文章摘要
华强,夏文广,李婧,王娟,王胜洁,汪立梅.超声引导下肩袖三角间隙注射结合常规康复技术治疗部分及全层小撕裂型肩袖损伤[J].中国康复,2020,35(9):467-471
超声引导下肩袖三角间隙注射结合常规康复技术治疗部分及全层小撕裂型肩袖损伤
Injection of triangular space of rotator cuff under the guidance of ultrasound combined with conventional rehabilitation techniques for partial and full-thickness small tear rotator cuff injury
  
DOI:
中文关键词: 肩袖损伤  超声引导  肩袖三角间隙注射  痛点注射  常规康复技术
英文关键词: rotator cuff injury  ultrasound guidance  injection of triangular space of rotator cuff  pain point injection  conventional rehabilitation techniques
基金项目:
作者单位
华强 湖北省中西医结合医院康复医学中心武汉 430015 
夏文广 湖北省中西医结合医院康复医学中心武汉 430015 
李婧 湖北省中西医结合医院康复医学中心武汉 430015 
王娟 湖北省中西医结合医院康复医学中心武汉 430015 
王胜洁 湖北省中西医结合医院康复医学中心武汉 430015 
汪立梅 湖北省中西医结合医院康复医学中心武汉 430015 
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中文摘要:
  目的:观察超声引导下肩袖三角间隙注射结合常规康复技术治疗部分及全层小撕裂型肩袖损伤的临床疗效。方法:将部分或全层小撕裂型肩袖损伤患者128例随机分为对照组42例、痛点注射组 43例和超声注射组43例(最终脱失7例)。3组患者均接受常规康复治疗,痛点注射组加行肩关节局部痛点注射,超声注射组加行超声引导下肩袖三角间隙注射。治疗前和治疗3周后对患者进行肩痛程度视觉模拟评分(VAS)、Constant-Murley肩关节评分系统(CMS)各分项评分及功能独立性测量量表(FIM)中的自理能力评定,并比较3组临床治疗的总有效率。结果:治疗3周后,3组患者VAS评分较治疗前比较均明显降低(均P<0.01),痛点注射组和超声注射组较对照组评分均更低(均P<0.05),且超声注射组更低于痛点注射组(P<0.05);3组患者CMS各项评分和FIM的自理能力评分较治疗前均明显提高(均P<0.01),痛点注射组和超声注射组较对照组上述评分均更高(均P<0.05),且超声注射组更高于痛点注射组(P<0.05);痛点注射组和超声注射组临床疗效的总有效率均明显高于对照组(均P<0.05),且超声注射组总有效率更高于痛点注射组(P<0.05)。结论:超声引导下肩袖三角间隙注射结合常规康复技术较痛点注射结合常规康复技术治疗部分及全层小撕裂型肩袖损伤能更好地减轻患者临床症状,改善肩关节功能,提高日常生活自理能力,疗效更好。
英文摘要:
  Objective: To observe the clinical efficacy of injection of triangular space of rotator cuff under the guidance of ultrasound combined with conventional rehabilitation techniques in the treatment of partial and full thickness small tear rotator cuff injury. Methods: 128 patients with partial and full thickness small tear rotator cuff injury were randomly divided into control group (42 cases), pain point injection group (43 cases) and ultrasound guided injection group (43 cases). All three groups received routine rehabilitation treatment, pain point injection group was treated with local pain point injection of the shoulder joint, and ultrasound injection group was treated with injection of triangular space of rotator cuff under the guidance of ultrasound. Visual analogy scale score (VAS), Constant Murley shoulder score system (CMS) score and self care ability score in functional independence measure (FIM) were compared before and 3 weeks after treatment. The total effective rate of clinical treatment among the three groups was compared. Results: After 3 weeks of treatment, the VAS scores in the three groups were significantly lower than those before treatment (all P<0.01), those in the pain point injection group and ultrasonic injection group were lower than those in the control group (both P<0.05), and those in the ultrasonic injection group were lower than those in the pain point injection group (P<0.05). The CMS scores and FIM self care ability scores in the three groups were significantly higher than those before treatment (all P<0.01), those in the pain point injection group and ultrasonic injection group were higher than those in the control group (all P<0.05), and those in the ultrasonic injection group were higher than those in the pain point injection group (P<0.05). The total effective rate in the pain point injection group and ultrasonic injection group was significantly higher than that in the control group (both P<0.05), and that in the ultrasonic injection group was higher than that in the pain point injection group (P<0.05).Conclusion: Compared with pain point injection combined with conventional rehabilitation technology, injection of triangular space of rotator cuff under the guidance of ultrasound combined with conventional rehabilitation technology can significantly alleviate the clinical symptoms, improve the function of shoulder joint and the ability of daily life of patients, and exert better effects.
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