超声引导下肩胛上神经脉冲射频与传统肩周痛点注药治疗慢性顽固性肩周痛的效果对比  

Comparison on Effect of Ultrasound-Guided of Suprascapular Nerve Pulse Radiofrequency and Traditional Shoulder Pain Point Injection in the Treatment of Chronic Refractory Shoulder Pain

作　　者：易森林 李茵茵 YI Senlin;LI Yinyin(Department of Pain,Shenzhen Hengsheng Hospital,Shenzhen 518102,China)

机构地区：[1]深圳恒生医院疼痛科,广东深圳518102

出　　处：《临床医学工程》2025年第4期423-426,共4页Clinical Medicine & Engineering

摘　　要：目的比较超声引导下肩胛上神经脉冲射频与传统肩周痛点注药治疗慢性顽固性肩周痛的效果。方法选取我院2022年1月至2023年1月期间收治的106例慢性顽固性肩周痛患者,采用随机数字表法分为两组各53例。对照组采用传统肩周痛点注药治疗,观察组采用超声引导下肩胛上神经脉冲射频治疗,比较两组的临床疗效。结果治疗后1个月、2个月、6个月,观察组的VAS评分均低于对照组(P<0.05),Constant-Murley评分高于对照组(P<0.05)。观察组治疗后6个月的外旋活动度、外展活动度、前屈活动度均高于对照组(P<0.05),PGE2、TGF-β1水平低于对照组(P<0.05)。观察组总有效率高于对照组(P<0.05)。结论对慢性顽固性肩周痛者实施超声引导下肩胛上神经脉冲射频治疗效果显著,可缓解肩周疼痛感,恢复肩关节功能。Objective To compare the effect of ultrasound-guided suprascapular nerve pulse radiofrequency and traditional shoulder pain point injection in the treatment of chronic refractory shoulder pain.Methods 106 patients with chronic refractory shoulder pain admitted to our hospital from January 2022 to January 2023 were selected and divided into two groups by random number table method,with 53 patients in each group.The control group was treated with traditional shoulder pain point injection,and the observation group was treated with ultrasound-guided suprascapular nerve pulse radiofrequency.The efficacy of the two groups was compared.Results 1 month,2months and 6 months after treatment,the VAS scores of the observation group were lower than those of the control group(P<0.05),and the Constant-Murley scores were higher than those of the control group(P<0.05).6 months after treatment,the external rotation activity,abduction activity and forward bending activity of the observation group were higher than those of the control group(P<0.05),the PGE2 and TGF-β1 levels was lower than those of the control group(P<0.05).The total effective rate of the observation group was higher than that of the control group(P<0.05).Conclusions Ultrasound-guided suprascapular nerve pulse radiofrequency in the treatment of chronic refractory shoulder pain has significant effect,which can relieve the shoulder pain,and restore the function of shoulder joint.

关 键 词：超声引导 肩胛上神经脉冲射频 肩周痛点注药 慢性顽固性肩周痛 疗效 

分 类 号：R684[医药卫生—骨科学]