超声引导下液压扩张联合针刀治疗肩关节周围炎的临床效果

Abstract
Figure/Table
References (27)
Related Citation (15)

Download: PDF (453 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the clinical effect of hydraulic dilatation combined with akupotomye by ultrasound-guided in the treatment of patients with periarthritis humeroscapularis. Methods A total of 80 patients with periarthritis humeroscapularis during unilateral freezing period admitted to Beijing Friendship Hospital, Capital Medical University and Aerospace Center Hospital from January 2019 to January 2021 were selected. According to random number table method, they were divided into control group and observation group, with 40 cases in each group. The control group adopted the traditional blind hydraulic dilation and akupotomye therapy, while the observation group adopted the hydraulic dilatation combined with akupotomye by ultrasound-guided. Both groups were treated once a week, three times/ course of treatment, after one course of treatment, both groups were given functional exercise. The efficacy of the two groups was compared. Visual analogue scale (VAS) and Constant-Murley shoulder function score (CM) were compared between the two groups before and after treatment, and one month after treatment. Results There were statistically significant differences in VAS and CM scores before and after treatment, and one month after treatment, time point comparison and interaction between the two groups (P ＜ 0.05). Further pairwise comparison and intra-group comparison: after treatment and one month after treatment, the VAS score of the two groups was lower than that before treatment, and the CM score was higher than that before treatment, with statistical significance (P ＜ 0.05). Comparison between groups: One month after treatment, the VAS score of the observation group was lower than that of the control group in the same period, and the CM score was higher than that of the control group in the same period, with statistical significance (P ＜ 0.05). There was no significant difference in the total effective rate between the two groups (P ＞ 0.05). Conclusion Hydraulic dilation combined with akupotomye by ultrasonic-guided release for the treatment of periarthritis humeroscapularis can realize visualization and improve shoulder function.

Key words： Periarthritis humeroscapularis Ultrasound Akupotomye Hydraulic dilatation

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	SUN Pengfei1 ZHANG Chang2 HU Xiangdong1 QIAN Linxue1

Cite this article:

SUN Pengfei1 ZHANG Chang2 HU Xiangdong1 QIAN Linxue1. Clinical study of hydraulic dilatation combined with akupotomye by ultrasound-guided in the treatment of patients with periarthritis humeroscapularis[J]. 中国医药导报, 2021, 18(27): 150-153.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I27/150

[1] 王岩译.坎贝尔骨科手术学[M].北京：人民军医出版社，2015：5，2079-2080.
[2] 谭雁夫，艾双春.冻结肩发病机制的研究进展[J].中国老年学杂志，2020，40（24）：5371-5375.
[3] 杨健.MRI检查在肩袖损伤及肩周炎鉴别诊断中的临床应用价值[J].影像研究与医学应用，2020，4（19）：247-248.
[4] Codman EA. The shoulder：rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa [M]. Boston：Thomas Todd and Co，1934：216-224.
[5] Neviaser T. Adhesive capsulitis [J]. Orthop Clin North Am，1987，18（3）：439-443.
[6] 陈疾忤，陈世益.肩周炎研究进展[J].国外医学：骨科学分册，2005（2）：94-96.
[7] 林慧娜，叶志英.近五年针灸治疗肩周炎的临床研究进展[J].中国医药导刊，2020，22（5）：327-330.
[8] 刘增韬，马斌，郑帮明，等.静脉全麻下手法松解配合中药外敷治疗肩周炎的研究[J].中国现代医生，2020，58（17）：151-153.
[9] 区颖豪，梁丽婷，伍冬妮.经筋刺法联合雷火灸治疗粘连期肩周炎的疗效观察[J].中国医药科学，2019，9（23）：44-47.
[10] 段生艳.小针刀治疗肩周炎的临床研究进展[J].现代医学与健康研究：电子版，2020，4（1）：177-179.
[11] 阮晶.针刀松解术配合功能锻炼治疗肩周炎的临床疗效及安全性分析[J].中国医药科学，2020，10（9）：39-41.
[12] 国家中医药管理局.中医病症诊断疗效标准[M].南京：南京大学出版社，1994：186-187.
[13] 李承球.肩周炎的分类诊断和治疗[J].颈腰痛杂志，2004， 25（3）：144-150.
[14] 中华中医药学会.肩关节周围炎（ZYYXH/T378-2012）[J].风湿病与关节炎，2013，2（2）：73-75.
[15] 张铁良，王沛，马信龙.临床骨科学[M].3版.北京：人民卫生出版社，2012：2122-2124.
[16] 郝定均.简明临床骨科学[M].北京：人民卫生出版社，2014：1290-1291.
[17] 张昶，胡向林，刘乃刚，等.液压扩张联合针刀治疗冻结肩思路分析[J].中国医药导报，2019，527（33）：150-152， 172.
[18] Elnady B，Rageh EM，Hussein MS，et al. In shoulder adhesive capsulitis，ultrasound-guided anterior hydrodilatation in rotator interval is more effective than posterior approach：a randomized controlled study [J]. Clin Rheumatol，2020，39（12）：3805-3814.
[19] Heller GZ，Manuguerra M，Chow R. How to analyze the Visual Analogue Scale：Myths，truths and clinical relevance [J]. Scand J Pain，2016，13：67-75.
[20] Aceituno-Gómez J，Avenda?觡o-Coy J，Criado-?譧lvarez JJ，et al. Correlation between three assessment pain tools in subacromial pain syndrome [J]. Clin Rehabil，2021，35（1）：114-118.
[21] Challoumas D，Biddle M，McLean M，et al. Comparison of Treatments for Frozen Shoulder：A Systematic Review and Meta-analysis [J]. JAMA Netw Open，2020，3（12）：e2029581.
[22] Yang CY，Fu LH，Lee CC，et al. Short-Term Outcome Predictors in Patients With Primary Adhesive Capsulitis Treated With Ultrasound-Guided Hydrodilatation With Corticosteroids [J]. Am J Phys Med Rehabil，2020，99（8）：719-724.
[23] 隋鹍鹏，褚凯，刘鹏飞.超声引导下肩关节腔内注药与传统肩周痛点注药治疗老年顽固性肩周炎的疗效对比[J].颈腰痛杂志，2019，40（2）：284-285.
[24] El Naggar TEDM，Maaty AIE，Mohamed AE. Effectiveness of radial extracorporeal shock-wave therapy versus ultrasound-guided low-dose intra-articular steroid injection in improving shoulder pain，function，and range of motion in diabetic patients with shoulder adhesive capsulitis [J]. J Shoulder Elbow Surg，2020，29（7）：1300-1309.
[25] 冷承浩.超声引导下注射消炎镇痛液对顽固性肩周炎的疗效观察[J].甘肃医药，2020，39（9）：811-812，814.
[26] Pourcho AM，Colio SW，Hall MM. Ultrasound-Guided Interventional Procedures About the Shoulder：Anatomy，Indications，and Techniques [J]. Phys Med Rehabil Clin N Am，2016，27（3）：555-572.
[27] Ben-Arie E，Kao PY，Lee YC，et al. The Effectiveness of Acupuncture in the Treatment of Frozen Shoulder：A Systematic Review and Meta-Analysis [J]. Evid Based Complement Alternat Med，2020，2020：9790470.