文章摘要
刘丽明,尚鸿生,郑燕宇.放射式冲击波治疗桡骨茎突狭窄性腱鞘炎的疗效观察[J].中国康复,2014,(6):439-441
放射式冲击波治疗桡骨茎突狭窄性腱鞘炎的疗效观察
Curative effectiveness of radial shock wave for radius styloid process stenosing tenosynovitis
  
DOI:
中文关键词: 腱鞘炎  放射式冲击波  封闭疗法
英文关键词: tenosynovitis  radial shock wave  blocking therapy
基金项目:
作者单位
刘丽明 深圳平乐骨伤科医院 深圳 518000 
尚鸿生 深圳平乐骨伤科医院 深圳 518000 
郑燕宇 深圳平乐骨伤科医院 深圳 518000 
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中文摘要:
      目的:观察放射式冲击波治疗桡骨茎突狭窄性腱鞘炎的临床疗效。 方法:112例患者分为观察组57例和对照组55例,观察组采用放射式冲击波治疗,对照组采用局部封闭治疗。采用疼痛数字评价量表(NRS)和Cooney腕关节功能评分评价腕关节功能,比较2组痊愈率,复发率及患者的不良反应率。结果:治疗1周时,2组NRS评分均明显下降(P<0.05),且对照组NRS评分明显低于观察组(P<0.05) ;治疗4周后,观察组NRS评分显著低于治疗1周时及对照组(P<0.05);对照组治疗4周后NRS评分较治疗1周时有所上升,但差异无统计学意义。治疗4周后,2组Cooney腕关节功能评分均较治疗前明显提高(P<0.05),且观察组更高于对照组(P<0.05);治疗4周后,观察组痊愈率更高于对照组(P<0.05);6个月后回访,观察组复发率明显低于对照组(P<0.05);观察组副作用发生率明显低于对照组(P<0.05)。结论:放射式冲击波治疗桡骨茎突狭窄性腱鞘炎的疗效优于封闭疗法,且复发率低,无副作用,重复操作性强。
英文摘要:
      Objective: To observe the clinical efficacy of radial shock wave therapy for radius styloid process stenosing tenosynovitis. Methods: A total of 112 patients were divided into observation group (57 cases) and control group (55 cases), given the radial shock wave therapy, and blocking therapy respectively. Digital pain rating scale (NRS) and Cooney wrist joint function score were applied to evaluate the wrist joint function. The curative rate, recurrent rate and adverse reaction rate were compared between two groups. Results: After treatment for one week, the NRS scores in both two groups were significantly decreased (P<0.05), and those in control group were significantly lower than in observation group (P<0.05). After treatment for 4 weeks, the NRS scores in observation group were significantly lower than those at first week and in control group (both P<0.05). NRS scores in control group after treatment for 4 weeks were slightly increased as compared with those at first week, but there was no statistically significant difference. After treatment for 4 weeks, Cooney wrist joint function scores were increased obviously (P<0.05), and those in observation group were significantly higher than in control group (P<0.05). After treatment for 4 weeks, the curate rate was significantly higher in observation group than in control group (P<0.05). At 6th month, the recurrent rate in observation group was significantly lower than in control group (P<0.05). The incidence of the side effects in observation group was obviously lower than in control group (P<0.05). Conclusion: The efficacy of radial shock wave therapy for radius styloid process stenosing tenosynovitis is better than blocking therapy.
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