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注射富血小板血浆治疗足底筋膜炎后的功能结局

Functional Outcomes After Injections of Platelet-Rich Plasma for Plantar Fasciitis.

作者信息

Singh Harpreet, Tyagi Sangam, Qamar Rayed, Parikh Mit, Sen Akshit, Joshi Kavya, Rampurwala Ammar, Bhrambhatt Purvesh

机构信息

Orthopaedics, Geetanjali Medical College and Hospital, Udaipur, IND.

Orthopaedics and Traumatology, Geetanjali Medical College and Hospital, Udaipur, IND.

出版信息

Cureus. 2025 Apr 30;17(4):e83276. doi: 10.7759/cureus.83276. eCollection 2025 Apr.

DOI:10.7759/cureus.83276
PMID:40453261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126916/
Abstract

Objective Plantar fasciitis is a rather common disorder with symptoms like heel discomfort. It usually gets worse with prolonged rest. Platelet-rich plasma (PRP) injections, derived from autologous blood, have emerged as a promising treatment option by promoting tissue healing and reducing inflammation. This study evaluates the outcome of PRP injections in decreasing pain and improving patients' function. Methods This study included 100 identified cases of plantar fasciitis altogether. After PRP injections, their results were evaluated using the American Orthopedic Foot and Ankle Score (AOFAS) at baseline and the visual analog scale (VAS) both at baseline and four, eight, and 12 weeks following injection. Results The mean VAS decreased to one from seven in males and from seven to one in females. A statistically significant difference existed between the males and females at four weeks (p ≤ 0.0001), eight weeks (p ≤ 0.0001), and 12 weeks (p = 1.0), and the AOFAS score reached 95/96 from 56/58 in males and females. Conclusion The efficacy of PRP in the treatment of plantar fasciitis is very high. It provides very good outcomes with significant pain relief while also promoting healing of the plantar fascia.

摘要

目的 足底筋膜炎是一种较为常见的疾病,伴有足跟不适等症状。长时间休息通常会使病情加重。源自自体血液的富血小板血浆(PRP)注射已成为一种有前景的治疗选择,可促进组织愈合并减轻炎症。本研究评估PRP注射在减轻疼痛和改善患者功能方面的效果。方法 本研究共纳入100例确诊的足底筋膜炎病例。PRP注射后,在基线时使用美国矫形足踝评分(AOFAS)进行评估,并在注射后的第4周、第8周和第12周以及基线时使用视觉模拟量表(VAS)进行评估。结果 男性的VAS平均分从7降至1,女性从7降至1。男性和女性在第4周(p≤0.0001)、第8周(p≤0.0001)和第12周(p = 1.0)存在统计学显著差异,男性和女性的AOFAS评分从56/58提高到95/96。结论 PRP治疗足底筋膜炎的疗效非常高。它能显著减轻疼痛,同时促进足底筋膜愈合,带来非常好的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb5/12126916/38e75c6c6d25/cureus-0017-00000083276-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb5/12126916/d6c22abb1d46/cureus-0017-00000083276-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb5/12126916/178aa3ccf6c2/cureus-0017-00000083276-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb5/12126916/c0174b85d476/cureus-0017-00000083276-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb5/12126916/cdc24a39c486/cureus-0017-00000083276-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb5/12126916/82f9d5919e0e/cureus-0017-00000083276-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb5/12126916/38e75c6c6d25/cureus-0017-00000083276-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb5/12126916/d6c22abb1d46/cureus-0017-00000083276-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb5/12126916/178aa3ccf6c2/cureus-0017-00000083276-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb5/12126916/c0174b85d476/cureus-0017-00000083276-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb5/12126916/cdc24a39c486/cureus-0017-00000083276-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb5/12126916/82f9d5919e0e/cureus-0017-00000083276-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb5/12126916/38e75c6c6d25/cureus-0017-00000083276-i06.jpg

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本文引用的文献

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Orthop J Sports Med. 2020 Apr 27;8(4):2325967120915704. doi: 10.1177/2325967120915704. eCollection 2020 Apr.
2
Is Platelet-rich Plasma Injection more Effective than Steroid Injection in the Treatment of Chronic Plantar Fasciitis in Achieving Long-term Relief?在实现长期缓解方面,富血小板血浆注射治疗慢性足底筋膜炎是否比类固醇注射更有效?
Malays Orthop J. 2019 Nov;13(3):8-14. doi: 10.5704/MOJ.1911.002.
3
Effects of platelet-rich plasma in the treatment of plantar fasciitis: A meta-analysis of randomized controlled trials.
富血小板血浆治疗足底筋膜炎的效果:一项随机对照试验的荟萃分析。
Medicine (Baltimore). 2018 Sep;97(37):e12110. doi: 10.1097/MD.0000000000012110.
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Effectiveness of Four Different Treatment Modalities in the Treatment of Chronic Plantar Fasciitis During a 36-Month Follow-Up Period: A Randomized Controlled Trial.四种不同治疗方式在36个月随访期内治疗慢性足底筋膜炎的有效性:一项随机对照试验。
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Comparison of Plantar Fasciitis Injected With Platelet-Rich Plasma vs Corticosteroids.富血小板血浆注射与皮质类固醇注射治疗足底筋膜炎的比较
Foot Ankle Int. 2018 Jul;39(7):780-786. doi: 10.1177/1071100718762406. Epub 2018 Mar 30.
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Platelet Rich Plasma: a short overview of certain bioactive components.富血小板血浆:某些生物活性成分的简要概述
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