超声引导下液压扩张联合针刀治疗肩关节周围炎的临床效果  

Clinical study of hydraulic dilatation combined with akupotomye by ultrasound-guided in the treatment of patients with periarthritis humeroscapularis

作　　者：孙鹏飞 张昶[2] 胡向东[1] 钱林学[1] SUN Pengfei;ZHANG Chang;HU Xiangdong;QIAN Linxue(Department of Ultrasound,Beijing Friendship Hospital,Capital Medical University,Beijing100050,China;Department of Traditional Chinese medicine,Aerospace Center Hospital,Beijing100049,China)

机构地区：[1]首都医科大学附属北京友谊医院超声科,北京100050 [2]航天中心医院中医科,北京100049

出　　处：《中国医药导报》2021年第27期150-153,共4页China Medical Herald

基　　金：北京市医院管理局“登峰”人才培养计划项目(DFL2018102);北京市中医药科技发展资金项目(JJ2014-63)。

摘　　要：目的观察超声引导下液压扩张联合针刀松解治疗肩关节周围炎的临床效果。方法选择2019年1月至2021年1月于首都医科大学附属北京友谊医院及航天中心医院收治的单侧冻结期肩关节周围炎患者80例,按照随机数字表法将其分为对照组和观察组,各40例。对照组根据解剖定位进行注射及针刀治疗;观察组采用超声检查肩关节,确定责任病灶,在超声引导下行液压扩张及针刀治疗。两组治疗均1次/周,3次/疗程,治疗1个疗程后,两组均行功能锻炼。比较两组疗效。比较两组治疗前后及治疗后1个月的视觉模拟评分法(VAS)、Constant-Murley肩关节功能(CM)评分。结果两组治疗前后及治疗后1个月VAS、CM评分的组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。进一步两两比较,组内比较:治疗后及治疗后1个月两组VAS评分低于治疗前,CM评分高于治疗前,差异有统计学意义(P<0.05)。组间比较:治疗后1个月观察组VAS评分低于同期对照组,CM评分高于同期对照组,差异有统计学意义(P<0.05)。两组总有效率比较,差异无统计学意义(P>0.05)。结论超声引导下液压扩张联合针刀松解治疗肩关节周围炎,能够实现可视化,改善肩关节功能。Objective To investigate the clinical effect of hydraulic dilatation combined with akupotomye by ultrasound-guided in the treatment of patients with periarthritis humeroscapularis.Methods A total of 80 patients with periarthritis humeroscapularis during unilateral freezing period admitted to Beijing Friendship Hospital,Capital Medical University and Aerospace Center Hospital from January 2019 to January 2021 were selected.According to random number table method,they were divided into control group and observation group,with 40 cases in each group.The control group adopted the traditional blind hydraulic dilation and akupotomye therapy,while the observation group adopted the hydraulic dilatation combined with akupotomye by ultrasound-guided.Both groups were treated once a week,three times/course of treatment,after one course of treatment,both groups were given functional exercise.The efficacy of the two groups was compared.Visual analogue scale(VAS)and Constant-Murley shoulder function score(CM)were compared between the two groups before and after treatment,and one month after treatment.Results There were statistically significant differences in VAS and CM scores before and after treatment,and one month after treatment,time point comparison and interaction between the two groups(P<0.05).Further pairwise comparison and intra-group comparison:after treatment and one month after treatment,the VAS score of the two groups was lower than that before treatment,and the CM score was higher than that before treatment,with statistical significance(P<0.05).Comparison between groups:One month after treatment,the VAS score of the observation group was lower than that of the control group in the same period,and the CM score was higher than that of the control group in the same period,with statistical significance(P<0.05).There was no significant difference in the total effective rate between the two groups(P>0.05).Conclusion Hydraulic dilation combined with akupotomye by ultrasonic-guided release for the treatment of periarthrit

关 键 词：肩关节周围炎 超声 针刀 液压扩张 

分 类 号：R587.2[医药卫生—内分泌]