在接受皮质类固醇注射的44人中，18人（40.9%）取得了良好效果。在接受保守治疗的26人中，8人（30.8%）也取得了良好效果。两种治疗方法之间未发现统计学上的显著差异（P>0.05）。在所研究的62名女性中，26人取得了积极效果；其中18人（69.2%）接受了皮质类固醇注射，8人（30.8%）接受了保守治疗。接受检查的男性均未显示出治疗的任何效果，且对治疗表示不满。从统计学角度来看，所研究的两组治疗结果与足跟骨刺患者的性别之间存在显著关联（P<0.05）。
结论
研究结果凸显了在为足跟骨刺选择治疗策略时考虑人口统计学因素，尤其是性别的重要性。皮质类固醇注射和保守治疗在治疗足跟骨刺方面均有效；然而，由于患者满意度较高，推荐皮质类固醇注射作为首选方案。需要更长的随访期来证实这些发现，并探索可能影响治疗效果的其他变量。
试验注册
不适用。
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