肌骨超声介入联合放射式冲击波治疗肱二头肌长头腱鞘炎的效果  

The effect of musculoskeletal ultrasound combined with radiative shock wave in the treatment of biceps tenosynovitis

作　　者：洪其生[1] 麦振达[2] 陈辉煌[1] 聂剑飞 宋秀豹[1] Hong Qisheng;Mai Zhenda;Chen Huihuang;Lie Jianfei;Song Xiubao(Department of Rehabilitation Medicine,the First Affiliated Hospital of ji'nan University,Guangzhou 510630,China;不详)

机构地区：[1]暨南大学附属第一医院康复科,广州510630 [2]中山大学孙逸仙纪念医院康复医学科 [3]广东肇庆市第二人民医院康复医学科

出　　处：《中国临床保健杂志》2020年第3期369-372,共4页Chinese Journal of Clinical Healthcare

基　　金：广东省中医药局科研项目(20191094)。

摘　　要：目的观察肌骨超声介入联合放射式冲击波治疗肱二头肌长头腱鞘炎的效果。方法筛选出本院康复科和骨科2018年5月到2019年5月收治的98例肱二头肌长头腱鞘炎患者,按照随机数表法将其分为对照组与观察组,每组49例,分别行放射式冲击波治疗与肌骨超声介入联合放射式冲击波治疗,对比两组患者的疼痛程度(VAS评分)、肩关节功能(CMS评分)、肩关节活动度(ROM评分)以及临床疗效。结果两组治疗后的VAS、CMS、ROM评分均有随时间变化的趋势(P<0.05),组间和时点间存在交互效应;观察组治疗后各时点的VAS、CMS、ROM评分均优于本组治疗前的评分以及对照组同时点的评分,P<0.05。观察组的总有效率(95.9%)高于对照组(83.7%),P<0.05。结论肌骨超声介入联合放射式冲击波治疗肱二头肌长头腱鞘炎的效果理想,可大大减轻患者的疼痛,增强肩关节功能,改善肩关节活动度。Objective To observe the effect of ultrasound intervention combined with radiation shock wave in the treatment of tenosynovitis of the long head of biceps brachii.Methods A total of 98 patients with tenosynovitis of the long head of biceps brachii were selected from rehabilitation department and orthopedics department of our hospital from May 2018 to May 2019.According to the method of random number table,they were divided into control group and observation group,49 cases in each group and were treated with radiation shock wave therapy and musculoskeletal ultrasound intervention combined with radiation shock wave therapy respectively.The pain degree(VAS score) and shoulder joint function(CM) S score,Rom score and clinical effect the two groups were compared.Results The VAS,CMS and ROM scores of the two groups changed with time(P<0.05),and there was interaction effect between groups and time points.The scores of VAS,CMS and ROM in the observation group at each time point after treatment were better than those before treatment and at the same time point in the control group,P<0.05.The total effective rate of the observation group(95.9%) was higher than that of the control group(83.7%),P<0.05.Conclusion The treatment of tenosynovitis of the long head of biceps brachii with ultrasound intervention combined with radiation shock wave is more effective,which can obviously relieve the pain of patients,enhance the function of shoulder joint,improve the activity of shoulder joint.

关 键 词：腱鞘炎 肱二头肌 体外冲击波疗法 超声检查 多普勒 彩色 活动范围 关节 

分 类 号：R686.1[医药卫生—骨科学]