肌骨超声引导下三氧水液压松解术治疗肩周炎的疗效观察  

Observation on the efficacy of musculoskeletal ultrasound-guided ozone solution hydraulic re-lease therapy in the treatment of frozen shoulder

作　　者：李亚楠 戚伟华 程真真[1] 陈云杰 樊丽霞 盛录 杨洸[4] LI Ya-nan;QI Wei-hua;CHENG Zhen-zhen;CHEN Yun-jie;FAN Li-xia;SHENG Lu;YANG Guang(Department of Bone and Joint Rehabilitation II,Luoyang Orthopedic Traumatological Hospital of Henan Province&Henan Provincial Orthope-dic Hospital,Luoyang 471000,China;Department of Functional Examination,Luoyang Orthopedic Traumatological Hospital of Henan Province&Henan Provincial Orthope-dic Hospital,Luoyang 471000,China;Department of Pain Rehabilitation,Luoyang Orthopedic Traumatological Hospital of Henan Province&Henan Provincial Orthope-dic Hospital,Luoyang 471000,China;Department of Rehabili-tation Center,Luoyang Orthopedic Traumatological Hospital of Henan Province&Henan Provincial Orthope-dic Hospital,Luoyang 471000,China)

机构地区：[1]河南省洛阳正骨医院·河南省骨科医院骨与关节康复二科,河南洛阳471000 [2]河南省洛阳正骨医院·河南省骨科医院功能检查科,河南洛阳471000 [3]河南省洛阳正骨医院·河南省骨科医院疼痛康复科,河南洛阳471000 [4]河南省洛阳正骨医院·河南省骨科医院康复科,河南洛阳471000

出　　处：《实用医院临床杂志》2025年第2期121-125,共5页Practical Journal of Clinical Medicine

基　　金：河南省医学科技攻关计划软科学项目及联合共建项目(编号:LHGJ20220253);第五批全国中医临床优秀人才研修项目;中医药传承与创新人才工程(仲景工程)中医药学科拔尖人才项目。

摘　　要：目的探讨肌骨超声引导下三氧水液压松解术治疗肩周炎的临床疗效。方法将90例肩周炎患者随机分为对照组、盐水组和三氧水组各30例。三组均采用常规治疗,盐水组在此基础上,在肌骨超声引导下使用生理盐水液压松解,三氧水组改用三氧水液压松解,每周1次,共3次,疗程4周。比较三组视觉模拟疼痛评分(VAS)、口服止痛药天数、肩关节活动度、肩关节Constant-Murley量表、肩关节囊横轴和纵轴厚度进行疗效评定。结果治疗4周后,三组患者VAS评分,肩关节囊厚度均低于治疗前,肩关节活动度、Constant-Murley评分均高于治疗前,差异有统计学意义(P<0.05)。三氧水组和盐水组各项指标均优于对照组,且三氧水组各项指标均优于盐水组,差异均有统计学意义(P<0.05)。结论肌骨超声引导下三氧水液压松解术可以减轻肩周炎患者的疼痛,提高肩关节活动度,改善活动功能,降低肩关节囊厚度,临床效果显著。Objective To explore the clinical efficacy of musculoskeletal ultrasound guided ozone solution hydraulic release therapy for the frozen shoulder patients.Methods Ninety patients with frozen shoulder were randomly divided into a control group,a saline group and an ozone water group, 30 in each group. All three groups received conventional treatment. The saline group received physiological saline hydraulic release under the guidance of musculoskeletal ultrasound. The ozone water group received ozone water hy-draulic release, once a week and a total of 3 times. The treatment course was 4 weeks. Visual analogue score (VAS), days of oral painkiller, shoulder joint range of motion, shoulder joint Constant-Murley scale, and shoulder joint capsule horizontal and vertical axes thickness were used for efficacy evaluation. Results After 4 weeks of treatment, the VAS scores and shoulder joint capsule thickness of the three groups were significantly lower than before treatment and the shoulder joint range of motion and Constant-Murley score were significantly higher than before treatment (P<0. 05). Both the ozone water group and the saline group had significantly better indicators than the control group (P<0. 05), and the ozone water group was superior to the saline group (P<0. 05). Conclusions Under the guidance of musculoskeletal ultrasound, ozone water hydraulic release therapy can alleviate pain, improve the shoulder joint mobility, enhance the shoulder function, and reduce the shoulder joint capsule thickness in patients with frozen shoulder. Its clinical efficacy is significant.

关 键 词：肌骨超声 肩周炎 三氧水 液压松解 

分 类 号：R493[医药卫生—康复医学]