超声引导下玻璃酸钠注射治疗肱二头肌长头腱炎
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摘要
目的:探讨玻璃酸钠在超声引导下穿刺注射治疗肱二头肌长头腱炎的临床疗效。方法:收集肱二头肌长头腱炎患者60例,随机分为试验组和对照组各30例。2组均采用超声引导下穿刺注药治疗,研究组注射玻璃酸钠,对照组注射复方倍他米松注射液和罗哌卡因混合液。术前、术后均行视觉模拟评分法(VAS)评分,评价2组术后即时和术后3个月的疗效。结果:术前2组VAS评分对比,差异无统计学意义(P> 0.05);2组术后即时、术后3个月VAS评分均较治疗前明显改善(Hc=9.89、9.69,均P<0.05)。2组术后即时VAS评分比较,差异无统计学意义(P> 0.05);术后3个月VAS评分比较,差异有统计学意义(P<0.05)。结论:超声引导下注射玻璃酸钠可有效治疗肱二头肌长头腱炎,其术后远期效果优于复方倍他米松注射液和罗哌卡因混合液。
引文
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[7] Stitik TP,Blacksin MF,Stiskal DM,et al. Efficacy and safety of hyaluronan treatment in combination therapy with home exercise for knee osteoarthritis pain[J]. Arch Phys Med Rehabil,2007,88:135-141.
[8] Kim YS,Park JY,Lee CS,et al. Does hyaluronate injection work in shoulder disease in early stage? A multicenter,randomized,single blind and open comparative clinical study[J]. J Shoulder Elbow Surg,2012,21:722-727.
[9] Chou WY,Ko JY,Wang FS,et al. Effect of sodium hyaluronate treatment on rotator cuff lesions without complete tears:a randomized,double-blind,placebo-controlled study[J]. J Shoulder Elbow Surg,2010,19:557-563.
[10] Chen CPC,Hsu CC,Pei YC,et al. Changes of synovial fluid protein concentrations in supra-patellar bursitis patients after the injection of different molecular weights of hyaluronic acid[J].Exp Gerontol,2014,52:30-35.
[11] Thein R,Haviv B,Kidron A,et al. Intra-articular injection of hyaluronic acid following arthroscopic partial meniscectomy of the knee[J]. Orthopedics,2010,33:724-726.
[12] Foti C,Cisari C,Carda S,et al. A prospective observational study of the clinical efficacy and safety of intra-articular sodium hyaluronate in synovial joints with osteoarthritis[J]. Eur J Phys Rehabil Med,2011,47:407-415.
[2]安琦.水针刀结合玻璃酸钠治疗肱二头肌长头肌腱炎的临床观察[D].哈尔滨:黑龙江中医药大学,2015.
[3]胡麦果,黄晓俊,吕国荣,等.超声引导下治疗肌腱炎的临床应用进展[J].中国介入影像与治疗,2013,10(3):179-182.
[4] Martinoli C. Musculoskeletal ultrasound:technical guideljnes[J].Insights Imaging,2010,1:99-141.
[5] Decaria J,Petrella R,Wolfe D,et al. Effect of intra-articular hyaluronic acid on gait variability in older adults with knee osteoarthritis[J]. J Am Geriatr Soc,2011,59:949-951.
[6] Richtte P,Ravaud P,Conrozier T,et al. Effect of hyaluronic acid in symptomatic hip osteoarthritis:a multicenter,randmized,placebocontrolled trial[J]. Arthritis Rheum,2009,60:824-830.
[7] Stitik TP,Blacksin MF,Stiskal DM,et al. Efficacy and safety of hyaluronan treatment in combination therapy with home exercise for knee osteoarthritis pain[J]. Arch Phys Med Rehabil,2007,88:135-141.
[8] Kim YS,Park JY,Lee CS,et al. Does hyaluronate injection work in shoulder disease in early stage? A multicenter,randomized,single blind and open comparative clinical study[J]. J Shoulder Elbow Surg,2012,21:722-727.
[9] Chou WY,Ko JY,Wang FS,et al. Effect of sodium hyaluronate treatment on rotator cuff lesions without complete tears:a randomized,double-blind,placebo-controlled study[J]. J Shoulder Elbow Surg,2010,19:557-563.
[10] Chen CPC,Hsu CC,Pei YC,et al. Changes of synovial fluid protein concentrations in supra-patellar bursitis patients after the injection of different molecular weights of hyaluronic acid[J].Exp Gerontol,2014,52:30-35.
[11] Thein R,Haviv B,Kidron A,et al. Intra-articular injection of hyaluronic acid following arthroscopic partial meniscectomy of the knee[J]. Orthopedics,2010,33:724-726.
[12] Foti C,Cisari C,Carda S,et al. A prospective observational study of the clinical efficacy and safety of intra-articular sodium hyaluronate in synovial joints with osteoarthritis[J]. Eur J Phys Rehabil Med,2011,47:407-415.