体外冲击波疗法治疗肩关节周围炎临床效果的Meta分析  

Meta-analysis of the clinical effect of extracorporeal shock wave therapy in the treatment of scapulohumeral periarthritis

作　　者：韩娜慧 刘美义[1] 储怀祝 张亚清[1] 薛立奇 段宝霖[1] HAN Nahui;LIU Meiyi;CHU Huaizhu;ZHANG Yaqing;XUE Liji;DUAN Baolin(Department of Pain,Qinghai Provincial People′s Hospital,Xining,Qinghai 810007,China;Department of Oncology,Qinghai Provincial People′s Hospital,Xining,Qinghai 810007,China)

机构地区：[1]青海省人民医院疼痛科,青海西宁810007 [2]青海省人民医院肿瘤科,青海西宁810007

出　　处：《国际检验医学杂志》2020年第12期1412-1417,共6页International Journal of Laboratory Medicine

基　　金：国家自然科学基金项目(81360084)。

摘　　要：目的采用Meta分析评估体外冲击波疗法(ESWT)治疗肩关节周围炎的临床效果。方法检索中国期刊全文数据库(中国知网)、万方数据知识服务平台、中国科技期刊数据库(维普资讯)、PubMed、OVID、Springer、ClinicalKey等数据库中关于ESWT治疗肩关节周围炎的相关文献,根据纳入和排除标准对文献进行筛选。对纳入的文献进行数据提取和质量评价;采用RevMan5.3软件进行Meta分析。结果最终纳入20篇文献,共计1404例患者,其中男610例,女674例(部分文献无性别分类数据);观察组肩关节周围炎治疗有效率高于对照组,差异有统计学意义(OR=4.31,95%CI=2.93~6.33,Z=7.44,P<0.05);观察组治疗后视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(WMD=-1.01,95%CI=-1.11^-0.91,Z=19.93,P<0.05);观察组治疗后Constant-Murley量表(CMS)评分高于对照组,差异有统计学意义(WMD=9.11,95%CI=7.56~10.65,Z=11.58,P<0.05);观察组治疗后肩关节内旋活动评分高于对照组,差异有统计学意义(WMD=4.30,95%CI=3.26~5.33,Z=8.14,P<0.05);观察组治疗后肩关节外旋活动评分高于对照组,差异有统计学意义(WMD=5.59,95%CI=4.16~7.02,Z=7.64,P<0.05)。结论采用ESWT治疗肩关节周围炎效果佳,治疗有效率高,能够有效缓解患者的疼痛症状,改善肩关节活动度,值得在临床上推广应用。Objective To evaluate the clinical effect of extracorporeal shock wave therapy(ESWT)on scapulohumeral periarthritis by Meta-analysis.Methods The relevant literatures about ESWT treatment of scapulohumeral periarthritis in the China journal full text database(CNKI),Wanfang data knowledge service platform,China journal of science and technology database(VIP information),PubMed,OVID,Springer,ClinicalKey,etc,were retrieved.The literatures were screened according to inclusion and exclusion criteria.Data extraction and quality evaluation were carried out on the included literatures;RevMan5.3 was used for Meta-analysis.Results Finally,20 literatures were included,a total of 1404 patients were enrolled,included 610 males and 674 females(some literatures had no gender classification data).The treatment effective rate of scapulohumeral periarthritis in the observation group was higher than that in the control group,and the difference was statistically significant(OR=4.31,95%CI=2.93-6.33,Z=7.44,P<0.05).After treatment,the Visual Analogue Scale(VAS)score in the observation group was lower than that in the control group,and the difference was statistically significant(WMD=-1.01,95%CI=-1.11--0.91,Z=19.93,P<0.05).After treatment,the Constant-Murley Scale(CMS)score in the observation group was higher than that in the control group,and the difference was statistically significant(WMD=9.11,95%CI=7.56-10.65,Z=11.58,P<0.05).After treatment,the score of internal rotation activity of shoulder joint in the observation group was higher than that in the control group,and the difference was statistically significant(WMD=4.30,95%CI=3.26-5.33,Z=8.14,P<0.05).After treatment,the score of external rotation activity of the shoulder joint in the observation group was higher than that in the control group,and the difference was statistically significant(WMD=5.59,95%CI=4.16-7.02,Z=7.64,P<0.05).Conclusion The use of ESWT in the treatment of scapulohumeral periarthritis has a good effect and a high effective rate,which can effectively relieve the pa

关 键 词：体外冲击波疗法 肩关节周围炎 META分析 

分 类 号：R684.3[医药卫生—骨科学]