肩关节腔注射曲安奈德对糖尿病合并冻结肩患者的疗效分析  

Effect of intra-articular triamcinolone acetonide injection on diabetic patients with frozen shoulder

作　　者：沈小明[1] 黄成龙[2] 阮小琴[2] 赵松[3] SHEN Xiao-ming;HUANG Cheng-long;RUAN Xiao-qin;ZHAO Song(Department of General Practice, The Second Affiliated Hospital of Jiaxing University, Jiaxing 314000, Zhejiang, China;Department of Orthopaedics, The Second Affiliated Hospital of Jiaxing University, Jiaxing 314000, Zhejiang, China;Department of Sports Medicine, Shanghai Sixth People’s Hospital, Shanghai Jiao Tong University, Shanghai 200233, China)

机构地区：[1]嘉兴学院附属第二医院全科医学,嘉兴314000 [2]嘉兴学院附属第二医院骨科,嘉兴314000 [3]上海交通大学附属第六人民医院运动医学科,上海200233

出　　处：《中国临床医学》2020年第3期414-417,共4页Chinese Journal of Clinical Medicine

基　　金：浙江省自然科学基金(LBQ20H060001);嘉兴市科技计划项目(2018AY32006,2019AD32094).

摘　　要：目的:探讨肩关节腔注射曲安奈德对糖尿病合并冻结肩患者保守治疗效果的影响。方法:回顾性分析2017年1月至2018年7月嘉兴学院附属第二医院门诊收治的糖尿病合并冻结肩88例患者病例资料。根据患者肩关节腔是否注射曲安奈德,分为激素组(CI组,42例)和非激素组(NCI组,46例)。比较2组患者治疗前、治疗1个月、3个月和6个月后的视觉模拟评分(visual analog scale,VAS)、关节活动范围(range of motion,ROM)、肩关节Constant评分以及治疗6个月后2组的Constant评分优良率。结果:CI组治疗1个月和3个月后的VAS评分分别为(2.74±0.45)分和(2.24±0.43)分,Constant评分分别为(69.10±1.76)分和(75.81±1.25)分,均优于NCI组(P<0.05)。治疗6个月后,2组VAS评分、ROM、Constant评分差异均无统计学意义。CI组Constant评分优良率为76.2%,NCI组为67.4%,差异无统计学意义。结论:肩关节腔曲安奈德注射治疗可减轻糖尿病合并冻结肩患者早期疼痛,促进肩关节功能恢复,是糖尿病合并冻结肩的有效治疗方案。Objective:To explore the effect of intra-articular corticosteroid injection on diabetic patients with frozen shoulder.Methods:From January 2017 to July 2018,88 patients who met the inclusion criteria were analyzed retrospectively.Patients were divided into the corticosteroid injection group(CI group,42 cases)and non-corticosteroid injection group(NCI group,46 cases)according to whether triamcinolone acetonide was used.The visual analogue score(VAS),range of motion(ROM),constant score of the shoulder,and the excellent and good rate of constant score after six months were compared between the two groups.Results:The VAS score of the CI group were(2.74±0.45)and(2.24±0.43)points,and the constant scores were(69.10±1.76)and(75.81±1.25)points,respectively,which were better than those of the NCI group at 1 and 3 months after the treatment(all P<0.05).After 6 months of treatment,there was no significant difference in VAS score,ROM and Constant score between the two groups.The excellent and good rate of constant score was 76.2%in the CI group and 67.4%in the NCI group,the difference was not statistically significant.Conclusions:A triamcinolone acetonide injection on diabetic patients with frozen shoulder reduces pain perception and promotes functional recovery in the early stages.An intra-articular triamcinolone acetonide injection is an effective treatment for frozen shoulder in patients with diabetes.

关 键 词：冻结肩 糖尿病 关节腔注射 曲安奈德 

分 类 号：R587.1[医药卫生—内分泌]