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肩关节周围炎患者的体外冲击波联合常规康复治疗效果

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目的 分析肩关节周围炎患者应用体外冲击波联合常规康复治疗的临床效果。方法 选取2020年1月至2022年12月福州市第二医院诊治的80例肩关节周围炎患者进行研究,分为对照组(常规康复治疗,40例)、观察组(体外冲击波联合常规康复治疗,40例),比较两组治疗效果、治疗前后疼痛[视觉模拟评分法(VAS)]评分、关节活动度、肩关节活动度(CMS)评分。结果 对照组治疗总有效率低于观察组,差异有统计学意义(P<0。05)。观察组治疗后VAS评分低于对照组,差异有统计学意义(P<0。05)。观察组治疗后外展、前屈角度高于对照组,差异有统计学意义(P<0。05)。观察组治疗后CMS评分高于对照组,差异有统计学意义(P<0。05)。结论 肩关节周围炎患者应用体外冲击波联合常规康复治疗,可以促进疼痛症状和肩关节功能显著改善,生活质量和治疗效果显著提高,值得推广。
Effect of extracorporeal shock wave combined with conventional rehabilitation therapy on patients with scapulohumeral periarthritis
Objective To analyze the clinical efficacy of extracorporeal shock wave combined with conventional rehabilitation treatment in patients with shoulder periarthritis.Methods A study was conducted on 80 patients with shoulder periarthritis treated at the Second Hospital of Fuzhou City from January 2020 to December 2022.They were divided into a control group(40 cases receiving conventional rehabilitation treatment)and an observation group(40 cases receiving extracorporeal shock wave combined with conventional rehabilitation treatment),and the treatment effects were compared between the two groups.Pre treatment and post treatment visual analogue scale(VAS)scores,joint range of motion,and coleman methodology score(CMS).Results The total effective rate of the control group was lower than that of the observation group,with difference was statistically significant(P<0.05).The VAS score of the observation group after treatment was lower than that of the control group,with difference was statistically significant(P<0.05).The observation group had higher angles of abduction and flexion after treatment compared to the control group,with differences were statistically significant(P<0.05).The CMS score of the observation group after treatment was higher than that of the control group,with difference was statistically significant(P<0.05).Conclusion The treatment of patients with shoulder periarthritis using extracorporeal shock wave combined with conventional rehabilitation therapy can significantly improve pain symptoms and shoulder joint function,improve quality of life and treatment effectiveness,and is worthy of promotion.

Periarthritis of the shoulder jointExtracorporeal shock waveRoutine rehabilitation treatmentJoint range of motionShoulder joint range of motion

黄秋萍、陈秀清、郭晓佳、叶国标、马永敏、洪艺生

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福州市第二医院康复治疗部,福建福州 350000

肩关节周围炎 体外冲击波 常规康复治疗 关节活动度 肩关节活动度

福建省创伤骨科急救与康复临床医学研究中心项目

闽科社[2021]1号

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(6)
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