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
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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.
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.
引文
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[7]任婉文,周志英,徐密密,等.浮针疗法与度洛西汀治疗持续的躯体形式疼痛障碍的临床研究[J].中国中西医结合杂志,2016,36(2):166-171.
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[9]C.H.Wu,W.S.Chen,T.G.Wang,綦述晓.粘连性肩关节炎病人喙肱韧带的弹性[J].国际医学放射学杂志,2016,278(02):458-464.
[10]刘皓,刘洪旺,王文岳.手法治疗肩关节周围炎进展[J].现代中西医结合杂志,2014,23(7):796-798.
[11]巩彦龙,宋敏,刘涛,等.体外冲击波疗法在骨伤科疾病治疗中的临床研究概述[J].中国中医骨伤科杂志,2016,24(4):70-73.
[12]张盘德,彭小文,容小川,等.体外冲击波治疗肩周炎治疗次数与镇痛效果的关系研究[J].中国运动医学杂志,2014,33(6):519-523.
[13]何勇,刘威,王大明,等.肩周炎疼痛机制研究进展[J].中国运动医学杂志,2016,35(10):987-990.
[14]黄莉华,白跃宏.持续被动运动结合超短波和动态干扰电治疗肩周炎的疗效观察[J].中国康复医学杂志,2015,30(1):55-56.
[15]曹芳莉,郭晓丽,王伍超,等.体外冲击波联合痛点注射治疗肩周炎的临床评价[J].中国疼痛医学杂志,2014,20(10):722-724.
[2]梁英,李军.综合疗法治疗肩关节周围炎早期的疗效分析[J].西北国防医学杂志,2013,34(2):167-168.
[3]郭越.肩周炎的临床康复治疗进展[J].医学综述,2014,20(15):2752-2754.
[4]张同海,闫瑞曦,孙天适,等.痛点注射联合冲击波治疗肩周炎的临床观察[J].中国地方病防治杂志,2016,31(11):1248-1249.
[5]苏雪艳,井彦华.西药痛点注射结合手法推拿治疗肩周炎39例效果观察[J].山东医药,2014,54(29):109-109.
[6]谢凤云,谢小兰,吴敏仪.生命力保养配合热敏灸治疗肩周炎疼痛的效果观察[J].现代中西医结合杂志,2013,22(6):600-601.
[7]任婉文,周志英,徐密密,等.浮针疗法与度洛西汀治疗持续的躯体形式疼痛障碍的临床研究[J].中国中西医结合杂志,2016,36(2):166-171.
[8]樊勤学,高云,徐江波,等.物理疗法联合痛点注射神经妥乐平治疗肩周炎临床疗效观察[J].新疆医科大学学报,2015,38(8):1008-1010.
[9]C.H.Wu,W.S.Chen,T.G.Wang,綦述晓.粘连性肩关节炎病人喙肱韧带的弹性[J].国际医学放射学杂志,2016,278(02):458-464.
[10]刘皓,刘洪旺,王文岳.手法治疗肩关节周围炎进展[J].现代中西医结合杂志,2014,23(7):796-798.
[11]巩彦龙,宋敏,刘涛,等.体外冲击波疗法在骨伤科疾病治疗中的临床研究概述[J].中国中医骨伤科杂志,2016,24(4):70-73.
[12]张盘德,彭小文,容小川,等.体外冲击波治疗肩周炎治疗次数与镇痛效果的关系研究[J].中国运动医学杂志,2014,33(6):519-523.
[13]何勇,刘威,王大明,等.肩周炎疼痛机制研究进展[J].中国运动医学杂志,2016,35(10):987-990.
[14]黄莉华,白跃宏.持续被动运动结合超短波和动态干扰电治疗肩周炎的疗效观察[J].中国康复医学杂志,2015,30(1):55-56.
[15]曹芳莉,郭晓丽,王伍超,等.体外冲击波联合痛点注射治疗肩周炎的临床评价[J].中国疼痛医学杂志,2014,20(10):722-724.