肩关节双注射治疗早期冻结肩的临床研究

Intra-articular and subacromial corticosteroid injection for the treatment of early stage frozen shoulder

目的探讨肩关节腔内及肩峰下双注射治疗早期冻结肩的方法及疗效。方法 2003年10月至2006年7月对门诊76例Ⅰ、Ⅱ期冻结肩患者,肩关节腔内及肩峰下双注射德宝松加利多卡因,注射后均进行系统的、正规的肩关节功能锻炼治疗。随访观察治疗前、后盂肱关节功能和疼痛改善情况,使用VAS疼痛评分和Constant肩关节功能评分进行肩关节功能评估。结果从首次治疗后经1-6个月（平均5.1个月）的门诊随访,Ⅰ、Ⅱ期冻结肩VAS评分治疗前、后分别为：（6.4±1.7）,（3.4±2.1）;（6.6±2.3）,（3.7±2.1）。Constant评分分别为：（32.6±12.7）,（89.3±10.5）;（28.9±11.2）,（83.7±9.8）。结论行肩关节腔内及肩峰下双注射德宝松加利多卡因是治疗早期冻结肩的一个较好方法。

Objective To investigate the effect of intra-articular and subacromial corticosteroid injection to early stage frozen shoulder.Methods From October 2003 to July 2006,76 cases of patients with stage Ⅰ and Ⅱ frozen shoulder treated with intra-articular and subacromial corticosteroid and lidocaine injection,then treated with a systematic,regular exercise.The glenoid humeral joint pain and function,VAS score and Constant score were recorded in followup.Results The follow-up ranged from 1-6 months（mean 5.1 months）,VAS score of stage Ⅰ and Ⅱ frozen shoulder before and after treatment were：6.4±1.7,3.4±2.1;6.6±2.3,3.7±2.1.Constant score were：32.6±12.7,89.3±10.5;28.9±11.2,83.7±9.8 respectively.Conclusion Intra-articular and subacromial corticosteroid injection is a good method to manage early stage frozen shoulder.