臭氧配合小针刀痛点治疗肩周炎30例临床观察

Clinical observation of ozone with small-needle-knife in treatment of periarthritis of shoulder

目的观察臭氧配合小针刀痛点治疗肩周炎的临床疗效。方法将2011年9月至2013年12月在该院骨科确诊为肩周炎的60例患者随机分为治疗组和对照组，各30例。治疗组给予配制液（2％利多卡因1．25mL、曲安奈德10mg加生理盐水至10mL）注射、臭氧配合小针刀痛点治疗；对照组给予配制液（同治疗组）封闭注射治疗。比较治疗前后两组患者视觉模拟评分法（VAS）、Constant-Murley肩关节功能及疼痛评分，镇痛及肩关节功能恢复总有效率。结果经1～3次治疗后，两组患者的VAS7EConstant—Murley肩关节功能评分均明显优于治疗前，且治疗组显著优于对照组．差异均有统计学意义（P〈0．05）；治疗组患者的镇痛总有效率[93．33％（28／30）]和肩关节功能总有效率[90．00％（27／30）]均高于对照组[83．33％（25／30），60．00％（18／30）]，差异均有统计学意义（P〈0.05）。结论臭氧配合小针刀痛点治疗肩周炎具有良好疗效。

Objective To observe clinical curative effect of ozone with small-needle-knife in treatment of periarthritis ot shoulder. Methods Sixty patients diagnosed as periarthritis of shoulder were randomly divided into the treatment group and thr control group,30 of each group. The treatment group was injected with compound fluid including 1.25 mL 2% lidocaine, 10 mg triamcinolone acetonide and 10 mL normal saline combined ozone combined with small-needle-knife therapy. The control group was given the same compound fluid as the treatment group under sealing injection .The two groups were scored to VAS, shoulder joint functions, pain, analgesia and recovery of shoulder joint functions before and after the treatment. Results After the treat- ment for one to three times, the treatment group in the shoulder joints functions were better than those of the control group, whose difference was statistically significant （P〈0.05）. The total effective rate of analgesia[93.33% （28/30）], the total effective rate of shoulder joint function [90.00% （27/30） ] were higher than those of the control group [83.33% （25/30）, 60.00% （ 18/30 ） ], whose dif ference had statistical significance （P〈0.05）. Conclusion The treatment of ozone with small-needle-knife in treatment of peri- arthritis of shoulder is possess with good curative effect.