摘要
目的:观察体外冲击波(extracorporeal shock wave,ESW)联合痛点注射治疗肩周炎的临床疗效。方法:将120例肩周炎患者依据患者治疗意愿分为痛点注射组、冲击波组以及联合治疗组,每组40例。3组患者在治疗前及治疗结束后1小时、1周、3月、6月、1年分别进行VAS(Visual analogue scale)疼痛评分和肩关节活动度(range of motion,ROM)评估。结果:治疗后1小时,痛点注射组及联合治疗组VAS评分明显低于冲击波治疗组(P<0.05);治疗后1周,三组VAS评分无显著性差异,治疗后3月、6月、1年,三组间VAS评分有显著性差异(P<0.05)。治疗后ROM显著增加,三组间比较有显著性差异(P<0.05)。结论:与单纯痛点注射或ESW治疗比较,ESW联合痛点注射治疗肩周炎的远期疗效更佳,且能更好地改善肩关节功能。
Objective： To evaluate the effectiveness of extracorporeal shock wave （ESW） combined with point injection in treatment of scapulohumeral periarthritis. Methods： A total of 120 patients with scapulohumeral periarthritis were involved and divided into local injection group, ESW treatment group and combined treatment group, with 40 patients per group. Visual analogue scale （VAS） and range of motion （ROM） were used to evaluate the pain degree and shoulder joint function before treatment, at 1 hour, 1 week, 3 months, 6 months and 1 year after treatment in three groups. Results： One hour after treatment, VAS score in local injection group and combined treatment group was obviously reduced than that in ESW treatment group （P 〈 0.05）.While the VAS score showed no significant difference between three groups one week after treatment, a significant decrease of VAS was observed in three groups at 3 months, 6 months and 1 year after treatment compared with pretreatment （P 〈 0.05） . ROM in combined group was significantly improved after treatment compared with local injection group or ESW group （P 〈 0.05）. Conclusion： Treatment of ESW combined with local injection produced better long-term clinical curative effect on scapulohumeral periarthritis and can improve the function of the shoulder joint compared with ESW or local injection group.
出处
《中国疼痛医学杂志》
CAS
CSCD
北大核心
2014年第10期722-724,共3页
Chinese Journal of Pain Medicine
关键词
体外冲击波
痛点注射
肩周炎
疼痛
Extracorporeal shock wave
local injection
Scapulohumeral periarthritis
pain
