体外冲击波治疗髂骨致密性骨炎的疗效及安全性研究  

The analgesia effect and safety of extracorporeal shock wave therapy for condensing osteitis

作　　者：杨杰华[1] 区大明[1] 陈志雄[1] 

机构地区：[1]广东省佛山市第一人民医院高压氧治疗中心,528000

出　　处：《中国康复医学杂志》2015年第7期684-688,共5页Chinese Journal of Rehabilitation Medicine

基　　金：广东佛山市卫生局科研立项

摘　　要：目的:探讨体外冲击波治疗髂骨致密性骨炎的疗效及安全性影响。方法:将58例髂骨致密性骨炎患者随机分成对照组和治疗组各29例,对照组服用NSAID消炎止痛药塞来昔布胶囊(西乐葆)0.2g,1日2次,共3周;治疗组采用骨科体外冲击波治疗机治疗,以3天1次,共6次。分别在治疗前、治疗1周后、2周、3周后进行视觉模拟评分(VAS)和JOA腰痛评价表疗效评定;以及3周后临床疗效评定和5周后短期疗效随访满意度调查。结果:两组治疗1周后比治疗前VAS和JOA腰痛评价腰痛缓解,有显著性意义(P<0.05);治疗2周和3周后治疗组弯腰和负重时VAS和JOA腰痛评价评分比对照组改善有显著,两组疗效差异有显著性意义(P<0.01)。治疗3周后两组临床治愈率分别为10.34%,75.86%;5周后两组短期疗效满意度调查13.79%,86.2%;差异有显著性意义(P<0.01)。不良反应调查:对照组治疗2周后出现不良反应,如胃胀、胃痛症状,必须给予服用护胃药治疗;治疗组无不良反应。结论:体外冲击波治疗髂骨致密性骨炎的疗效显著,安全可靠,具有推广应用价值。Objective： To study the analgesia effect and safety of extracorporeal shock wave therapy （ESWT） in condens- ing osteitis. Method： Fifty-eight cases of iliac dense osteitis were randomly divided into a control group and a treatment group, Twenty-nine cases in control group taking NSAID antiinflammatory analgesic celecoxib capsules（cele- brex） 0.2g twice a day for 3 weeks, twenty-nine cases in treatment group taking orthopedic extracorporeal shock wave therapy, once 3 day, a total of 6 sessions. VAS and JOA efficacy evaluation were taken before and after treatment 1 week, 2 weeks and 3 weeks. Clinical efficacy and short-term efficacy assessed satisfac- tion survey were taken after 5 weeks. Result： The VAS and JOA evaluation of back pain relieved after 1 week treatment in the two groups and there was significant difference （P〈0.05）. After two and three weeks＇ treatment, the VAS and JOA evaluation of back pain relief had greater improvement in treatment group than that in control group and there was signif- icant difference（P〈0.01）. After 3 weeks of treatment, the clinical cure rates of both groups were 10.34% and 75.86% respectively. After 5 weeks, the two short-term efficacy satisfaction survey were 13.79% and 86.2% re- spectively and there was significant difference （P〈0.01）. Adverse reactions survey： the patients of control group after 2 weeks treatment had bloating and stomach pain symptoms, and must took corresponding treat-ments. There was no adverse reaction in treatment group. Conclusion： Extracorporeal shock wave therapy has significant efficacy and safety in treating iliac dense oste- itis, and can be popularized in clinic.

关 键 词：体外冲击波 骶髂关节 致密性骨炎 疗效 安全性 

分 类 号：R681.2[医药卫生—骨科学]