超激光联合汽化药热疗法治疗糖尿病患者冻结肩的疗效分析

Linearly polarized near-infrared irradiation combined with aerothermotherapy for treatment of frozen shoulder in diabetic patients

目的观察超激光联合汽化药热疗法治疗冻结肩合并糖尿病的临床效果,探讨安全、有效、无创治疗冻结肩合并糖尿病患者的方法。方法 84例冻结肩合并糖尿病的患者随机分为3组,疗程均为20 d。对照组(C组):采用药物治疗和肩关节功能锻炼;超激光组(S组):在对照组的基础上,加用超激光照射治疗,1次/d;超激光+汽化药热疗组(S+P组):在对照组的基础上,加用超激光照射及汽化药热疗法治疗,1次/d。以患肩疼痛程度(采用视觉模拟评分法VAS)及肩关节活动障碍度评估治疗效果。结果 3组患者治疗20 d后VAS评分及肩关节活动障碍度积分较治疗前明显下降,差异有显著性(P<0.01);S+P组患者治疗后VAS评分和肩关节活动障碍度积分低于C组及S组,差异有显著性意义(P<0.05);S+P组治愈率较C组及S组高,差异有显著性(P<0.01)。结论超激光联合汽化药热疗法可明显提高冻结肩合并糖尿病患者的治愈率,是一种无创、短程、高效的好方法。

Objective To evaluate the effect of linearly polarized near-infrared irradiation （Super Lizer） combined with aerothermotherapy in the treatment of patients with frozen shoulder and diabetes. Methods Eighty-four diabetic patients with frozen shoulder were randomized into 3 groups to receive a 20-day treatment with drug therapy and shoulder exercise （control group）, daily linearly polarized near-infrared irradiation in addition to the control therapy （Super Lizer group）, or daily Super lizer and aerothermotherapy （S＋P group） in addition to the control therapy. Visual analogue scale was used to assess the changes in the pain intensity, and the shoulder movement was assessed using shoulder movement disorder degree integral scores. Results After the 20-day treatment, the VAS scores and shoulder movement disorder degree integral scores in the 3 groups all significantly decreased （P〈0.05）, and these scores in Super Lizer group and S＋P group were significantly lower than those in the control group （P〈0.05）. The cure rate in S＋P group was significantly higher than that in the other two groups （P〈0.01）. Conclusion Linearly polarized near-infrared irradiation combined with aerothermotherapy is effective for treatment of patients with frozen shoulder and diabetes with a high cure rate and short treatment course.