脉冲射频联合体外冲击波治疗对肩周炎患者疼痛程度及肩关节活动度的影响

The Effect of Pulse Radio Frequency Combined with Extracorporeal Shock Wave Therapy on the Degree of Pain and Shoulder Joint Mobility in Patients with Scapulohumeral Periarthritis

目的探究脉冲射频联合体外冲击波治疗对肩周炎患者疼痛程度及肩关节活动度的影响.方法选择2021年12月—2022年9月该院收治的114例肩周炎患者为研究对象,按照随机数字表法分为两组,每组57例.对照组采用脉冲射频治疗,观察组采用脉冲射频联合体外冲击波治疗,两组均治疗1个月.对比两组疼痛程度、肩关节活动度、肩关节功能、生活质量.结果治疗后1个月,观察组疼痛视觉模拟评分为(2.19±0.73)分,低于对照组的(4.11±0.91)分,美国加州大学洛杉矶分校肩关节评分系统评分为(26.85±3.02)分,高于对照组的(22.47±3.88)分,健康状况调查简表中的生理机能、生理职能、躯体疼痛、精力、社会功能、情感职能、心理健康、总体健康评分分别为(78.35±7.05)分、(80.55±5.89)分、(85.54±2.04)分、(79.45±2.18)分、(80.54±3.14)分、(81.76±2.42)分、(83.51±2.12)分、(85.91±2.11)分,均高于对照组的(70.45±6.12)分、(72.22±5.05)分、(80.11±3.58)分、(72.48±3.58)分、(71.43±4.52)分、(74.59±3.36)分、(77.45±3.28)分、(79.62±3.89)分,肩关节外展、前屈、后伸角度分别为(133.01±18.24).、(122.82±18.28).、(40.04±3.17).,均大于对照组的(108.51±17.45).、(102.51±17.43).、(33.84±2.91).,组间差异有统计学意义(P<0.05).结论脉冲射频联合体外冲击波治疗肩周炎患者的疗效更佳,可减轻疼痛,改善肩关节活动度及其功能,提高生活质量.

Objective To investigate the effect of pulse radio frequency combined with extracorporeal shock wave therapy on the degree of pain and shoulder joint range of motion in patients with scapulohumeral periarthritis.Methods 114 patients with scapulohumeral periarthritis admitted to the hospital from December 2021 to September 2022 were selected as the research objects,and were divided into two groups according to random number table method,with 57 patients in each group.The control group received pulse radio frequency therapy,while the observation group received pulse radio frequency combined with extracorporeal shock wave therapy.Both groups were treated for 1 month.Compare the degree of pain,shoulder joint range of motion,shoulder joint function,and quality of life between the two groups.Results 1 month after treatment,the pain visual analogue scale score of the observation group was(2.19±0.73)points,which was lower than(4.11±0.91)points of the control group,the University of California at Los Angeles shoulder rating scale score of the observation group was(26.85±3.02)points,which was higher than(22.47±3.88)points of the control group,the scores of physiological functionality,physiological function,physical pain,energy,social function,emotional function,mental health and general health in the MOS item short from health survey of the observation group were(78.35±7.05)points,(80.55±5.89)points,(85.54±2.04)points,(79.45±2.18)points,(80.54±3.14)points,(81.76±2.42)points,(83.51±2.12)points,(85.91±2.11)points,respectively,which were higher than(71.43±4.52)points,(74.59±3.36)points,(77.45±3.28)points,(79.62±3.89)points,(71.43±4.52)points,(74.59±3.36)points,(77.45±3.28)points,(79.62±3.89)points of the control group,the angles of abduction,flexion and extension of shoulder joint in the observation group were(133.01±18.24)。,(122.82±18.28)。,(40.04±3.17)。,respectively,which were greater than(108.51±17.45)。,(102.51±17.43)。,(33.84±2.91)。in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The combination of pulse radio frequency and extracorporeal shock wave therapy is more effective in treating patients with scapulohumeral periarthritis,which can reducing pain,improving shoulder joint mobility and function,and improving quality of life.