目的:比较痛点触摸下放血疗法与超声引导下穿刺减压两种方法治疗急性冈上肌钙化性肌腱炎的疗效。方法:2020年1月至2023年1月，选取我科收治的45例急性冈上肌钙化性肌腱炎患者，分成治疗组和对照组，其中治疗组22例，女16例，男6例;年龄20～64(39。31±5。80)岁;左侧11例，右侧11例;采用超声引导下穿刺减压治疗。对照组23例，女15例，男8例;年龄19～66(40。67±6。13)岁;左侧12例，右侧11例;采用痛点触摸下放血疗法治疗。分别于治疗前、治疗后1周及治疗后1、3、6个月，采用疼痛视觉模拟评分(visual analog scale，VAS)，美国加州大学肩关节系统(University of California，Los Angeles，UCLA)评分，肩关节Constant-Murley评分，对治疗效果进行评估。结果:对照组1例，治疗1周后因个人原因放弃随访，其余44例完成全部随访，治疗后6个月，两组患者均未出现复发病例。治疗组和对照组治疗后各时间段的VAS、UCLA、Constant-Murley评分与治疗前比较差异均有统计学意义(P＜0。05)，但两组间比较差异均无统计学意义(P＞0。05)。结论:痛点触摸下放血疗法与超声引导下穿刺减压两种方法治疗急性冈上肌钙化性肌腱炎均疗效明显，操作简单、费用低廉，能够有效减轻局部疼痛，有效改善肩关节功能，基层医院可根据自身情况选择性操作治疗。
Comparison of the efficacy of phlebotomy under touch pain point and ultrasound-guided puncture decompression in the treatment of acute calcific supraspinatus tendinitis
Objective To compare the efficacy of blood letting under pain point touch and ultrasound-guided puncture de-compression in the treatment of acute supraspinatus muscle calcifying tendinitis.Methods From January 2020 to January 2023,45 patients with acute supraspinatus muscle calcifying tendinitis were selected and divided into treatment group and control group.In the treatment group,a total of 22 patients were treated with ultrasound-guided puncture decompression,in-cluding 16 females and 6 males,aged from 20 to 64 years old(39.31±5.80)years old,11 on the left shoulder and 11 on the right shoulder.In the control group,there were 23 cases,including 15 females and 8 males,aged from 19 to 66 years old(40.67±6.13)years old,12 on the left shoulder and 13 on the right shoulder.The treatment was treated with pain point touch bloodletting therapy.The visual analog scale(VAS)pain score,University of California,Los Angeles(UCLA)shoulder system score and shoulder Constant-Murley score were used to evaluate the therapeutic effect before treatment,1 weeks,1 month and 3 months after treatment,respectively.Results One patient in the control group gave up follow-up for personal reasons after 1 week of treatment,and the other 44 patients completed all follow-up.Six months after treatment,there were no recurrence cases in both groups.After statistical analysis,VAS pain score,UCLA score and Constant-Murley score of the treatment group and the control group were significantly different from those before treatment(P＜0.05),and the improvement was more obvious in the treatment group.There was no statistical significance between the two groups(P＞0.05).Conclusion Bloodletting under pain point touch and ultrasound-guided puncture decompression are effective in the treatment of acute calcific supraspinatus tendinitis,with simple operation and low cost,which can effectively reduce local pain and effectively improve shoulder joint function.Primary hospitals can selectively operate treatment according to their own conditions.
万方数据
维普
