用超声引导下肩关节腔内药物注射疗法治疗肩周炎的效果探讨

Effect of shoulder joint cavity injection with ultrasound guidance for scapulohumeral periarthritis

目的:探讨用超声引导下肩关节腔内药物注射疗法治疗肩周炎的临床效果。方法:选择2016年5月至2017年5月期间在四川武胜县人民医院接受治疗的70例肩周炎患者作为研究对象。将这70例患者随机分为对照组和观察组。对两组患者均进行常规治疗。在此基础上,对观察组患者加用超声引导下肩关节腔内药物注射疗法进行治疗。然后,比较两组患者肩关节的活动度、Constant Murley(肩关节功能量表)的评分及VAS(视觉模拟量表)的评分。结果:治疗后,观察组患者肩关节前屈、后伸、外展的角度高于对照组患者,其肩关节内收的角度低于对照组患者,差异有统计学意义(P<0.05)。治疗后,观察组患者Constant Murley的评分高于对照组患者,其VAS的评分低于对照组患者,差异有统计学意义(P<0.05)。结论:用超声引导下肩关节腔内药物注射疗法治疗肩周炎的效果显著,可有效地改善患者肩关节活动的功能,降低其疼痛感。

objective： to explore the clinical effect of ultrasound-guided intraventricular injection of drugs to treat periarthritis of shoulder. Methods： 70 patients with periarthritis of shoulder who received treatment in people＇s hospital of wusheng county, sichuan province from May 2016 to May 2017 were selected as the study subjects. The 70 patients were randomly divided into control group and observation group. Both groups were routinely treated. On this basis, the patients in the observation group were treated with intraventricular injection of drugs into the shoulder joint guided by ultrasound. Then, the activity of shoulder joints, Constant Murley scores and VAS scores were compared between the two groups. Results： after treatment, the observation group of patients with shoulder joint forward bends, after stretching and outreach Angle is higher than the control group of patients, the Angle of adduction of the shoulder joint is lower than the control group of patients, the difference was statistically significant（P〈 0.05）. After treatment, Constant Murley score of the observation group was higher than that of the control group, and its VAS score was lower than that of the control group, with a statistically significant difference（P〈 0.05）. Conclusion： the treatment of periarthritis of shoulder by intraventricular drug injection under the guidance of ultrasound can improve the function of shoulder joint activity and reduce the pain.