超声波疗法对冻结肩的效果观 察简

目的 观察超声波疗法对综合疗法治疗冻结肩的增效作用.方法 选择2013年3～9月南方医科大学第三附属医院康复医学科诊治的冻结肩患者60例,采用随机数字表法分为治疗组和对照组,每组各30例.对照组患者接受关节松动术、针刺疗法和康复功能锻炼综合治疗,治疗组患者在对照组的治疗方法基础上,结合超声波疗法.两组患者治疗1次/d,6次为1个疗程,疗程间隔ld,5个疗程后采用SPSS 13.0软件对两组患者肩关节活动度改善情况和治疗前、后的McGill疼痛量表评分进行组内和/或组间比较.结果 ①治疗组：治愈23例,显效6例,有效1例;对照组：治愈16例,显效9例,有效5例,即两组关节活动度改善效果比较,差异有统计学意义（P＜0.05）.②两组患者治疗后疼痛分级指数（PRI）、目测类比定级法（VAS）和现有疼痛强度（PPI）分值均较同组治疗前降低,差异有统计学意义（P＜0.05）.治疗前两组患者PRI和PPI分值比较,差异无统计学意义（P＞0.05）;治疗前两组VAS分值比较,差异有统计学意义（P＜0.05）;治疗后两组PRI分值比较,差异无统计学意义（P＞0.05）;两组治疗后VAS和PPI分值比较,差异有统计学意义（P＜0.05）.两组患者PRI、VAS和PPI治疗前后差值比较,差异有统计学意义（P＜0.05）.结论 在关节松动术、针刺疗法和康复功能锻炼综合治疗的基础上,结合超声波疗法治疗冻结肩,对治疗效果有增效作用,具体表现在患者肩关节疼痛和活动范围得到更为明显的改善.

Effect observation of ultrasonic treatment on frozen shoulder

Objective To observe the synergism effect of ultrasound therapy for frozen shoulders. Methods 60 patients with frozen shoulder from March to September in 2013 in the Department of Rehabilitation, the Third Affiliated Hospital of Southern Medical University were divided into treatment group and control group by random number table with 30 patients in each group. The combining therapy consisted of joint mobilization, acupuncture therapy and rehabilitation exercise were given in control group. Basing on the treatment of control group, the ultrasound therapy were given in treatment group. All the patients were given treatment 1 time/d, 6 days as a course, 1 day interval between the two courses. After 5 courses, SPSS 13.0 for windows was adopted to compare the improvement of shoulder joint mobility and the McGill pain questionnaire （MPQ） scores of two groups before and after treatment in the same group and be tween the two groups. Results After treatment, 23 cases were recovered, 6 cases were excellent effective and 1 case was effective in the treatment group. While 16 were recovered, 9 cases were excellent effective and 5 cases were effective in the control group. The effect of the two groups were compared, the differences were statistically significant （P 〈 0.05）. Pain rating index （PRI）, visual analogue scale （VAS） and present pain intensity （PPI） scores before treatment of 2 groups were lower than those after the treatment of 2 groups, the differences were statistically significant （P 〈 0.05）. The differences of PRI and PPI scores before the treatment between the two groups was not statistically significant （P 〉 0.05）; the differences of VAS scores before the treatment between the two groups was statistically significant （P 〈 0.05）; the differences of PRI scores after the treatment between the two groups was not statistically significant （P 〉 0.05）; the differences of VAS and PPI scores after the treatment between the two groups was statistically signifi- cant （P 〈 0.05）. The difference value of PRI, VAS, PPI before and after treatment between the two groups were statisti- cally significant （P 〈 0.05）. Conclusion This study preliminarily shows that basing on the combining therapy consist of joint mobilization, acupuncture therapy and rehabilitation exercise, integrated with the ultrasound therapy to treat frozen shoulder have the synergism effect, which manifests in the significant remission of shoulder pain and improvement of range of motion.