发散式体外冲击波辅助治疗关节外源性慢性疼痛的效果

Effects of Divergent Extracorporeal Shock Wave in the Treatment of Chronic Joint Pain

目的:探讨关节外源性慢性疼痛治疗中发散式体外冲击波辅助治疗的效果。方法:回顾性选取2019年2月至2021年2月永安市立医院收治的关节外源性慢性疼痛患者80例,依据治疗方法不同分为康复训练组(常规康复训练治疗)和辅助治疗组(常规康复训练基础上增加发散式体外冲击波辅助治疗),每组各40例。统计分析两组患者疼痛程度、功能障碍、肢体功能、生活质量[世界卫生组织生存质量简表(WHOQOL-100)]、疼痛和肿胀消退时间、临床疗效、治疗满意度。结果:治疗后,辅助治疗组患者的视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)评分低于康复训练组,上肢、下肢简式Fugl-Meyer量表(FMA)评分均高于康复训练组,差异均具有统计学意义(P<0.05);治疗后,辅助治疗组患者环境、生理、心理、独立、社会、精神/信仰/宗教评分均高于康复训练组,差异均具有统计学意义(P<0.05);辅助治疗组患者的疼痛、肿胀消退时间均短于康复训练组,差异具有统计学意义(P<0.05);辅助治疗组患者的治疗总有效率为97.50%,高于康复训练组的72.50%,差异具有统计学意义(P<0.05);辅助治疗组患者治疗满意度为97.50%,高于康复训练组的80.00%,差异具有统计学意义(P<0.05)。结论:关节外源性慢性疼痛治疗中发散式体外冲击波辅助治疗的效果好。

Objective To investigate the effect of divergent extracorporeal shock wave in the treatment of chronic joint pain.Methods 80 patients with joint exogenous chronic pain admitted to Yong’an Municipal Hospital from February 2019 to February 2021 were retrospectively selected,and divided into rehabilitation training group(conventional rehabilitation training treatment)and adjuvant therapy group(conventional rehabilitation training addition of divergent extracorporeal shock wave adjuvant therapy)according to different treatment methods,with 40 cases in each.The degree of pain,dysfunction,limb function,quality of life[World Health Organization short form of quality of life-100(WHOQOL-100)],pain and swelling regression time,clinical efficacy,and treatment satisfaction in the two groups were statistically analyzed.Results After treatment,the scores of visual analogue scale(VAS)and Oswestry disability index(ODI)in the auxiliary treatment group were lower than those in the rehabilitation training group,and the scores of the upper limb and lower limb simple Fugl-Meyer assessment scale(FMA)were higher than those in the rehabilitation training group,the differences were statistically significant(P<0.05).After treatment,the environmental,physiological,psychological,independent,social,spiritual/belief/religion scores of the adjuvant therapy group were higher than those of the rehabilitation training group,the differences were statistically significant(P<0.05).The times of pain and swelling regression in the adjuvant therapy group were shorter than those in the rehabilitation training group,and the differences were statistically significant(P<0.05).The total effective rate of the adjuvant therapy group was 97.50%,higher than 72.50%of the rehabilitation training group,and the difference was statistically significant(P<0.05).The satisfaction of patients in the auxiliary treatment group was 97.50%,higher than 80.00%in the rehabilitation training group,and the difference was statistically significant(P<0.05).Conclusion The diverging extracorporeal shock wave is effective in the treatment of joint exogenous chronic pain.