肩周炎治疗中,冲击波应用具有普适化的治疗压力参数。为探讨最佳治疗方案,采用文献分析法,从中国知网、万方、维普、Pubmed、Web of Science、实体书籍等渠道获取相关文献并进行总结分析,寻找最佳治疗压力参数。结果表明,1.5~2.5 bar的...肩周炎治疗中,冲击波应用具有普适化的治疗压力参数。为探讨最佳治疗方案,采用文献分析法,从中国知网、万方、维普、Pubmed、Web of Science、实体书籍等渠道获取相关文献并进行总结分析,寻找最佳治疗压力参数。结果表明,1.5~2.5 bar的压力参数应用较多,3 bar以上的压力参数应用较少,说明在肩周炎治疗中,冲击波应用主要以低、中压力参数为主,较高压力参数的相关文献较少,临床试验压力参数相关文献较多,但仍需探讨患者的接受程度,部分实验存在设计缺陷,应进一步验证治疗效果。目前,治疗肩周炎尚无统一的标准,未明确高效的治疗压力。部分文献对于炎症因子的观测及患者心理方面的监测较少,仍需进行大样本量实验,确相关指标的变化规律,为临床治疗及学术研究提供参考。展开更多
Background Pain physicians pay close attention to neuropathic pain （NP）,since there is currently no ideal treatment.Radial shock wave therapy （RSWT） is a noninvasive treatment to chronic pain of soft tissue disord...Background Pain physicians pay close attention to neuropathic pain （NP）,since there is currently no ideal treatment.Radial shock wave therapy （RSWT） is a noninvasive treatment to chronic pain of soft tissue disorders.So far,there is no information on the use of RSWT for the treatment of NP.Therefore we observe the effects of RSWT on a NP model induced by chronic constriction injury （CCI） in rats.Methods Four different energy densities （1.0,1.5,2.0 and 2.5 bar） RSWT administered as a single session or repeated sessions in rats with NP induced by CCI of the sciatic nerve.The analgesic effect was assessed by measuring mechanical withdrawal threshold （MWT） and thermal withdrawal latency （TWL）.The safety was assessed through calculating sciatic functional index （SFI）.Results MWT and TWL increased after a single session of RSWT from day 1 to day 5 but retumed to baseline levels by day 10.Following repeated sessions of RSWT,both the MWT and TWL were significantly higher than NP group （P ＜ 0.01）for at least 4 weeks.In addition,no significant changes of SFI were observed in any groups after repeated sessions of RSWT and no increased pain or other side effects in any animals.Conclusions A single session of RSWT is rapidly effective in the treatment of CCI,but the efficacy maintained in a short period.However,repeated sessions of RSWT have prolonged efficacy.展开更多
文摘肩周炎治疗中,冲击波应用具有普适化的治疗压力参数。为探讨最佳治疗方案,采用文献分析法,从中国知网、万方、维普、Pubmed、Web of Science、实体书籍等渠道获取相关文献并进行总结分析,寻找最佳治疗压力参数。结果表明,1.5~2.5 bar的压力参数应用较多,3 bar以上的压力参数应用较少,说明在肩周炎治疗中,冲击波应用主要以低、中压力参数为主,较高压力参数的相关文献较少,临床试验压力参数相关文献较多,但仍需探讨患者的接受程度,部分实验存在设计缺陷,应进一步验证治疗效果。目前,治疗肩周炎尚无统一的标准,未明确高效的治疗压力。部分文献对于炎症因子的观测及患者心理方面的监测较少,仍需进行大样本量实验,确相关指标的变化规律,为临床治疗及学术研究提供参考。
文摘Background Pain physicians pay close attention to neuropathic pain （NP）,since there is currently no ideal treatment.Radial shock wave therapy （RSWT） is a noninvasive treatment to chronic pain of soft tissue disorders.So far,there is no information on the use of RSWT for the treatment of NP.Therefore we observe the effects of RSWT on a NP model induced by chronic constriction injury （CCI） in rats.Methods Four different energy densities （1.0,1.5,2.0 and 2.5 bar） RSWT administered as a single session or repeated sessions in rats with NP induced by CCI of the sciatic nerve.The analgesic effect was assessed by measuring mechanical withdrawal threshold （MWT） and thermal withdrawal latency （TWL）.The safety was assessed through calculating sciatic functional index （SFI）.Results MWT and TWL increased after a single session of RSWT from day 1 to day 5 but retumed to baseline levels by day 10.Following repeated sessions of RSWT,both the MWT and TWL were significantly higher than NP group （P ＜ 0.01）for at least 4 weeks.In addition,no significant changes of SFI were observed in any groups after repeated sessions of RSWT and no increased pain or other side effects in any animals.Conclusions A single session of RSWT is rapidly effective in the treatment of CCI,but the efficacy maintained in a short period.However,repeated sessions of RSWT have prolonged efficacy.
