钇铝石榴石晶体高能量激光治疗对肩周炎患者的效果观察  

Observation on the Curative Effect of Yttrium Aluminum Garnet Crystal High Energy Laser on Patients with Shoulder Periarthritis

作　　者：张瑞媞 程清 秦义婷 曹寅慧 ZHANG Ruiti;CHENG Qing;Qin Yiting;CAO Yinhui(Department of rehabilitation,Qixia district hospital,Nanjing,Jiangsu 210046;The first affiliated hospital of Nanjing medical university)

机构地区：[1]南京市栖霞区医院康复科,江苏南京210046 [2]南京医科大学第一附属医院康复医学中心

出　　处：《中国伤残医学》2024年第2期5-9,14,共6页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:观察钇铝石榴石晶体(Nd:YAG)高能量激光治疗(HILT)对肩周炎患者肩关节功能的有效性和安全性。方法:本研究为随机对照研究。纳入患者共60例,随机分为激光组(n=30)和对照组(n=30)。所有患者均接受常规运动治疗,包括下垂摆动练习和棍棒操等;激光组在常规运动治疗前使用Nd:YAG高能量激光治疗仪选取局部较痛的5个压痛点进行激光治疗。所有患者均在治疗前和治疗2周后进行肩关节主动活动范围(AROM)、肩关节被动活动范围(PROM)和美国肩肘外科协会评分(ASES)评估。结果:治疗前,2组患者的各项指标比较,组间差异无统计学意义(P>0.05)。治疗2周后,在AROM中,对照组的外展较治疗前明显改善,差异有统计学意义(P<0.05);激光组的前屈、外展、后伸均较治疗前明显改善,且外展差值、后伸和后伸差值均明显优于对照组,差异有统计学意义(P<0.05)。在PROM中,激光组的前屈、外展、后伸均较治疗前显著改善,且前屈差值、外展差值、后伸和后伸差值均明显优于对照组,差异有统计学意义(P<0.05)。在ASES患者自评中,激光组的VAS评分、功能评分和总分均较治疗前明显改善,且VAS评分、功能评分、总分和总分差值均明显优于对照组,组间差异有统计学意义(P<0.05)。结论:HILT可以有效改善肩周炎患者AROM、PROM和肩关节功能。Objective:To observe the efficacy and safety of yttrium aluminum garnet crystal(Nd:YAG)high energy laser therapy(HILT)on shoulder joint function in patients with frozen shoulder.Methods:This was a randomized controlled study.A total of 60 patients were enrolled and randomly divided into laser group(n=30)and control group(n=30).All patients received conventional exercise therapy,including pendulous swing exercises and stick exercises.Before the routine exercise treatment,the laser group used Nd:YAG high energy laser therapeutic instrument to select 5 local pain points for laser treatment.Active range of motion(AROM),passive range of motion(PROM)and American Shoulder and Elbow Surgeons(ASES)score were evaluated before and after 2 weeks of treatment.Results:Before treatment,there were no significant differences in the indicators between the two groups(P>0.05).After 2 weeks of treatment,in AROM,the abduction of the control group was significantly improved compared with that before treatment,and the difference was statistically significant(P<0.05).The flexion,abduction,and extension of the laser group were significantly improved compared with those before treatment,and the abduction difference,extension difference,and extension difference of the laser group were significantly better than those of the control group,the differences were statistically significant(P<0.05).In PROM,the flexion,abduction,and extension of the laser group were significantly improved when compared with those before treatment,and the flexion difference,abduction difference,extension difference,and extension difference of the laser group were significantly better than those of the control group,the differences were statistically significant(P<0.05).In the self-evaluation of ASES patients,the VAS score,functional score and total score of the laser group were significantly improved compared with those before treatment,and the VAS score,functional score,total score and total score difference of the laser group were significantly better than those of

关 键 词：高能量激光治疗 肩周炎 关节活动范围 

分 类 号：R68[医药卫生—骨科学]