两种治疗方法对军事训练伤致非钙化性冈上肌腱炎的疗效

Effects of 2 different local therapeutic methods in the treatment of non-calcified supraspinatus tendinitis induced by military training

目的观察放射式体外冲击波疗法(radial extracorporeal shock wave therapy, RESWT)和封闭注射技术两种局部治疗手段对军事训练伤致非钙化性冈上肌腱炎的疗效。方法选取2018年3月至2019年3月于解放军总医院第八医学中心康复医学科就诊的非钙化性冈上肌腱炎患者64例为研究对象,将64例患者分为观察组和对照组,每组32例,分别进行局部体外冲击波和封闭注射治疗。于治疗前和治疗后1、2、3个月进行疼痛视觉模拟评分(VAS)、外展肌力评定及肩关节功能评价。结果纳入患者64例,均进入结果分析,样本无脱落。与治疗前比较,治疗后2组的VAS评分均明显降低、肩关节外展肌力和活动功能评分显著增加(均P<0.05);治疗后3个月,与对照组[(4.2±0.9)分,(59.8±12.2)N,(66.25±11.46)分]相比较,观察组VAS评分[(3.7±0.7)分]明显降低,肩关节外展肌力[(66.6±11.7)N]和Constant-Murley评分[(73.66±13.80)分]均显著增高(均P<0.05)。结论放射式体外冲击波疗法和封闭注射治疗军事训练伤致非钙化性冈上肌腱炎均具有显著疗效,但前者疗效更为持久和稳定。

Objective To observe the effects of radial extracorporeal shock wave therapy(RESWT)and local injection in the treatment of non-calcified supraspinatus tendinitis induced by military training.Methods Sixty-four patients with non-calcified supraspinatus tendinitis who received medical care in the Department of Rehabilitation of the 8th Medical Center,the PLA General Hospital from March 2018 to March 2019 were randomly divided into the observation group and the control group,each consisting of 32 patients.The observation group was treated with RESWT and the controlled group treated with local injection.The 2 groups were assessed with visual analogue scales(VAS),the muscle strength detection and the Constant-Murley,before treatment and 1,2 and 3 months after treatment.Results Analysis was performed in all the included patients without any dropout.As compared with those before treatment,the VAS scores of the 2 groups after treatment were significantly decreased,and the scores of abdunctor strength and Constant-Murley obviously increased(P<0.05).At 3 months of treatment,the VAS scores of the observation group(3.7±0.7)significantly lowered,the scores of abdunctor strength(66.6±11.7)N and Constant-Murley(73.66±13.80)obviously increased,as compared with those of the control group[(4.2±0.9)scores,(59.8±12.2)N,(66.25±11.46)scores](P<0.05).Conclusion Both RESWT and local injection could achieve significant effects in the treatment of non-calcified supraspinatus tendinitis induced by military training,however,the therapeutic effects of the former was more persistent and stable.