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[1]王亮,王予彬,湯華林.肩袖損傷和創(chuàng)傷性肩關(guān)節(jié)前方不穩(wěn)定患者肩部疼痛 與肩峰下滑囊組織中炎癥反應(yīng)的關(guān)系研究[J].中醫(yī)正骨,2015,27(10):5-7.
　WANG Liang,WANG Yubin,TANG Hualin.Study on the relationship between shoulder pain and inflammatory reaction in the subacromial bursa tissues in patients with rotator cuff injury and traumatic shoulder joint anterior instability[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(10):5-7.
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肩袖損傷和創(chuàng)傷性肩關(guān)節(jié)前方不穩(wěn)定患者肩部疼痛 與肩峰下滑囊組織中炎癥反應(yīng)的關(guān)系研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年10期
頁(yè)碼:
5-7
欄目:
臨床研究
出版日期:
2015-10-30

文章信息/Info

Title:
Study on the relationship between shoulder pain and inflammatory reaction in the subacromial bursa tissues in patients with rotator cuff injury and traumatic shoulder joint anterior instability
作者:
王亮1; 王予彬2; 湯華林1
1.寧波大學(xué)醫(yī)學(xué)院附屬醫(yī)院, 浙江 寧波 315000;
2.同濟(jì)大學(xué)附屬東方醫(yī)院,上海 200120
Author(s):
WANG Liang1; WANG Yubin2; TANG Hualin1
1.The Affiliated Hospital of School of Medicine of Ningbo University,Ningbo 315000,Zhejiang,China
2.Dongfang Hospital Affiliated to Tongji University,Shanghai 200120,China
關(guān)鍵詞:
肩關(guān)節(jié);  肩袖損傷;  關(guān)節(jié)不穩(wěn)定性;  疼痛;  白細(xì)胞介素1β;  腫瘤壞死因子α
Keywords:
shoulder joint;  rotator cuff injury;  joint instability;  pain;  interleukin-1beta;  tumor necrosis factor-alpha
摘要:
目的:探討肩袖損傷和創(chuàng)傷性肩關(guān)節(jié)前方不穩(wěn)定患者肩部疼痛與肩峰下滑囊組織中炎癥反應(yīng)的關(guān)系。方法:選取46例因肩袖損傷或創(chuàng)傷性肩關(guān)節(jié)前方不穩(wěn)定接受手術(shù)治療的患者,其中肩袖損傷患者25例(肩袖損傷組),創(chuàng)傷性肩關(guān)節(jié)前方不穩(wěn)定患者21例(肩關(guān)節(jié)不穩(wěn)組)。術(shù)前采用視覺模擬評(píng)分法(visual analogue score,VAS)評(píng)定所有患者的肩部疼痛程度,術(shù)中取肩峰下滑囊組織,采用酶聯(lián)免疫吸附法測(cè)定其中腫瘤壞死因子-α(tumor necrosis factor-α,TNF-α)和白細(xì)胞介素-1β(interleukin-1β,IL-1β)的含量。分別對(duì)兩組的肩部疼痛VAS評(píng)分及肩峰下滑囊組織中TNF-α和IL-1β含量進(jìn)行組間比較,對(duì)46例患者的肩部疼痛VAS評(píng)分與肩峰下滑囊組織中TNF-α和IL-1β含量進(jìn)行相關(guān)性分析。結(jié)果:肩袖損傷組的疼痛VAS評(píng)分及肩峰下滑囊組織中TNF-α和IL-1β含量均高于肩關(guān)節(jié)不穩(wěn)組[(7.07±1.06)分,(5.03±0.74)分,t=7.648,P=0.003;(189.61±40.46)pg·100 mg-1,(115.91±17.32)pg·100 mg-1,t=8.252,P=0.000;(4.40±0.88)pg·100 mg-1,(2.67±0.62)pg·100 mg-1,t=7.561,P=0.000]。相關(guān)性分析結(jié)果顯示,肩部疼痛VAS評(píng)分與肩峰下滑囊組織中的TNF-α和IL-1β的含量均呈正相關(guān)(r=0.952,P=0.000; r=0.945,P=0.000)。結(jié)論:肩峰下滑囊組織炎癥反應(yīng)是引起肩袖損傷患者和創(chuàng)傷性肩關(guān)節(jié)前方不穩(wěn)定患者肩部疼痛的重要原因。與創(chuàng)傷性肩關(guān)節(jié)前方不穩(wěn)定相比,肩袖損傷患者的肩峰下滑囊組織炎癥反應(yīng)更顯著,因此肩部疼痛更顯著。
Abstract:
Objective:To explore the relationship between shoulder pain and inflammatory reaction in the subacromial bursa tissues in patients with rotator cuff injury or traumatic shoulder joint anterior instability.Methods:Twenty-five patients with rotator cuff injury(rotator cuff injury group)and 21 patients with traumatic shoulder joint anterior instability(shoulder joint instability group)were selected and treated with surgery.The degree of shoulder pain of all patients were evaluated by using the visual analogue score(VAS)before the surgery.The subacromial bursa tissues were fetched out during the surgery,and the level of tumor necrosis factor-α(TNF-α)and interleukin-1β(IL-1β)were measured by using enzyme linked immunosorbent assay.The VAS scores of shoulder pain and the level of TNF-α and IL-1β in subacromial bursa tissues were compared between the 2 groups respectively,and correlation analysis were applied to study the relationship between the VAS scores of shoulder pain and the level of TNF-αand IL-1β in subacromial bursa tissues in the 46 patients.Results:The VAS scores of shoulder pain and the level of TNF-αand IL-1β in subacromial bursa tissues of rotator cuff injury group were higher than those of shoulder joint instability group(7.07+/-1.06 vs 5.03+/-0.74 points,t=7.648,P=0.003; 189.61+/-40.46 vs 115.91+/-17.32 pg/100mg,t=8.252,P=0.000; 4.40+/-0.88 vs 2.67+/-0.62 pg/100mg,t=7.561,P=0.000).The results of correlation analysis showed that the VAS scores of shoulder pain were positively correlated with the level of TNF-α and IL-1β in subacromial bursa tissues(r=0.952,P=0.000; r=0.945,P=0.000).Conclusion:The inflammatory reaction in the subacromial bursa tissues is the important cause of shoulder pain in patients with rotator cuff injury and patients with traumatic shoulder joint anterior instability.The inflammatory reaction of subacromial bursa tissues is more significant in patients with rotator cuff injury compared to patients with traumatic shoulder joint anterior instability,so it leads to more significant shoulder pain.

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備注/Memo

備注/Memo:
2015-07-10收稿 2015-09-14修回
基金項(xiàng)目:寧波大學(xué)附屬醫(yī)院基金項(xiàng)目(xyy15042)
通訊作者:王亮 E-mail:[email protected]
更新日期/Last Update: 2015-10-30