EST并扶他林超声波透入对肱二头肌长头肌腱炎效果  

EFFECT OF EXTRACORPOREAL SHOCK WAVE THERAPY COMBINED WITH VOLTAREN ULTRASONIC PENETRATION IN THE TREATMENT OF BICEPS LONG HEAD TENDINITIS

作　　者：张兴来 朱崇田 ZHANG Xinglai;ZHU Chongtian(The 11th Clinical Medical College,Qingdao University,Qingdao 276000,China)

机构地区：[1]青岛大学医学部第十一临床医学院,山东青岛276000 [2]菏泽市定陶区人民医院康复医学科

出　　处：《青岛大学学报（医学版）》2023年第2期264-268,共5页Journal of Qingdao University(Medical Sciences)

基　　金：山东省中医药科技发展计划项目(2019-0862)。

摘　　要：目的比较不同频率体外冲击波疗法(EST)联合扶他林超声波透入治疗肱二头肌长头肌腱炎的效果。方法肱二头肌长头肌腱炎病人105例,按照随机数字表法分为对照组、低频组、高频组,每组各35例。对照组在常规康复治疗基础上予以扶他林超声波透入治疗,低频组在对照组基础上加用低频体外冲击波治疗,高频组在对照组基础上加用高频体外冲击波治疗,3组疗程均为3个月。分别在治疗前及治疗后第1、2、3个月时,采用视觉模拟量表(VAS)、拉力计及肩关节主动活动度(ROM)评估3组病人疼痛程度、肱二头肌肌力及肩关节前屈、前臂旋后活动范围。结果3组病人治疗前VAS评分、肱二头肌肌力及肩关节前屈、前臂旋后ROM值差异无统计学意义(P>0.05)。治疗第1个月时高频组、低频组病人VAS评分低于对照组,肱二头肌肌力高于对照组,肩关节前屈、前臂旋后ROM值大于对照组,差异均有统计学意义(F=16.55~63.42,P<0.05);高频组和低频组病人VAS评分比较差异无统计学意义(P>0.05)。治疗第2、3个月时高频组、低频组病人VAS评分均低于对照组,肱二头肌肌力高于对照组,肩关节前屈、前臂旋后ROM值大于对照组,差异有统计学意义(F=26.28~564.07,P<0.05);高频组病人VAS评分低于低频组,肱二头肌肌力高于低频组,肩关节前屈、前臂旋后ROM值大于低频组,差异有统计学意义(P<0.05)。结论高频EST联合扶他林超声波透入治疗肱二头肌长头肌腱炎的效果更为显著,可有效减轻疼痛,改善肱二头肌肌力及肩关节活动范围。Objective To compare the effects of different frequencies of extracorporeal shock wave therapy(EST)combined with Voltaren ultrasonic penetration in the treatment of biceps long head tendinitis.Methods A total of 105 patients with biceps long head tendinitis were divided into control group,low frequency group,and high frequency group by adopting the random number table method,with 35 patients in each group.The control group was treated with Voltaren ultrasonic penetration on the basis of conventional rehabilitation measures;the low frequency group was treated with low-frequency EST on the basis of the treatment for the control group;the high frequency group was treated with high-frequency EST on the basis of the treatment for the control group.The course of treatment in the three groups was all 3 months.The visual analogue scale(VAS),a tension meter,and the active range of motion(ROM)of the shoulder joint were used to evaluate the pain degree,biceps muscle strength,and the ROM of shoulder flexion and forearm supination before and at the 1st,2nd,and 3rd months after treatment.Results There were no significant differences in VAS score,biceps muscle strength,and the ROM values of shoulder flexion and forearm supination before treatment between the three groups(P>0.05).At the first month of treatment,VAS scores of the high and low frequency groups were significantly lower than those of the control group,and their biceps muscle strength and ROM values of shoulder flexion and forearm supination were significantly higher than those of the control group(F=16.55-63.42,P<0.05);there was no significant difference in VAS score between the high frequency group and the low frequency group(P>0.05).At the 2nd and 3rd months of treatment,VAS scores of the high and low frequency groups were significantly lower than those of the control group,and their biceps muscle strength and ROM values of shoulder flexion and forearm supination were significantly higher than those of the control group(F=26.28-564.07,P<0.05);VAS score of the high

关 键 词：体外冲击波疗法 二氯酚酸 超声透入疗法 肱二头肌长头肌腱炎 治疗结果 

分 类 号：R686[医药卫生—骨科学]