摘要
目的探究体外冲击波联合针刺治疗对肩部区域疼痛综合征的临床效果.方法选取接受治疗的肩部疼痛综合征患者70例,随机分为冲击波组、联合针刺组各35例,冲击波组患者进行体外冲击波治疗,联合针刺组患者使用体外冲击波联合针刺进行治疗.对两组患者治疗前后疼痛状况、肩关节功能、日常生活活动能力进行评价,检测血清白细胞介素-8(IL-8)、白细胞介素-17(IL-17)、超敏C反应蛋白(hs-CRP)水平,对比两组患者治疗效果及治疗3个月后患者对治疗效果的满意情况.结果治疗前两组患者各项CMS评分对比,差异无统计学意义(P>0.05);治疗后两组患者各项CMS评分高于治疗前,且联合针刺组患者各项CMS评分及CMS总分均高于冲击波组,差异有统计学意义(P<0.05).治疗后联合针刺组血清IL-8、IL-17、hs-CRP水平均低于冲击波组,差异有统计学意义(P<0.05).联合针刺组患者治疗总有效率略高于冲击波组,但两组比较差异无统计学意义(P>0.05).治疗3个月后,联合针刺组患者总满意率显著高于冲击波组,差异有统计学意义(P<0.05).结论使用体外冲击波联合针刺对肩部区域疼痛综合征患者进行治疗,能够明显减轻患者疼痛感,改善患者肩关节功能,提升患者日常生活活动能力,减轻患者炎症反应,治疗效果显著,使患者更加满意,具有一定的临床应用价值.
Objective To investigate the clinical effect of extracorporeal shock wave combined with acupuncture on shoulder pain syndrome.Methods A total of 70 patients with shoulder pain syndrome were randomly divided into shock wave group and combined acupuncture group(n=35).The shock wave group received extracorporeal shock wave therapy,while the combined acupuncture group received acupuncture combined extracorporeal shock wave therapy.The pain status,shoulder joint function and daily activities of the two groups before and after treatment were evaluated.The serum levels of interleukin-8(IL-8),interleukin-17(IL-17)and hypersensitive C-reactive protein(hs-C R P)were assessed.The treatment effect of the two groups and the satisfaction with the treatment effect 3 months after treatment were compared.Results There was no significant difference in the score of CMS between the two groups before treatment(P>0.05).After treatment,the scores of CMS in the two groups were significantly higher than those before treatment;and the scores of CMS and the total scores of CMS in the combined acupuncture group were significantly higher than those in the shock wave group(P<0.05).After treatm ent,the levels of IL-8,IL-17 and hs-CRP in the combined acupuncture group were significantly lower than those in the shock wave group(P<0.05).The total effective rate of combined acupuncture group was slightly higher than that of shock wave group,but there was no significant difference between the two groups(P>0.05).After 3 months of treatment,the total satisfaction rate in the combined acupuncture group was significantly higher than that in the shock wave group(P<0.05).Conclusion The use of extracorporeal shock wave combined with acupuncture in the treatment of shoulder pain syndrome can significantly reduce the pain,improve the shoulder joint function,improve daily life activities of patients,and reduce the inflammatory response.
作者
倪云建
吴剑平
过建国
周红梅
NI Yun-jian;WU Jian-ping;GUO Jian-guo;ZHOU Hong-mei(Pain Department,Second Affiliated Hospital of Jiaxing University,the Second Hospital of Jiaxing City,Jiaxing 314000,Zhejiang,China)
出处
《广东医学》
CAS
2020年第11期1156-1159,共4页
Guangdong Medical Journal
基金
嘉兴市科技计划项目(2018AD32041)。
关键词
体外冲击波
肩部区域疼痛综合征
肩关节功能
日常生活活动能力
extracorporeal shock wave
shoulder regional pain syndrome
function of shoulder joint
activity of daily living
