| Objective: To evaluate the effectiveness of ultrasound-guided triacinolone combined with hyaluronic acid injection for scapulohumeral periarthritis. Method: Forty-four cases of scapulohumeral periarthritis were randomly divided into observation group and control group, 22 patients in each group. All patients were given conventional rehabilitation training, drug therapy, health education, and ultrasound guided triamcinolone injection. The observation group was given hyaluronic acid injection additionally. Both groups were treated for 4 weeks. VAS, Melle and PSQI scores of patients were assessed before, and 2, 4 weeks after treatment, Patients were followed up at 8th week after treatment. Results: After treatment for 2 weeks, scores of VAS, Melle and PSQI were significantly decreased in both groups as compared with those before treatment (all P<0.05), but there was no statistically significant difference between the two groups (P>0.05). After treatment for 4 weeks, scores of VAS, Melle and PSQI in both groups were significantly decreased as compared with those before treatment and at 2nd week after treatment (all P<0.05), more significantly in observation group than in control group (P<0.05).Patients were followed up from 8th week after treatment, scores of VAS, Melle and PSQI in both groups were reduced to varying degrees as compared with those before treatment and at 2nd week after treatment (all P<0.05), more significantly in observation group than in control group (P<0.05), but they were not different from those at 4th week after treatment. The alleviation of pain was positively correlated with the improvement of sleep quality index (r=0.732). Conclusion: Ultrasound-guided triamcinolone combined with hyaluronic acid injection can effectively reduce the pain of patients with scapulohumeral periarthritis, and improve the function of shoulder joint movement and the quality of sleep, and its clinical effect is superior to that of single triamcinolone injection. Moreover, there was a positive correlation between pain improvement and sleep quality index improvement. |
