冻结肩患者糖皮质激素注射治疗后远程康复的治疗效果  

Therapeutic effect of remote rehabilitation after glucocorticoid injection in frozen shoulder patients

作　　者：董悦 李铁山 王琳[2] 滕俊超 DONG Yue;LI Tieshan;WANG Lin;TENG Junchao(Faculty of Medicine,Qingdao University,Qingdao 266071,China)

机构地区：[1]青岛大学医学部,山东青岛266071 [2]青岛大学附属医院康复医学科

出　　处：《精准医学杂志》2024年第5期426-430,共5页Journal of Precision Medicine

基　　金：山东省自然科学基金面上项目(RH2300000543)。

摘　　要：目的探讨冻结肩(frozen shoulder,FS)患者糖皮质激素注射治疗后远程康复的治疗效果。方法选取2022年5月—2023年7月于青岛大学附属医院康复医学科就诊的FS患者63例,糖皮质激素注射治疗1周后,随机分为A、B组,分别接受医院内康复治疗和远程康复治疗,每天1次,每周5次,共4周。两组患者均于注射治疗前以及康复治疗后第1、3、5、8、10、12周来医院进行评估,包括患者的VAS疼痛评分、肩关节活动度(内旋、外旋、前屈、后伸、外展角度)、肩关节日常生活能力评分及治疗效果满意度评分。结果两组患者的VAS评分均随着治疗时间的延长而显著降低(F=175.56、215.78,P<0.05),在治疗的不同时间点两组患者的VAS评分比较差异无显著性(P>0.05)。两组患者的肩关节活动度均随着治疗时间的延长而显著增大(F=33.84~483.42,P<0.05);在治疗后第3、5周时,A组患者的内旋、外旋、后伸角度显著大于B组(F=10.18~47.63,P<0.05),其他不同时间点两组患者肩关节活动度比较差异无显著性(P>0.05)。两组患者的肩关节日常生活能力评分均随着治疗时间的延长而显著增高(F=76.46、92.02,P<0.05);在治疗后第3、5周时A组显著高于B组(F=43.41、65.76,P<0.05),其他不同时间点两组间比较差异无显著性(P>0.05)。两组患者的疗效满意度均随着治疗时间的延长而升高(F=8.10、12.84,P<0.05);在治疗后的第3周时A组高于B组(F=36.90,P<0.05),其他不同时间点两组间比较差异无显著性(P>0.05)。结论FS患者糖皮质激素注射治疗后远程康复可以达到医院内康复的同样疗效,远程康复是一种很有前景的治疗方案。Objective To investigate the therapeutic effect of remote rehabilitation after glucocorticoid injection in frozen shoulder(FS)patients.Methods A total of 63 FS patients who attended Department of Rehabilitation Medicine,The Affiliated Hospital of Qingdao University,from May 2022 to July 2023 were enrolled,and after glucocorticoid injection for 1 month,they were randomly divided into group A and group B.The patients in group A received rehabilitation treatment in the hospital,and those in group B received remote rehabilitation,once a day,5 times a week for 4 weeks.The patients in both groups were assessed at the hospital before treatment and at 1,3,5,8,10,and 12 weeks after treatment,including Visual Analogue Scale(VAS)pain score,range of motion of shoulder joint(intorsion,extorsion,flexion,extension,and abduction angles),Activities of Daily Living score of shoulder joint,and satisfaction score of treatment outcome.Results For both groups,VAS score decreased significantly over the time of treatment(F=175.56,215.78,P<0.05),and there was no significant difference in VAS score between the two groups at different time points of treatment(P>0.05).For both groups,the range of motion of shoulder joint increased significantly over the time of treatment(F=33.84-483.42,P<0.05),and at 3 and 5 weeks after treatment,group A had significantly larger intorsion,extorsion,and extension angles than group B(F=10.18-47.63,P<0.05);there was no significant difference in the range of motion of shoulder joint between the two groups at other time points(P>0.05).For both groups,the Activities of Daily Living score of shoulder joint increased significantly over the time of treatment(F=76.46,92.02,P<0.05),and at 3 and 5 weeks after treatment,group A had a significantly higher score than group B(F=43.41,65.76,P<0.05);there was no significant difference between the two groups at other time points(P>0.05).For both groups,the satisfaction score of treatment outcome increased significantly over the time of treatment(F=8.10,12.84,P<0.05),and at 3

关 键 词：肩关节 滑囊炎 理疗与康复医学 医院康复 远程康复 治疗结果 疗效比较研究 

分 类 号：R49[医药卫生—康复医学] R686.7[医药卫生—临床医学]