超声引导下药物注射联合体外冲击波治疗肩关节周围炎的临床疗效

目的: 研究超声引导下药物注射联合体外冲击波对肩关节周围炎的临床疗效。方法: 选取包头市中心医院疼痛科收治的肩关节周围炎患者60例,随机分为超声引导下药物注射治疗(超声注射)组、体外冲击波治疗(extracorporeal shock wave therapy,ESWT)组、超声引导下药物注射联合体外冲击波治疗(联合)组,每组各20例。分别于治疗前、治疗后的1周、2周、4周、3个月比较三组患者的疼痛程度(visual analogue scale,VAS)和肩关节活动度(range of motion,ROM),采取方差F检验等方法进行统计分析。结果: 治疗后,三组VAS、ROM评分较治疗前均有明显改善(P＜0.05)。联合组在治疗后各时间点VAS、ROM评分改善程度高于其余两组(P＜0.05),超声注射组治疗1周后VAS和ROM评分优于ESWT组(P＜0.05),ESWT组治疗4周、3个月后VAS和ROM评分略优于超声注射组。三组疗效比较,差异有统计学意义(P＜0.05)。结论: 治疗肩关节周围炎,联合组临床疗效最佳,总有效率和治愈率均高于其余两单独治疗组。超声注射组起效较快,短期疗效较好;ESWT组起效较慢,作用持久;联合组结合二者特点,在各研究时间点内疗效均为更佳,是临床中治疗肩周炎的一种高效可行的治疗方案。

Clinical effect of ultrasound-guided injection combined with extracorporeal shock wave in the treatment of periarthritis of shoulder

Objective: To study the clinical effect of ultrasound-guided injection combined with extracorPoreal shock wave on shoulder periarthritis. Methods: A total of 60 patients with periarthritis of the shoulder who were admitted to the Pain Department of Baotou Central Hospital were randomly divided into an ultrasound-guided injection treatment group, an extracorporeal shock wave therapy (ESWT) group, and an ultrasound-guided injection combined with extracorporeal shock wave group, with 20 cases in each group. The ultrasound-guided injection group was treated with ultrasound-guided drug injection, the ESWT group was treated with extracorporeal shock wave therapy, and the combined group was treated with extracorporeal shock wave therapy t every other day after ultrasound-guided injection treatment. The pain degree (visual analogue scale, VAS) and range of motion (ROM) of the three groups were compared before treatment and 1 week, 2 weeks, 4 weeks and three months after treatment. Results: After treatment, the VAS and ROM scores of the three groups were significantly improved compared with those before treatment (P＜0.05). The improvement of VAS and ROM scores at each time point after treatment in the combined group was higher than that in the other two groups (P＜0.05).The VAS and ROM scores of the ultrasound-guided injection group were better than those of the ESWT group after 1 week of treatment (P＜0.05), the VAS and ROM scores of ESWT group were slightly better than those of ultrasound injection group after 4 weeks and 3 months of treatment. There are statistically significant differences in the efficacy of the three groups (P＜0.05). Conclusion: The clinical efficacy of the combined group in the treatment of periarthritis of shoulder is the best, and the total effective rate and cure rate are higher than those of two single treatment groups. Ultrasound injection group onset faster, better short-term efficacy; the effect of ESWT group is slow and lasting; combined with the characteristics of the two groups, the curative effect is better in each research time point, which is an efficient and feasible treatment scheme in clinical treatment of periarthritis of shoulder.