摘要
目的分析几丁糖注射治疗粘连性肩关节囊炎的临床效果。方法 112例粘连性肩关节囊炎患者,按入院时间先后顺序分为对照组和观察组,各56例。对照组患者实施肩关节镜下松解术治疗,观察组患者实施肩关节镜下松解术联合几丁糖注射治疗。比较两组患者局部视觉模拟评分法(VAS)评分、肩关节主动活动范围及肩关节功能评分。结果治疗后,观察组局部VAS评分(2.42±0.65)分低于治疗前的(5.32±1.06)分,前屈、外展、中立位外旋及体侧内旋角度分别为(137.06±15.63)、(133.42±10.64)、(36.20±4.48)、(4.76±1.10)°均大于治疗前的(95.24±11.38)、(96.71±15.63)、(20.22±10.12)、(1.99±1.05)°;对照组组局部VAS评分(2.98±0.79)分低于治疗前的(5.20±1.10)分,前屈、外展、中立位外旋及体侧内旋角度分别为(126.35±14.94)、(122.74±13.11)、(30.29±5.06)、(3.68±0.94)°均大于治疗前的(95.16±11.47)、(97.02±14.74)、(19.83±8.97)、(2.02±1.31)°;观察组局部VAS评分低于对照组,前屈、外展、中立位外旋及体侧内旋角度均大于对照组,差异有统计学意义(P<0.05)。治疗后,观察组美国肩肘外科协会(ASES)评分(86.80±5.20)分与Constant评分(87.16±4.10)分均高于治疗前的(45.46±8.91)、(45.20±3.45)分,对照组ASES评分(83.29±4.18)分和Constant评分(83.52±3.94)分均高于治疗前的(45.37±8.87)、(45.16±3.39)分,且观察组ASES评分与Constant评分高于对照组,差异有统计学意义(P<0.05)。结论几丁糖注射治疗粘连性肩关节囊炎的临床效果显著,能够明显改善肩关节功能,缓解局部疼痛,值得临床推广。
Objective To analyze the clinical effect of chitosan injection in the treatment of adhensive capsulitis of shoulder. Methods A total of 112 patients with adhesive capsulitis of shoulder were divided into control group and observation group according to admission order, with 56 cases in each group. The control group was treated with arthroscopic release of shoulder, and the observation group was treated with adhesive capsulitis of shoulder. The local visual analogue scale(VAS) score, active range of motion and shoulder functional score were compared between the two groups. Results In the observation group, the local VAS score after treatment(2.42±0.65) points was lower than(5.32±1.06) points before treatment;the flexion, abduction, neutral external rotation and lateral internal rotation angles after treatment were(137.06±15.63),(133.42±10.64),(36.20±4.48) and(4.76±1.10)°, which were greater than(95.24±11.38),(96.71±15.63),(20.22±10.12) and(1.99±1.05)°before treatment. In the control group, the local VAS score after treatment(2.98±0.79) points was lower than(5.20±1.10) points before treatment;the flexion, abduction, neutral external rotation and lateral internal rotation angles after treatment were(126.35±14.94),(122.74±13.11),(30.29±5.06) and(3.68±0.94)°, which were greater than(95.16±11.47),(97.02±14.74),(19.83±8.97) and(2.02±1.31)° before treatment. The local VAS score of the observation group was lower than the control group, and the flexion, abduction, neutral external rotation and lateral internal rotation angles were greater than those of the control group. All the difference was statistically significant(P<0.05). In the observation group, the American Shoulder and Elbow Society(ASES) score and Constant score after treatment were(86.80±5.20) and(87.16±4.10) points, which were higher than(45.46±8.91) and(45.20±3.45) points before treatment;in the control group, the ASES score and Constant score after treatment were(83.29±4.18) and(83.52±3.94) points, which were higher than(45.37�
作者
彭科军
PENG Ke-jun(Department of Orthopaedics,Qianjiang Ethnic Hospital,Chongqing 409000,China)
出处
《中国实用医药》
2021年第12期8-11,共4页
China Practical Medicine
