放射式体外冲击波治疗肱二头肌长头肌腱炎的远期疗效观察  

Long-term effect of radial extracorporeal shock wave therapy in treating tendinitis of long head of biceps brachii

作　　者：黄静宜[1] 张立俭[2] 王慧珍[2] 张媛媛[3] 黄振俊[2] HUANG Jingyi ZHANG Lijian WANG Huizhen ZHANG Yuanyuan HUANG Zhenjun(Department of Aerospace Medicine, the Forth Military Medicine University of Chinese PLA, Xi＇an 710031, Shaanxi Province, China Department of Rehabilitation, the 309th Hospital of Chinese PLA, Beijing 100091, China Department of Rehabilitation, the 261th Hospital of Chinese PLA, Beijing 100094, China)

机构地区：[1]第四军医大学航空航天医学系,陕西西安710031 [2]解放军第309医院康复医学科,北京100091 [3]解放军第261医院康复医学科,北京100094

出　　处：《解放军医学院学报》2017年第9期850-852,共3页Academic Journal of Chinese PLA Medical School

摘　　要：目的应用放射式体外冲击波疗法(radial extracorporeal shock wave therapy,RESWT)治疗肱二头肌长头肌腱炎,观察其远期疗效。方法将2014年6月-2016年3月在解放军第309医院康复医学科就诊的86例肱二头肌长头肌腱炎患者随机分为观察组(放射式体外冲击波治疗)和对照组(封闭注射治疗),每组各43例。两组性别、年龄、病程等一般资料差异无统计学意义(P>0.05)。分别于治疗前和治疗后1个月、3个月、6个月进行疼痛视觉模拟评分(visual analogue scales,VAS)、肌力评定及肩关节功能评价。结果治疗后,观察组VAS评分显著低于对照组(治疗后3个月2.6±0.5 vs 2.9±0.7,P<0.01;治疗后6个月2.5±0.3 vs 2.8±0.2,P<0.01),肱二头肌肌力[治疗后3个月(66.8±11.6)N vs(60.9±13.7)N,P<0.05;治疗后6个月(68.7±13.3)N vs(60.2±14.1)N,P<0.01]和Constant-Murley评分(治疗后3个月92.85±11.66 vs86.92±10.17,P<0.05;治疗后6个月95.76±10.38 vs 87.25±12.41,P<0.01)观察组均显著高于对照组。结论放射式体外冲击波疗法治疗肱二头肌长头肌腱炎具有显著疗效,且远期疗效较局部封闭更好。Objective To observe the long-term effect of radial extracorporeal shock wave therapy（RESWT） in treating tendinitis of long head of biceps brachii. Methods Eighty-six patients with tendinitis of long head of biceps brachii in the 309 th Hospital of Chinese PLA from June 2014 to March 2016 were randomly divided into two groups： observation group（n=43） treated with RESWT and control group（n=43） treated with local anesthetic injection. There was no significant difference in gender, age and course of disease between two groups（P〈0.05）. Primary outcomes including visual analogue scales（VAS）, the muscle strength and the Constant-Murley were evaluated before treatment and at 1, 3 and 6 months after treatment. Results Compared with control group, observation group had lower VAS scores [3 months after treatment：（2.6±0.5） vs（2.9±0.7）, P〈0.01; 6 months after treatment：（2.5±0.3） vs（2.8±0.2）, P〈0.01], higher biceps strength [3 months after treatment：（66.8±11.6） vs（60.9±13.7）, P〈0.05; 6 months after treatment：（68.7±13.3） vs（60.2±14.1）, P〈0.01] and higher Constant-Murley scores [3 months after treatment：（92.85±11.66） vs（86.92±10.17）, P〈0.05; 6 months after treatment：（95.76±10.38） vs（87.25±12.41）, P〈0.01]. Conclusion Both treatments of RESWT and local anesthetic injection are effective on tendinitis of long head of biceps brachii, and long-term effect of RESWT is obviously better.

关 键 词：体外冲击波 封闭技术 肱二头肌长头肌腱炎 

分 类 号：R686.1[医药卫生—骨科学]