自体富血小板血浆注射结合推拿手法治疗冻结肩30例

Clinical Observation on 30 Cases of Frozen Shoulder Treated byInjection of Autologous Platelet Rich Plasmaand Manipulation of Massage

目的:观察自体富血小板血浆(PRP)肩关节注射结合推拿手法治疗冻结肩的疗效。方法:回顾2019年1月至2021年1月本院关节病区收治的冻结肩患者30例,采用自体PRP特定位置注射联合推拿手法治疗,4周为1个疗程。核心指标采用Constant-Murley评分、VAS评分、SF-36评分,分别于治疗前、治疗后4周、治疗后3个月、治疗后6个月进行比较,最后得出治疗6个月后的临床疗效。结果:经过6个月的随访,发现治疗后的不同时间点其核心指标较治疗前有显著改善,差异有统计学意义(P<0.01)。总体有效率为90.00%,其中痊愈17例,有效10例,无效3例。结论:自体PRP局部注射配合推拿手法治疗冻结肩具有良好的临床效果及安全性,可以切实改善冻结肩的症状,满足患者的日常生活需要。

Objective:To observe the efficacy of shoulder joint injection of autologous platelet rich plasma(PRP) combined with manipulation of massage for frozen shoulder.Methods: 30 patients with frozen shoulder were treated with autologous PRP injection at a specific location combined with massage manipulation from January 2019 to January 2021 in the joint ward of our hospital, and a course of treatment was 4 weeks.Constant-Murley score, VAS score and SF-36 score as the core indicators were used to assess the effect.The time points were compared before treatment, 4 weeks after treatment, 3 months after treatment, and 6 months after treatment, and then the clinical treatment efficiency after 6 months was obtained.Results: After 6 months of follow-up, it was found that the core indicators at different time points after treatment were significantly improved compared with those before treatment(P<0.01).The overall effective rate of the disease was 90.00%, and 17 cases were cured by clinical curative effect, 10 cases were effective, and 3 cases were ineffective.Conclusion: The local injection of autologous PRP combined with massage has a good clinical efficacy and safety in the treatment of frozen shoulder.It can effectively relieve the symptoms of frozen shoulder and meet the daily needs of patients.