自体富血小板血浆痛点注射治疗肩周炎的临床疗效评估

目的 评估自体富血小板血浆（Platelet-rich plasma,PRP）痛点注射治疗肩周炎的临床疗效。方法 本研究以2018年1月至2019年10月在空军军医大学第二附属医院骨科门诊就诊的肩周炎患者共74例为研究对象。根据治疗方式分为两组：对照组采用普鲁卡因和醋酸氢化可的松治疗，观察组采用PRP治疗，每组37例。记录两组患者的基本临床资料，并随访其并发症情况和治疗效果；同时采用视觉模拟评分法（visual analogue scale,VAS）和美国加利福尼亚大学洛杉矶分校（University of California at Los Angeles,UCLA）肩关节评分，比较两组在治疗前、治疗后1周、1个月、3个月和6个月的疼痛情况和功能评估。结果 两组患者的年龄、性别、疼痛部位、病程、治疗前VAS评分和UCLA评分等基本临床资料一致，差异无统计学意义（P>0.05）。与治疗前相比，两组患者治疗后各观察点（1周、1个月、3个月、6个月）VAS评分均显著降低，UCLA评分均显著升高，差异均有统计学意义（P<0.05）；治疗后1个月、3个月和6个月，VAS评分均显著低...

Evaluation of the clinical efficacy of injection of autologous platelet-rich plasma on pain points in the treatment of frozen shoulder

Objective To evaluate the clinical efficacy of pain point injection of autologous platelet-rich plasma （PRP） in the treatment of frozen shoulder. Methods In this study, 74 patients with frozen shoulder who were treated in the orthopedic clinic of our hospital from January 2018 to October 2019 were taken as the research objects. According to the treatment method, they were divided into two groups： the control group was treated with procaine and hydrocortisone acetate, and the observation group was treated with PRP, 37 cases in each group. The basic clinical data of the two groups were recorded, and their complications and treatment effects were followed up； the visual analogue scale （VAS） and the University of California at Los Angeles （UCLA） shoulder rating scale were used to compare the two groups before treatment, 1 week, 1 month, 3 months and 6 months after treatment. Results The basic clinical dates of the two groups, such as age, gender, pain location, disease course, pre-treatment VAS score and UCLA score were consistent （P>0.05）. Compared with before treatment, the VAS scores of the two groups of patients at each observation point （1 week, 1 month, 3 months, 6 months） after treatment were significantly reduced, and the UCLA scores were significantly increased （P<0.05）； 1month, 3 months and 6 months after treatment, the VAS scores were significantly lower than those of the control group, and UCLA scores were significantly higher than those of the control group （P<0.05）. The total effective rate of frozen shoulder treatment in the observation group was 97.30%, which was significantly higher than 81.08% in the control group （P<0.05）. At the same time, there was no statistical difference in the incidence of complications between the two groups after treatment （P>0.05）. Conclusion PRP pain point injection can effectively alleviate the pain and improve the function of the shoulder joint in patients with frozen shoulder. It is a safe and effective treatment plan to improve the total effective rate of the treatment of frozen shoulder without increasing complications, which is worthy of clinical application.