摘要
目的 观察骨骼肌疼痛冲击波治疗肩周炎的效果及其对疼痛、肩关节活动度的影响。方法 选择我院收治肩周炎患者 80例为研究对象,依据治疗方法不同分为对照组(n=40,给予痛点注射治疗)和研究组(n=40,在对照组基础上加以 骨骼肌疼痛冲击波治疗),比较其疗效、肩周疼痛值及肩关节活动度。结果 研究组90.00%的疗效显效率显著大于对 照组的70.00%(P<0.05);治疗后,两组简化McGill疼痛问卷(SF-MPQ)中的PRI、VAS、PPI评分均较治疗前显著降低 (P<0.05),且研究组PRI、VAS、PPI评分均显著低于对照组(P<0.05);治疗后,两组肩关节前屈、外展、后伸活动 度均较治疗前显著增加(P<0.05),且研究组前屈、外展、后伸活动度均显著大于对照组(P<0.05)。结论 骨骼肌 疼痛冲击波能够有效降低肩周炎患者肩周疼痛,改善其肩功能。
Objective To observe the effects of shock wave therapy of musculoskeletal pain in the treatment of periarthritis of shoulder and its influence on pain and shoulder mobility. Methods 80 cases of patients with periarthritis of shoulder in our hospital were selected for the study. According to different treatment methods, they were divided into control group (n=40, pain point injection) and study group (n=40, shock wave therapy of musculoskeletal pain based on control group). The efficacy, perishoulder pain value and shoulder mobility were compared. Results The markedly effective rate of efficacy in t study group was significantly higher than that in control group (90.00%vs70.00%) (P<0.05). After treatment, the scores of PRI, VAS and PPI of SF-MPQ in the two groups were significantly lower than those before treatment (P<0.05), and the scores of PRI, VAS and PPI in study group were significantly lower than those in control group (P<0.05). After treatment, the anteflexion, abduction and rear protraction mobility of shoulder joints were significantly increased compared with those before treatment (P<0.05), and the anteflexion, abduction and rear protraction mobility in study group were significantly higher than those in control group (P<0.05). Conclusion ESW can effectively reduce perishoulder pain and improve shoulder function in patients with periarthritis of shoulder.
【关键词】肩周炎;冲击波;肩关节活动度;SF-MPQ;疼痛
【中图分类号】R68
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2019.03.012
前言
肩周炎是肩关节周围炎的简称,系指肩关节内 外慢性、非特异性炎症引起的肩关节疼痛、肿胀、 活动受限[1],多发于50岁左右更年期妇女,故又称为 “五十肩”,具有发病缓慢、病程长等特点[2]。肩周 炎的治疗方法主要有运动疗法、药物疗法、注射、中 医疗法等[3],其中痛点注射能够有效阻断肩关节疼痛 的传递,促进肩功能恢复,但单独使用效果欠佳,有 报道称其与骨骼肌疼痛冲击波联合治疗效果更为突 出[4]。为探究骨骼肌疼痛冲击波与痛点注射治疗肩周 炎的效果,本文开展了如下研究。
罕少疾病杂志
第26卷, 第 3 期
2019年05月
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