体外冲击波治疗肩周炎的效果观察  

Effectiveness of extracorporeal shock wave therapy in treatment of scapulohumeral periarthritis

作　　者：徐钢[1] 朱永[1] 赵燕邦[1] 

机构地区：[1]沈阳市第十人民医院骨二科,沈阳110014

出　　处：《中国当代医药》2016年第16期77-79,共3页China Modern Medicine

摘　　要：目的探讨体外冲击波治疗肩周炎的效果。方法选取2015年10月～2016年1月在我院确诊并接受治疗的肩周炎患者共计52例,根据患者就诊顺序将患者随机分为治疗组和对照组,每组26例,治疗组接受体外冲击波治疗,对照组采用短波透热治疗结合肩关节功能训练。治疗前及治疗第1、2、3、4周后采用视觉模拟评分法（VAS）对患者的疼痛程度进行评定。结果治疗组与对照组治疗前VAS分值差异无统计学意义（P〉0.05）,两组治疗后各个时间点较治疗前VAS分值明显下降,差异有统计学意义（P〈0.05）。治疗组第1、2周后患者疼痛缓解迅速,明显减轻,VAS分值较对照组下降明显,差异有统计学意义（P〈0.05）,但在此后的时间点,第3、4周,治疗组与对照组比较差异无统计学意义（P〉0.05）。结论采用体外冲击波治疗肩周炎可以使患者的疼痛迅速得以缓解,提高患者治疗信心,有利于患者疾病的康复。Objective To explore the effectiveness of extracorporeal shock wave treatment of periarthritis of shoulder.Methods 52 cases of patients diagnosed with scapulohumeral periarthritis from October 2015 to January 2016 in our hospital, were randomly divided into treatment group and control group,each group of 26 cases,the treatment group was treated with extracorporeal shock wave and the control group was treated with the shortwave diathermy combined with shoulder joint function training.Visual analogue scale（VAS） were used to evaluate the pain level at the points of before treatment and 1 week,2 weeks,3 weeks,4 weeks after treatment.Results There was no statistically significant difference VAS score before treatment in treatment group and control group（P 〉 0.05）,various points in the two groups after treatment than before treatment VAS score decreased obviously（P 〈 0.05）.VAS of 1 and 2 weeks in treatment group after treatment reduce quickly,the difference was statistically significant（P 〈 0.05）,but in a later time point there was no obvious difference compared with control group（P 〉 0.05）.Conclusion Using extracorporeal shock wave treatment of scapulohumeral periarthritis can make patients to relieve pain quickly,improve patient confidence and is beneficial to patients with disease rehabilitation.

关 键 词：体外冲击波 肩周炎 效果 

分 类 号：R684[医药卫生—骨科学]