冲击波治疗肩周炎的单盲研究

Extracorpereal shock wave therapy for scapulohumeral periarthritis:a single blind study

目的:用单盲的研究方法评定冲击波治疗(ESWT)肩周炎的临床效果。方法:选取47例肩周炎患者,将其随机分为两组,其中冲击波治疗组给予冲击波治疗(n=26),对照组给予关节松动术加短波治疗(n=21)。简化McGill疼痛问卷(short form McGill pain questionaire,SF-MPQ)用来评估患者治疗前,疗程结束时,疗程结束后第1周,第4周,第8周疼痛症状的改变,肩关节功能使用关节活动度(ROM)改变来评估治疗前与疗程结束时的变化。结果:试验结束后,两组患者的疼痛症状较治疗前有明显改善(P<0.05)且ROM显著增加(P<0.05)。其治疗效果的两组间比较差异无显著性意义(P>0.05)。结论:冲击波治疗作为一种安全、有效且省时的治疗方法,能够用于肩周炎的治疗。

Objective： To evaluate clinical outcomes of extracorpereal shock wave therapy （ESWT） to scapulohumeral periarthritis in a single blind study. Method： Forty-seven patients with chronic, symptomatic scapulohumeral periarthritis were tested. A single blind controlled study was performed with 26 cases undergone ESWT （ ESWT group ） and 21 treated by joint mobilization combined with shortwave therapy （ control group）. Pain and functional assessment were carried out according to the Short Form McGill Pain Questionaire （SF-MPQ） and range of motion （ROM）. SF-MPQ was assessed pre-and post-treatment, and at the 1st week, 4th week and 8th week after the course of treatment and ROM was assessed pre- and post-treatment merely. Result：Patients of both groups got obvious relief in shoulder pain and great improvement of ROM, but compared with control group,there was no significant difference in SF-MPQ scores and promotion of ROM in ESWT group. Conclusion： As a good tolerant, safe, and time saving therapy, ESWT can be utilized as an alternative treatment for scapulohumeral periarthritis.