体外冲击波联合超声引导肩峰下滑囊注射治疗非钙化性冈上肌腱炎的疗效观察  

The effects of combining extracorporeal shock waves with injection of the supraspinatus bursa in the treatment of non-calcified tendinitis of the supraspinatus tendon

作　　者：师帅 于秉伦[1] 孟欣 苏虹[3] 王瑞清[3] Shi Shuai;Yu Binglun;Meng Xin;Su Hong;Wang Ruiqing(Department of Rehabilitation,Qingdao Eighth People's Hospital,Qingdao 266040,China;Traditional Chinese Medicine Department,Qingdao Eighth People's Hospital,Qingdao 266040,China;Ultrasonography Department,Qingdao Eighth People's Hospital,Qingdao 266040,China)

机构地区：[1]青岛市第八人民医院康复医学科,青岛266040 [2]青岛市第八人民医院中医科,青岛266040 [3]青岛市第八人民医院超声科,青岛266040

出　　处：《中华物理医学与康复杂志》2023年第9期806-810,共5页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：青岛市医药科研指导计划项目(2020-WJZD109)。

摘　　要：目的观察体外冲击波联合超声引导肩峰下滑囊注射治疗非钙化性冈上肌腱炎的疗效。方法采用随机数字表法将60例非钙化性冈上肌腱炎患者分为对照组和观察组,每组30例。两组患者均给予常规药物治疗和健康宣教,对照组在此基础上增加聚焦式体外冲击波治疗,观察组在对照组基础上应用超声引导肩峰下滑囊药物注射。治疗前和治疗7 d、14 d后,采用视觉模拟评分法(VAS)、美国加州大学肩关节评分系统(UCLA)对两组患者进行疗效评定;治疗7 d、14 d后,采用超声图像评价两组患者肩峰下滑囊积液的吸收情况。结果与组内治疗前比较,两组患者治疗7 d、14 d后的VAS评分下降,UCLA评分增加(P<0.05)。观察组治疗7 d后的VAS评分[(3.06±0.86)分]和UCLA评分[(24.83±1.74)分]、14 d后的VAS评分[(2.03±0.80)分]和UCLA评分[(30.93±1.46)分]均较对照组改善优异(P<0.05)。观察组治疗14 d后肩峰下滑囊积液吸收总有效率(80.0%)较对照组高(P<0.05)。结论体外冲击波联合超声引导肩峰下滑囊注射治疗能有效缓解非钙化性冈上肌腱炎患者的疼痛,改善肩关节运动功能,促进滑囊积液吸收。Objective To observe any differential clinical effect of supplementing ultrasound-guided injection of the subacromial bursa with extracorporeal shock wave stimulation in the treatment of non-calcific tendinitis of the supraspinatus tendon.Methods Sixty individuals with non-calcific tendinitis of the supraspinatus tendon were randomly divided into an observation group and a control group,each of 30.Both groups received routine medication,health education and extracorporeal shock wave treatment,but the observation group additionally received ultrasoundguided injection of compound betamethasone injection plus 2%lidocaine intothe subacromial bursa.The treatment's effect was evaluated using a visual analogue scale(VAS)and the UCLA shoulder rating scale(UCLA).Absorption of hydrops in the subacromial bursa was assessed using ultrasound imaging after 7 and 14 days of the treatment.Results After 7 and after 14 days the average VAS scores had decreased significantly,while the average UCLA score had increased significantly.At both time points the observation group's average results were significantly better than those of the control group.The total effective absorption rate of hydrops in the subacromial bursa in the observation group(80.0%)was significantly higher than in the control group after 14 days of treatment.Conclusion Extracorporeal shock wave stimulation combined with injection of the subacromial bursa can effectively alleviate the pain of non-calcific tendinitis of the supraspinatus tendon,improve joint function,and promote the absorption of hydrops.

关 键 词：非钙化性冈上肌腱炎 体外冲击波 超声引导 肩峰下滑囊注射 

分 类 号：R686.1[医药卫生—骨科学]