体外气压弹道式冲击波联合关节松动术治疗肱二头肌长头肌腱炎的疗效观察

Observation on Efficacy of External Pneumatic Ballistic Shock Wave Combined with Joint Loosening in Treatment of Long Head Tendonitis of Biceps

目的:研究体外气压弹道式冲击波联合关节松动术治疗肱二头肌长头肌腱炎的临床疗效。方法:选择我院34例肱二头肌长头肌腱炎患者,给予气压弹道式冲击波联合关节松动术治疗:每周1次冲击波,冲击2000次,治疗剂量1.5~2bar;每天1次关节松动术,每次30min,每周5次,疗程4周。于治疗前、治疗1个月后及2个月后依照视觉模拟评分法(VAS)疼痛评分法评定患者受压时的疼痛强度,并测量肩关节主动前屈活动度(AFROM)的变化情况。结果:经压弹道式冲击波联合关节松动术治疗后,疼痛强度显著下降,肩关节活动度显著改善(P<0.05)。结论:气压弹道式冲击波联合关节松动术治疗肱二头肌长头肌腱炎效果显著。

Objective:To study the clinical effect of barometric shock wave combined with joint loosening in treatment of humeral biceps long head tendonitis.Methods:34 patients with long head tendonitis of biceps muscle were selected and treated with pneumatic ballistic shock wave combined with joint loosening:1 shock wave per week,impact 2000 times,treatment dose 1.5~2 bar;1 session per day for 30 minutes,5 sessions per week for 4 weeks.Before treatment,after 1 month and 2 months after treatment,the pain intensity of the patient under pressure was assessed according to the visual simulation score method VAS pain score method,and the change in the active anterior flexural activity(AFROM)of the shoulder joint was measured.Results:The pain intensity decreased and the shoulder joint activity improved obviously after the pressure ballistic shock wave combined with joint loosening(P<0.05).Conclusion:Air pressure ballistic shock wave combined with joint loosening is effective in the treatment of long head tendonitis of biceps.