摘要
目的探讨放散状冲击波治疗桡骨茎突狭窄性腱鞘炎的疗效及安全性。方法对47例桡骨茎突狭窄性腱鞘炎患者随机分为治疗组（32例）和对照组（15例）。治疗组采用放散状冲击波治疗，对照组采用外敷双氯芬酸二乙胺，配合局部按摩。采用视觉模拟评分法（visual analog scale，VAS）评估患者治疗前、末次治疗1周后及4周后的疼痛强度。结果治疗组患者末次治疗1周后疼痛全部缓解，功能有明显改善，治疗前及末次治疗1周和4周后VAS评分分别为（7．12±1．74）、（2．16±1．05）和（0．50±0．71），相互之间比较差异均有显著性意义（P〈0．05）；对照组患者治疗前后的VAS评分分别为（6．60±1．72）、（4．06±1．83）和（3．46±2．23），统计显示治疗前与治疗后1周和4周之间比较差异有统计学意义（P〈0．05），但末次治疗1周和4周后之间比较差异元统计学意义（P〉0．05）。治疗组患者疗效明显好于对照组。结论放散状冲击波是治疗桡骨茎突狭窄性腱鞘炎的新方法之一，具有操作简便、安全有效、无创伤、无副作用、显效快等优点，易于推广。
Objective To investigate the effectiveness and safety of radial extracorporeal shock waves therapy （RSWT） in treating stenosing tenosynovitis at the radial styloid. Methods Forty-seven patients with stenosing tenosynovifis at the radial styloid were randomly divided into the treatment group（32 cases） and control goup （15 cases）. Patients in the treatment group received three sessions of RSWT, while those in the control group received conservative therapy with Votalin emulsion and local massage. Visual analog scale （VAS） was used to evaluate the extent of pain before the therapy and 1 or 4 weeks after the last therapy session. Remits In the treatment group pain was alleviated and wrist function was improved. The VAS improved from （7.12 ± 1.74） prior therapy to （2.16 ± 1.05） and （0.50 ± 0.71 ） 1 week and 4 weeks after the therapy, respectively. The difference before and after the treatment was significant （ P 〈 0.05）. The VAS improved from （6.60 ± 1.72） prior therapy to （4.06±1.83） and （3.46 ± 2.23） 1 week and 4 weeks after the therapy respectively in the control group. The difference before and after the treatment was significant （ P 〈 0.05）, while the VAS scores at 1 week and 4 weeks after the therapy theraopy.re not different（ P 〉 0.05）. Conclusion RSWT is a new treatment option for stenosing tenosynovitis at the radial styloid that has such advantages as being effective, simple, atraumatie and safe.
出处
《中华手外科杂志》
CSCD
北大核心
2013年第1期18-20,共3页
Chinese Journal of Hand Surgery
关键词
腱鞘炎
疼痛
放散状冲击波
Tenosynovitis
Pain
Radial extracorporeal shock waves
