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[1]吳國(guó)林,陳紅衛(wèi),黃洪斌,等.體外沖擊波多探頭聯(lián)合應(yīng)用治療肩關(guān)節(jié)周?chē)椎呐R床研究…[J].中醫(yī)正骨,2020,32(09):18-22.
　WU Guolin,CHEN Hongwei,HUANG Hongbin,et al.A clinical study of multi-probe extracorporeal shock wave therapy for treatment of periarthritis of shoulder[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2020,32(09):18-22.
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體外沖擊波多探頭聯(lián)合應(yīng)用治療肩關(guān)節(jié)周?chē)椎呐R床研究…()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期數(shù):
2020年09期
頁(yè)碼:
18-22
欄目:
臨床研究
出版日期:
2020-09-20

文章信息/Info

Title:
A clinical study of multi-probe extracorporeal shock wave therapy for treatment of periarthritis of shoulder
作者:
吳國(guó)林1; 陳紅衛(wèi)1; 黃洪斌1; 陳超麗1; 林忠凱1; 任安龍1; 何元誠(chéng)2; 黃民鋒2
(1.義烏市中心醫(yī)院,浙江 義烏 322000; 2.廣西中醫(yī)藥大學(xué)附屬瑞康醫(yī)院,廣西 南寧 530011)
Author(s):
WU Guolin1; CHEN Hongwei1; HUANG Hongbin1; CHEN Chaoli1; LIN Zhongkai1; REN Anlong1; HE Yuancheng2; HUANG Minfeng2
1.Yiwu Central Hospital,Yiwu 322000,Zhejiang,China2.Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine,Nanning 530011,Guangxi,China
關(guān)鍵詞:
肩凝癥;  體外沖擊波療法;  臨床試驗(yàn)
Keywords:
frozen shoulder;  extracorporeal shock wave therapy;  clinical trial
摘要:
目的:探討體外沖擊波多探頭聯(lián)合應(yīng)用治療肩關(guān)節(jié)周?chē)椎呐R床療效。方法:將60例符合要求的肩關(guān)節(jié)周?chē)谆颊唠S機(jī)分為2組,每組30例。常規(guī)沖擊波組應(yīng)用普通探頭(R15)行體外沖擊波治療,多探頭沖擊波組在普通探頭(R15)治療基礎(chǔ)上,聯(lián)合應(yīng)用另外2種型號(hào)的探頭(A6和DI15)進(jìn)行治療。2組均每隔6 d治療1次,共治療5次。分別于治療前和治療結(jié)束后測(cè)定患者的肩關(guān)節(jié)活動(dòng)度、Constant-Murley肩關(guān)節(jié)評(píng)分及日本骨科學(xué)會(huì)(Japanese Orthopedic Association,JOA)肩關(guān)節(jié)疾患治療評(píng)分。結(jié)果:①肩關(guān)節(jié)活動(dòng)度。治療前2組患者的肩關(guān)節(jié)前屈、外展、內(nèi)旋及外旋活動(dòng)度比較,組間差異均無(wú)統(tǒng)計(jì)學(xué)意義(74.03°±16.57°,73.87°±16.73°,t=0.039,P=0.969; 68.80°±16.23°,68.50°±16.52°,t=0.071,P=0.944; 49.07°±5.99°,49.03°±6.13°,t=0.210,P=0.983; 34.83°±2.90°,34.73°±2.88°,t=0.134,P=0.894); 治療結(jié)束后2組患者的前屈、外展、內(nèi)旋及外旋活動(dòng)度均較治療前增大(前屈:t=-70.026,P=0.000; t=-56.174,P=0.000; 外展:t=-28.108,P=0.000; t=-54.735,P=0.000; 內(nèi)旋:t=-34.561,P=0.000; t=-36.690,P=0.000; 外旋:t=-21.341,P=0.000; t=-21.548,P=0.000),多探頭沖擊波組的前屈、外展、內(nèi)旋及外旋活動(dòng)度均大于常規(guī)沖擊波組(127.87°±18.28°,138.43°±16.92°,t=2.465,P=0.017; 90.93°±14.21°,101.83°±15.38°,t=2.852,P=0.006; 68.93°±4.08°,72.10°±3.21°,t=3.343,P=0.001; 49.37°±6.37°,61.73°±9.53°,t=5.909,P=0.000)。②Constant-Murley肩關(guān)節(jié)評(píng)分。治療前2組患者的Constant-Murley肩關(guān)節(jié)評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義[(45.80±10.11)分,(44.93±10.09)分,t=2.012,P=0.054]; 治療結(jié)束后2組患者的評(píng)分均較治療前增大(t=-40.360,P=0.000; t=-52.535,P=0.000),多探頭沖擊波組的評(píng)分大于常規(guī)沖擊波組[(70.33±9.59)分,(77.10±10.41)分,t=-13.179,P=0.000]。③JOA肩關(guān)節(jié)疾患治療評(píng)分。治療前2組患者的JOA肩關(guān)節(jié)疾患治療評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義[(54.17±12.98)分,(54.10±12.93)分,t=0.348,P=0.730]; 治療結(jié)束后2組患者的評(píng)分均較治療前增大(t=-34.281,P=0.000; t=-36.761,P=0.000),多探頭沖擊波組的評(píng)分大于常規(guī)沖擊波組[(79.40±10.29)分,(85.00±10.97)分,t=-8.330,P=0.000]。結(jié)論:體外沖擊波多探頭聯(lián)合應(yīng)用治療肩關(guān)節(jié)周?chē)?可有效增加患者的肩關(guān)節(jié)活動(dòng)度,改善肩關(guān)節(jié)功能,其效果優(yōu)于常規(guī)體外沖擊波治療。
Abstract:
