威伐光联合体外冲击波治疗老年肩袖损伤的疗效观察

doi:10.3969/j.issn.1003-9198.2022.09.019

摘要/Abstract

摘要： 目的观察威伐光联合体外冲击波治疗老年肩袖损伤病人的临床疗效。方法将62例老年肩袖损伤病人按随机数表法分为观察组和对照组,每组各31例。2组病人均给予威伐光治疗,观察组在此基础上给予体外冲击波治疗。分别于治疗开始前和治疗4周后,采用VAS、美国加州大学(UCLA)肩关节评分量表和肩关节活动度(ROM)进行评估,并比较2组病人治疗4周后的临床疗效。结果治疗前,2组VAS评分、UCLA肩关节评分及肩关节外展、内旋和外旋ROM比较,差异均无统计学意义(P>0. 05);治疗4周后,2组VAS评分、UCLA肩关节评分及肩关节外展、内旋和外旋ROM均较治疗前有所改善,且观察组的改善均优于对照组,差异具有统计学意义(P<0.05或P<0.01);治疗4周后,观察组的临床有效率显著高于对照组,差异具有统计学意义(P<0.05)。结论威伐光联合体外冲击波能够缓解老年肩袖损伤病人疼痛,改善肩关节功能和关节活动度,临床疗效显著,该联合疗法值得临床进一步应用和推广。

关键词: 体外冲击波, 威伐光, 肩袖损伤, 老年人

Abstract: Objective To observe the clinical effect of water-filtered infrared-A combined with extracorporeal shock wave in the treatment of elderly patients with rotator cuff injury. Methods A total of 62 elderly patients with rotator cuff injury were randomly divided into the control group and the observation group, with 31 cases in each group. Both groups received water-filtered infrared-A therapy, and the observation group received extracorporeal shock wave therapy additionally.Visual analog scale(VAS), University of California at Los Angeles(UCLA)shoulder scale and range of motion(ROM)were assessed before and 4 weeks after treatment,and the clinical efficacy was also compared between the two groups after 4 weeks of treatment. Results There were no significant differences in VAS, score of UCLA shoulder scale and ROM of shoulder joint of abduction,inward rotation and outward rotation between the two groups before treatment(P>0.05).After 4 weeks of treatment, the scores of VAS, UCLA shoulder scale and ROM of abduction,inward rotation and outward rotation improved in both groups,especially in the observation group(P<0.05 or P<0.01). After 4 weeks of treatment,the clinical effect of the observation group was more significant than that of the control group(P<0.05). Conclusions Water-filtered infrared-A combined with extracorporeal shock wave can relieve pain and improve the function and ROM of shoulder joint in the elderly patients with rotator cuff injury,and the clinical effect is significant.

Key words: extracorporeal shock wave, water-filtered infrared-A, rotator cuff injury, aged

中图分类号:

R493

奚旸, 顾晓美, 孔易萌, 张桂林, 孙志成. 威伐光联合体外冲击波治疗老年肩袖损伤的疗效观察[J]. 实用老年医学, 2022, 36(9): 948-951.

XI Yang, GU Xiao-mei, KONG Yi-meng, ZHANG Gui-lin, SUN Zhi-cheng. Clinical effects of water-filtered infrared-A combined with extracorporeal shock wave in elderly patients with rotator cuff injury[J]. Practical Geriatrics, 2022, 36(9): 948-951.

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