液压扩张治疗肩关节周围炎的系统评价

Hydraulic distension for shoulder periarthritis:A systematic review

目的:运用循证医学方法系统评价液压扩张治疗肩关节周围炎的有效性及安全性。方法:计算机检索Cochranelibrary、MEDLINE、EMbase、CBM、CNKI(2001年1月-2011年1月),并手工检索相关期刊与会议论文纳入液压扩张治疗肩关节周围炎的随机对照试验,按照纳入与排除标准选择试验、评价质量和提取有效数据,而后采用RevMan5.1软件进行Meta分析。结果:一共有4个RCT临床试验资料纳入到本系统评价,对于纳入研究的其中3个RCT进行了META分析。与单纯关节腔封闭治疗相比。在中期(6～8周时)SPADI WMD为2.24,(P=0.57);外展度数WMD为4.34,(P=0.43);外旋度数WMD为3.72,(P=0.17)。结论:液压扩张治疗可以显著改善肩周炎患者症状,其在肩周炎的治疗上是确实有效的,与单纯关节腔封闭治疗对比尚未体现出明显差异,具体两者间的区别,需更多的试验来明确。

Objective：To determine the effectiveness and safety of hydraulic distension for treating shoulder periarthritis. Methods：Databases were electronically searehed from Cochrane library, MEDLINE, EMbase,CBM and CNKI Data（January 2001 to January 2011） ,and reference lists of all papers identified were also checked. Randomized controlled trials （RCTs） of hydraulic distension for adhesive capsulitis were identified and assessed, and then RevMan5.1 was used to undertake Me- ta analysis. Results：Four RCT materials were included and three of them were meta--analyzed. 6 or 8 weeks after the treatment, compared with intraarticular blocking ,the SPADI WMD was 2.24（P= 0.57） ;the abduction degree WMD was 4.34（P〈0.43） ;the external rotation degree WMD was 3.72（P=0.17）. Conclusion： Hydraulic distension therapy is effective in treating shoulder periarthritis and can improve symptoms of shoulder periarthritis. But it has no obvious difference from intraarticular blocking and need more trails to test.