To explore the clinical curative effects of multi-probe extracorporeal shock wave therapy(ESWT)for treatment of periarthritis of shoulder.Methods:Sixty patients with periarthritis of shoulder were enrolled in the study and were randomly divided into conventional ESWT group and multi-probe ESWT group,30 cases in each group.All patients in the 2 groups were treated with conventional probe(R15)ESWT,moreover,the patients in multi-probe ESWT group were treated with another two probes(A6 and DI15)ESWT.The ESWT was performed on patients for consecutive 5 times with a 6-day rest-insertion between times.The shoulder range of motion(ROM),Constant-Murley shoulder scores and Japanese Orthopedic Association(JOA)shoulder disease treatment scores were measured and compared between the 2 groups before the treatment and after the end of the treatment respectively.Results:There was no statistical difference in shoulder ROM including anteflexion,abduction,inward rotation and outward rotation between the 2 groups before the treatment(74.03+/-16.57 vs 73.87+/-16.73 degrees,t=0.039,P=0.969; 68.80+/-16.23 vs 68.50+/-16.52 degrees,t=0.071,P=0.944; 49.07+/-5.99 vs 49.03+/-6.13 degrees,t=0.210,P=0.983; 34.83+/-2.90 vs 34.73+/-2.88 degrees,t=0.134,P=0.894).The shoulder ROM,including anteflexion,abduction,inward rotation and outward rotation,increased after the end of the treatment compared to pretreatment in the 2 groups(anteflexion:t=-70.026,P=0.000; t=-56.174,P=0.000; abduction:t=-28.108,P=0.000; t=-54.735,P=0.000; inward rotation:t=-34.561,P=0.000; t=-36.690,P=0.000; outward rotation:t=-21.341,P=0.000; t=-21.548,P=0.000),and were greater in multi-probe ESWT group compared to conventional ESWT group(127.87+/-18.28 vs 138.43+/-16.92 degrees,t=2.465,P=0.017; 90.93+/-14.21 vs 101.83+/-15.38 degrees,t=2.852,P=0.006; 68.93+/-4.08 vs 72.10+/-3.21 degrees,t=3.343,P=0.001; 49.37+/-6.37 vs 61.73+/-9.53 degrees,t=5.909,P=0.000).There was no statistical difference in Constant-Murley shoulder scores between the 2 groups before the treatment(45.80+/-10.11 vs 44.93+/-10.09 points,t=2.012,P=0.054).The Constant-Murley shoulder scores increased after the end of the treatment compared to pretreatment in the 2 groups(t=-40.360,P=0.000; t=-52.535,P=0.000),and were higher in multi-probe ESWT group compared to conventional ESWT group(70.33+/-9.59 vs 77.10+/-10.41 points,t=-13.179,P=0.000).There was no statistical difference in JOA shoulder disease treatment scores between the 2 groups before the treatment(54.17+/-12.98 vs 54.10+/-12.93 points,t=0.348,P=0.730).The JOA shoulder disease treatment scores increased after the end of the treatment compared to pretreatment in the 2 groups(t=-34.281,P=0.000; t=-36.761,P=0.000),and were higher in multi-probe ESWT group compared to conventional ESWT group(79.40+/-10.29 vs 85.00+/-10.97 points,t=-8.330,P=0.000).Conclusion:The multi-probe ESWT can effectively increase the shoulder ROM and improve the shoulder function in treatment of periarthritis of shoulder,and its curative effects are better than that of conventional ESWT.

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備注/Memo

備注/Memo:
基金項(xiàng)目:浙江省醫(yī)學(xué)會(huì)臨床科研基金項(xiàng)目(2016ZYC-A100); 義烏市公益性科技計(jì)劃項(xiàng)目(2016-S-16)
通訊作者:黃洪斌 E-mail:[email protected]
更新日期/Last Update: 2020-09-20