体外冲击波治疗软组织损伤性疼痛的临床研究

Extracorporeal Shock Wave Therapy on Pain Caused by Soft Tissue Injury

目的观察体外冲击波对软组织损伤性疼痛的治疗作用。方法 214例软组织损伤患者,其中网球肘63例、肩周炎106例、跟痛综合征45例,随机分为观察组和对照组,每组各107例。观察组以患者的疼痛点为中心,行体外冲击波疗法;对照组给予复方倍他米松局部封闭,加以按摩和药物等治疗。分别观察治疗前及治疗后4周、8周和12周的视觉模拟评分(VAS)。结果治疗前及治疗后第4周,两组VAS评分无显著性差异(P>0.05)。治疗后第8周和第12周,观察组VAS评分明显低于对照组(P<0.01);观察组疗效的总优良率为87.85%,明显高于对照组(P<0.01)。结论体外冲击波疗法是一种有效的治疗肌肉肌腱等软组织损伤性疼痛的方法。

Objective To observe the therapeutic effect of extracorporeal shock wave therapy on the pain caused by soft tissue injury.Methods There were 63 cases with tennis elbow,106 cases with frozen shoulder,and 45 cases with the pain syndrome. All the 214 cases were divide into study group and control group,107 cases in each group. The study group received extracorporeal shock wave therapy around the pain point; the control group recieved partial closure,massage,and drugs treatment. Visual Analogue Scale （VAS） were assessed before and 4 weeks,8 weeks and 12 weeks after treatment.Results The scores of VAS showed no difference between the two groups before and 4 weeks after the treatment （P0.05）. The study group improved in VAS 8 weeks and 12 weeks after the treatment compared to the control group （P0.01）; the overall efficacy rate was higher in the study group than in the control group （P0.01）.Conclusion Extracorporeal shock wave therapy is effective to treat the pain caused by soft tissue injury.