肩关节腔注射玻璃酸钠联合痛点阻滞治疗肩周炎20例

Intra-articular Injection of Sodium Hyaluronate Combined with Steroid at Tender Points for Treatment of 20 Cases of Adhesive Capsulitis

目的比较单纯肩周痛点阻滞和痛点阻滞联合肩关节腔注射玻璃酸钠的疗效。方法肩周炎患者40例,随机分为两组,每组20例。对照组给予复方倍他米松注射液痛点阻滞,治疗组给予复方倍他米松注射液痛点阻滞和肩关节腔玻璃酸钠注射液2.5 mL注射,疗程均为3周。治疗结束后随访8周,观察两组疼痛评分、肩关节运动评分、个人满意度等。结果两组患者肩周疼痛均明显缓解,肩关节活动度均明显改善,治疗组疼痛缓解更为迅速,肩关节运动评分明显高于对照组(P<0.05)。结论肩关节活动严重受限的肩周炎采用痛点阻滞与玻璃酸钠注射液肩关节腔注射联合治疗效果确切,疼痛缓解迅速,功能恢复较快。

Objective To compare effects of steroid injection alone or in combination with intra-articular injection of sodium hyaluronate on adhesive capsulitis. Methods Forty patients with adhesive capsulitis were randomly divided into two groups： steroid injection at tender points only as control group ; steroid injection in combination with intra-articular injection of sodium hyaluronate at tender points as treatment group . All patients underwent 3 weeks therapy with 8 weeks follow-up. NRS, shoulder joint function and patient-satisfaction score were recorded. Results The shoulder pain in both two groups were relieved and joint activity were significantly improved. Moreover, treatment group was more effective than control group （P 〈 0.05 ）. Conclusion Intra-articular injection of sodium hyaluronate combined with steroid injection at tender points is a quick and effective method for treating adhesive capsulitis, by relieving pain and restoring joint function.