高能量激光联合痛点阻滞治疗肩周炎疗效分析

Effect analysis of high intensity laser combined with pain point block in the treatment of periarthritis of shoulder

目的:研究高能量激光联合痛点阻滞治疗肩周炎的临床疗效。方法:选择肩周炎病人100例,随机数字表法分为观察组与对照组,对照组病人给予痛点阻滞治疗,观察组在此基础上给予高能量激光治疗,连续治疗4周。比较治疗前后疼痛视觉模拟(VAS)评分、Constant-Murley肩关节评分(CMS)以及肩关节活动度,并评价综合治疗效果。结果:2组治疗后CMS评分、VAS评分均明显改善(P<0.01),且观察组改善明显优于对照组(P<0.01)。2组治疗后肩关节活动度均明显提升(P<0.01),且治疗后观察组肩关节内旋、外旋、前屈、外展高于对照组(P<0.01)。观察组疗效优于对照组(P<0.05)。结论:痛点阻滞基础上给予高能量激光治疗能显著改善肩周炎病人肩关节功能及疼痛症状,有助于增加关节活动度。

Objective:To study the clinic intensity of high energy laser combined with pain point block in the treatment of periarthritis of shoulder.Methods:A total of 100 patients with periarthritis of shoulder were randomly divided into the observation group and control group using the digital table method.The control group was treated with pain point block,and the observation group was additionally treated with high intensity laser based on the control group for 4 weeks.The pain visual analogue(VAS)score,Constant-Murley shoulder joint score(CMS),and shoulder joint mobility between two groups were compared before and after treatment,and the comprehensive treatment effects were evaluated.Results:The CMS and VAS scores in two groups were significantly improved after treatment,and which in observation group were significantly higher than those in control group(P<0.01).The shoulder joint mobility in two groups was significantly improved after treatment(P<0.01).After treatment,the internal rotation,external rotation,forward flexion and abduction of shoulder joint in observation group were higher than those in control group(P<0.01),and the clinical efficacy of the observation group was better than that of the control group(P<0.05).Conclusions:The high intensity laser therapy based on the pain point block can significantly improve the shoulder joint function,pain symptoms and joint range of motion in patients with periarthritis of shoulder.