发散式冲击波配合松解肱桡肌治疗桡骨茎突狭窄性腱鞘炎临床疗效观察  

Clinical Effect of Divergent Shockwave with Release of Brachio Radialis in Treatment

作　　者：何伟兰 何正保 刘冬 付春松 HE Wei-lan;HE Zheng-bao;LIU Dong;FU Chun-song(Department of Muscle and Traumatology,Shenzhen Pingle Orthopedic and Traumatology Hospital(Shenzhen Pingshan District Traditional Chinese Medicine Hospital),Shenzhen 518000,Guangdong Province,China)

机构地区：[1]深圳平乐骨伤科医院(深圳市坪山区中医院)筋伤科,广东深圳518000

出　　处：《罕少疾病杂志》2024年第8期118-120,共3页Journal of Rare and Uncommon Diseases

基　　金：深圳市坪山区卫生健康系统科研项目(202107)。

摘　　要：目的分析发散式冲击波加松解肱桡肌对桡骨茎突狭窄性腱鞘炎的临床疗效。方法选取2021.01-2021.12本院收治的桡骨茎突狭窄性腱鞘炎总共72例患者进行研究,经随机数表法分成对照组(发散式冲击波疗法)和观察组(发散式冲击波加松解肱桡肌疗法)各有36例,比较两组红外线成像检查结果;治疗前、治疗后3个月、6个月以及12个月的视觉模拟量表(VAS)、Cooney腕关节功能及颈椎残疾指数(NID)得分;治疗前和治疗后12个月的健康调查简表(SF-36)得分。结果观察组红外线成像检查显示的患处温度对称比例高于对照组(P<0.05),患处温度不对称低于对照组(P<0.05)。治疗前,两组VAS、Cooney腕关节功能、NID及SF-36得分相比无显著差异(P>0.05);治疗后3个月、6个月及12个月,两组VAS、NID得分较前降低(P<0.05),Cooney腕关节功能及SF-36得分较前升高(P<0.05),且观察组VAS、NID得分低于对照组(P<0.05),Cooney腕关节功能及SF-36得分高于对照组(P<0.05)。结论发散式冲击波加松解肱桡肌对桡骨茎突狭窄性腱鞘炎疗效理想,能减轻患者的疼痛感,改善腕关节功能,缓解功能障碍,提高生活质量,值得采用。Objective To analyze the clinical effect of radialis on tenosynovitis.Methods A total of 72 patients with tenosynovitis in the 2021.01-2021.12 were divided into control group(divergent shock wave therapy)and 36 patients(respectively)to compare infrared imaging results;the visual analog scale before 3 months,6 months,(VAS),Cooney wrist function and cervical disability index(NID),and health survey(SF-36)at 12 months after treatment.Results The infrared imaging examination of the observation group showed that the affected area temperature symmetry ratio was higher than the control group(P<0.05),and the affected area temperature asymmetry was lower than the control group(P<0.05).Before treatment,there was no significant difference in VAS,Cooney wrist function,NID,and SF-36 scores(P>0.05);3 months,6 months,VAS and NID scores decreased(P<0.05),and Cooney wrist function and SF-36 scores were higher(P<0.05),and VAS and NID scores were lower than observation group(P<0.05),and Cooney wrist function and SF-36 scores were higher than control group(P<0.05).Conclusion Divergent shock wave release of brachioradialis tenosynovitis is ideal,can reduce the pain,improve wrist function,relieve dysfunction,improve the quality of life,it is worth using.

关 键 词：发散式冲击波 松解肱桡肌 桡骨茎突狭窄性腱鞘炎 疼痛 腕关节功能 

分 类 号：R686.1[医药卫生—骨科学]