放散式体外冲击波联合关节腔注射治疗冻结肩的临床研究  

A clinical research on radial extracorporeal shock wave combined with intra-articular injection for treatment of frozen shoulder

作　　者：武德旺 黄晓波[1] 吕亮明[1] 唐述森[2] WU Dewang;HUANG Xiaobo;LYU Liangming;TANG Shusen(Weifang Medical University,Weifang,Shandong 261000,China;Department of Joint Surgery,Affiliated Hospital of Weifang Medical University,Weifang,Shandong 261000,China)

机构地区：[1]潍坊医学院,山东潍坊261000 [2]潍坊医学院附属医院关节外科,山东潍坊261000

出　　处：《安徽医药》2017年第12期2274-2277,共4页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨放散式体外冲击波联合关节腔注射玻璃酸钠及复方倍他米松治疗冻结肩的方法及疗效。方法选择门诊就诊的106例冻结肩患者,经前瞻性设计随机分成两组。对照组采用肩关节腔内注射玻璃酸钠+复方倍他米松治疗,观察组采用放散式体外冲击波联合肩关节腔内注射玻璃酸钠+复方倍他米松治疗,行两组对照研究。所有患者一周治疗1次,连续治疗3次。复方倍他米松只在对照组、观察组第一次注射时加入。治疗后两组同期进行正规肩关节功能锻炼。分别于治疗前、治疗后6周观察患侧肩关节疼痛和活动度情况,用视觉模拟评分法(VAS)对疼痛评分,用治疗有效率对两组治疗效果进行评价。结果两组VAS评分治疗后比治疗前评分低,疼痛缓解均明显(P<0.05)。治疗6周后,两组比较,观察组的疼痛症状较对照组轻,观察组治疗有效率94.34%高于对照组86.79%。结论放散式体外冲击波联合关节腔注射玻璃酸钠及复方倍他米松是门诊治疗早期冻结肩的有效方法。ObjectiveTo explore the method and efficacy of radial extracorporeal shock wave combined with intra articular injection of sodium hyaluronate and compound betamethasone in the treatment of frozen shoulder.MethodsTotally106outpatients with frozen shoulders were enrolled in the prospective and controlled study and randomized into two groups.Control group was treated by sodium hyaluronate plus compound betamethasone injection while observation group was treated by radial extracorporeal shock wave combined with sodium hyaluronate plus compound betamethasone injection.All patients were treated once a week three times continuously.Compound betamethasone was only used in the first injection for both groups.After the treatment,all patients did physical exercise.Data of the visual analogue pain scale(VAS)and the range of motion in all patients were collected before treatment and six weeks after treatment.VAS was adopted to collect pain score.Efficiency of treatment is used to evaluate the therapeutic effect.ResultsIn control group and observation group,there was significant difference in the VAS scale between pre therapy and post therapy(P<0.05).Observation group improvement was more obvious than the control group in the VAS score after treatment.Treatment effective rate of observation group was higher than that of control group(94.34%vs86.79%).ConclusionsRadial extracorporeal shock wave combined with sodium hyaluronate plus compound betamethasone injection is an effective method for the treatment of outpatients with frozen shoulder on early stage.

关 键 词：冻结肩 放散式体外冲击波 玻璃酸钠 激素注射 关节腔注射 

分 类 号：R684[医药卫生—骨科学]