射频针刀联合臭氧关节腔注射治疗肩周炎临床疗效观察

Clinical observation on the treatment of periarthritis of shoulder by radiofrequency needle combined with ozone combined injection

关键词:  射频针刀  医用臭氧  肩周炎

Key words:  radiofrequency needle knife  medical ozone  periarthritis of shoulder

摘要:

[目的] 观察射频针刀结合医用臭氧关节腔注射治疗肩周炎的临床疗效。[方法] 将142例肩周炎患者随机分为治疗组（射频针刀联合医用臭氧治疗）和对照组（手法治疗）两组，其中治疗组72例，对照组70例。治疗前后采用视觉模拟评分法（VAS）进行评分，采用Constant肩关节功能评分标准进行评估，治疗效果采用《中医病证诊断疗效标准》中关于肩周炎的疗效标准进行评价。[结果] 治疗后两组VAS评分均低于治疗前，差异有统计学意义（P<0.05）；治疗2周后、治疗1个月后，治疗组和对照组相比，治疗组VAS评分均较对照组低，差异具有统计学意义（P<0.05）；治疗后两组Constant评分均比治疗前高，差异具有统计学意义（P<0.05）；治疗2周后、治疗1个月后，治疗组和对照组比较，治疗组Constant评分均高于对照组，差异均有统计学意义（P<0.05）；治疗1个月后，治疗组愈显率优于对照组，差异有统计学意义（P<0.05）；总有效率比较，差异无统计学意义（P>0.05）。[结论] 射频针刀联合臭氧治疗肩周炎在改善患者疼痛及患肩功能方面疗效确切，且近期疗效稳定，远期疗效仍需进一步观察。

Abstract:

[Objective] To observe the clinical effect of radiofrequency needle knife combined with medical ozone joint injection in the treatment of periarthritis of shoulder.[Methods] The 142 patients with frozen shoulder were randomly divided into two groups, radiofrequency knife combined with medical ozone treatment group and manipulation group, treatment group (n=72) and control group (n=70). Visual analogue scale (VAS) and Constant shoulder function score criteria were used for evaluation before and after treatment. The therapeutic effect was evaluated by the standard of curative effect of periarthritis of shoulder.[Results] The VAS score of the treatment group and the control group were lower than those before treatment (P<0.05). After 2 weeks and 1 month of treatment, compared with the control group, the VAS score of the treatment group was lower, the difference was statistically significant (P<0.05). Constant score was higher in both of the treatment group and the control group after treatment, the difference was statistically significant (P<0.05). After 2 weeks and 1 month of treatment, compared to the control group, Constant score of the treatment group was higher than the control group, and the difference was statistically significant (P<0.05). After 1 month of treatment, the treatment group showed better rate of treatment than the control group, and the difference was statistically significant (P<0.05).Total effective comparison was no statistical significance(P>0.05).[Conclusion] Radiofrequency needle knife combined with ozone treatment of frozen shoulder have improvement of pain and shoulder function in patients with the exact effect and the recent efficacy is stability. Long-term efficacy still needs further observation.