体外冲击波与关节松动术加短波透热治疗肩周炎的效果比较研究  

Extracorporeai shock wave therapy, joint mobilization and short wave therapy in treating scapulohumeral periarthritis

作　　者：周宁[1] 邵彬[1] 陈勇[1] 彭军[1] 岳翔[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院康复医学科,武汉430030

出　　处：《中华物理医学与康复杂志》2010年第1期38-40,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的比较体外冲击波与关节松动术加短波透热疗法在治疗肩关节周围炎疗效上的差异，探讨体外冲击波治疗肩周炎的临床机制与应用前景。方法选取47例肩周炎患者，将其分为治疗组26例和对照组21例。治疗组采用体外冲击波治疗，体外冲击波频率为60次／min，能流密度为0．12mJ／mm^3。每次治疗共冲击2000次，每5d治疗1次，共治疗3次。对照组患者给予温热量短波治疗后行关节松动术，每天1次，共治疗10次，其间间隔2d。采用简化McGill疼痛问卷（SF-MPQ）和关节活动度测定来评估患者肩关节功能的改善情况。结果2组患者治疗后的肩关节功能与治疗前比较，均有明显改善（P〈0．05），治疗组第1次治疗后的疗效明显优于对照组，差异有统计学意义（P〈0．01）。结论体外冲击波作为一种安全、省时并且有效的治疗手段，可以用于肩周炎的治疗。Objective To compare the immediate effects of extracorporeal shock wave therapy with that of joint mobilization plus short wave therapy in treating scapulohumeral periarthritis, and to elucidate the mechanism of extracorporeal shock wave therapy and how it should be used. Methods Forty-seven patients diagnosed with scapulohumeral periarthritis were selected and randomized into two groups, a treatment group （n = 26） treated with extracorporeal shock wave therapy, and a control group （ n = 21 ） treated with joint mobilization plus short wave therapy. The short form of the McGill pain questionnaire （SF-MPQ） and range of motion （ROM） measurements were used to evaluate shoulder function. Results Compared with baseline, both groups improved significantly af- ter treatment, but the immediate effect in the treatment group was superior to that in the control group. Conclusions As a safe, time-saving and effective therapy, extracorporeal shock waves could be used to treat scapulohumeral periarthritis.

关 键 词：肩周炎 体外冲击波 疼痛 关节活动度 

分 类 号：R686[医药卫生—骨科学]