脉冲射频联合术中活血舒筋手法治疗肩袖损伤的临床效果

Clinical efficacy of pulsed radiofrequency combined with intraoperative promoting blood flow and easying tendon manipulation in the treatment of rotator cuff injury

目的观察脉冲射频联合术中活血舒筋手法治疗肩袖损伤的临床疗效。方法96例肩袖损伤患者随机均分为两组,分别采用在DSA引导下采取肩关节脉冲射频联合术中活血舒筋手法治疗(治疗组)和针刀联合关节腔臭氧注射治疗(对照组)。采用VAS疼痛评分、美国加州洛杉矶大学(UCLA)评分、Constant-Murley评分(CMS评分)、美国肩肘协会评分(ASES评分)以及红外热成像检查评价两组临床治疗效果。结果治疗组临床治疗优良率高于对照组(81.25%vs.68.75%)(P<0.05)。与治疗前相比,两组治疗后UCLA、CMS及ASES评分增加(P<0.05),VAS疼痛评分以及肱二头肌、三角肌、冈上肌、冈下肌、小圆肌肌键和肌腹红外热像温差降低(P<0.05);其中,治疗组各指标变化程度较对照组更加明显(P<0.05)。结论脉冲射频联合术中活血舒筋手法可以有效治疗肩袖损伤,能快速缓解疼痛,恢复关节功能。

Objective To observe the clinical efficacy of pulsed radiofrequency combined with intraoperative promoting blood flow and easying tendon manipulation in the treatment of rotator cuff injury.Methods Ninety-six patients with rotator cuff injury were equally randomized into two groups of A and B.The patients in group A accepted pulsed radiofrequency combined with intraoperative promoting blood flow and easying tendon manipulation guided by DSA,while the patients in group B were treated with acupotomy combined with ozone injection.The clinical outcomes were evaluated with VAS pain score,University of California Los Angeles(UCLA)score,Constant Murley Scale(CMS)score and American Shoulder and Elbow Surgeons Scale(ASES)score.Results The excellent and good rate of clinical efficacy in group A was higher than that in group B(81.25%vs.68.75%)(P<0.05).Compared with before,UCLA,CMS and ASES scores were increased(P<0.05),while VAS pain score and the temperature changes of biceps brachii,deltoid,supraspinatus,infraspinatus and teres minor were decreased in both groups after treatment(P<0.05),which were changed more obviously in group A than those in group B(P<0.05).Conclusion Combined use of pulsed radiofrequency with intraoperative promoting blood flow and easying tendon manipulation is effective in the treatment of rotator cuff injury with quicker pain relieving and joint function restoring.