放散式冲击波治疗粘连性肩关节囊炎的临床疗效研究  

EFFECT OF EXTRACORPOREAL SHOCK WAVE THERAPY ON PAIN RELATED TO PERIARTHRITIS OF SHOULDER

作　　者：黄接云 张建中 刘志华[3] 赵序利[3,2] 

机构地区：[1]福建省南平市第一医院疼痛科,南平353000 [2]东营市人民医院疼痛科,东营257091 [3]山东大学附属省立医院疼痛科,济南250021

出　　处：《中国疼痛医学杂志》2017年第6期434-437,共4页Chinese Journal of Pain Medicine

基　　金：山东省自然科学基金青年基金(ZR2009CQ016);山东省中青年科学家奖励基金(BS2013 YY047);中国博士后基金(2014M551922)

摘　　要：目的:研究放散式冲击波治疗粘连性肩关节囊炎的疗效和安全性。方法:回顾性分析2013年9月至2015年9月就诊于我科,用体外放散式冲击波治疗的粘连性肩关节囊炎病人79例。分析病人治疗前、一个疗程结束时、治疗结束后1周、治疗结束后4周、治疗结束后3个月和治疗结束后6个月的视觉模拟评分(visual analogue scale,VAS)、肩关节活动度(range of motion,ROM)、临床疗效及不良反应。结果:经冲击波治疗后,病人肩关节疼痛程度较治疗前明显改善,VAS评分显著下降(P<0.01),肩关节活动度明显改善,临床疗效显著(P<0.05),无明显不良反应。结论:体外放散式冲击波治疗粘连性肩关节囊炎能显著减轻疼痛,改善肩关节活动度,具有安全性高、风险低等特点,适合药物不能耐受和惧怕手术的病人应用。Objective： To investigate the safety and therapeutic efficacy of extracorporeal shock wave treatment on patients suffering with peri-arthritis of shoulder. Methods： A total of 79 patients suffering with peri-arthritis of shoulder coming to our department from September 2013 to September 2015 were included in this study. They were treated with extracorporeal shock wave and evaluated by VAS, ROM, clinical effects and side effect. Assessments were performed pre-and post-treatment, at the 1st week, 4th week, 3rd month and 6th month after the treatment. Results： After the therapy, the VAS of patients declined significantly（P 〈 0.01）, the ROM scores were improved and the clinical effects were remarkable（P 〈 0.05）. Conclusion： The therapy of extracorporeal shock wave on peri-arthritis of shoulder could relieve pain and improve joint mobility of shoulder significantly. It is an effective, safe, and low-risk method for peri-arthritis of shoulder, and can be applied to those patients with drug intolerance and fear of surgery.

关 键 词：冲击波 疼痛 粘连性肩关节囊炎 

分 类 号：R684[医药卫生—骨科学]