发散式冲击波治疗联合康复方案在老年肩关节周围炎患者中的应用效果  

Application Effect of Radiative Shock Wave Therapy Combined with Rehabilitation Program in Elderly Patients with Shoulder Periarthritis

作　　者：李奎 李京斌 余陈 曾学俊 许菁 LI Kui;LI Jingbin;YU Chen;ZENG Xuejun;XU Jing(Hubei Province Hospital of Integrated Traditional Chinese and Western Medicine,Wuhan 430015,China;不详)

机构地区：[1]湖北省中西医结合医院,湖北武汉430015 [2]中国人民解放军联勤保障部队大连康复疗养中心

出　　处：《中外医学研究》2024年第36期106-109,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨发散式冲击波治疗联合康复方案在老年肩关节周围炎患者中的应用效果。方法:选取2021年1月—2024年1月湖北省中西医结合医院收治的106例老年肩关节周围炎患者作为研究对象,按照随机数表法分为对照组(n=52)和联合组(n=54),其中对照组采用康复方案干预,联合组采用发散式冲击波治疗。比较两组干预效果,肩关节疼痛评分、活动度以及功能变化。结果:联合组干预总有效率高于对照组,差异有统计学意义(P<0.05);干预后,两组视觉模拟疼痛评分(VAS)、疼痛评级指数(PRI)、现时疼痛状况(PPI)、肩关节疼痛与功能障碍指数量表(SPADI)评分均低于干预前,且联合组各项评分均低于对照组,差异有统计学意义(P<0.05);干预后,两组肩关节前屈、后伸、外展、外旋、内旋以及水平屈曲活动度均高于干预前,且联合组肩关节活动度均高于对照组,差异有统计学意义(P<0.05)。结论:发散式冲击波治疗联合康复方案能有效缓解肩关节周围炎患者疼痛症状,促进肩关节活动功能恢复,干预效果显著。Objective:To explore the application effect of divergent shock wave therapy combined with rehabilitation program in elderly patients with shoulder periarthritis.Method:A total of 106 elderly patients with shoulder periarthritis treated in Hubei Provincial Hospital of Integrated Traditional and Western Medicine from January 2021 to January 2024 were selected as the sudy objects and divided into control group (n=52) and combined group (n=54) according to random number table method.The control group was treated with rehabilitation program intervention,while the combined group was treated with radiative shock wave therapy.The effects of the intervention,pain scores,range of motion and functional changes were compared between the two groups.Result:The total effective rate of the combined group was higher than that of the control group (P<0.05).After intervention,visual analogue scale (VAS) score,pain rating index (PRI) score,present pain intensity (PPI) score and shoulder pain disability index (SPADI) score of the two groups were lower than those before intervention,and all scores of the combined group were lower than those of the control group,with statistical significance (P<0.05).After the intervention,the shoulder joint anterior flexion,posterior extension,abduction,external rotation,internal rotation and horizontal flexion motion of both groups were higher than those before the intervention,and the shoulder joint motion of the combined group was higher than that of the control group,and the difference was statistically significant (P<0.05).Conclusion:The combination of radiative shock wave therapy and rehabilitation program can effectively relieve the pain symptoms of patients with shoulder periarthritis,and promote the recovery of shoulder mobility function,and the intervention effect is significant.

关 键 词：肩关节周围炎 康复方案 发散式冲击波 关节疼痛 关节活动度 

分 类 号：R47[医药卫生—护理学]