体外冲击波治疗肩袖损伤术后肩关节功能障碍的临床研究

A randomized controlled clinical study on shoulder trigger point extracorporeal shock wave combined with rehabilitation training in the treatment of shoulder joint dysfunction after rotator cuff injury

目的:肩部触发点体外冲击波联合康复训练治疗肩袖损伤术后的效果分析。方法:于我院收治的肩袖损伤术后患者中抽取80例,以随机数字表法分为对照组和观察组各40例,对照组采用康复训练,观察组采用肩部触发点体外冲击波联合康复训练,对比2组治疗前后Constant-Murley肩关节功能评分量表(CMS)、加州大学肩关节评分(UCLASS)评分和关节活动范围(ROM)、疼痛情况(VAS)、患者满意度和临床疗效等。结果:治疗后,2组CMS评分、UCLASS评分及肩关节ROM均较治疗前明显提高(P<0.05),且观察组治疗后CMS各项评分均明显高于对照组(P<0.05),UCLASS中疼痛、功能、肩关节屈曲角度以及满意度等评分均明高于对照组(P<0.05);观察组治疗后ROM各项评分均明显高于对照组(P<0.05);2组VAS评分均较治疗前明显下降(P<0.05),且观察组治疗后VAS评分均明显低于对照组(P<0.05);观察组满意度及治疗优良率均显著高于对照组(P<0.05)。结论:对肩袖损伤患者,采用肩部触发点体外冲击波联合康复训练效果显著,可明显改善患者肩关节功能,缓解疼痛,患者满意度高。

Objective:To analyze the effect of shoulder trigger point extracorporeal shock wave combined with rehabilitation training in the treatment of rotator cuff injury.Methods:A total of 80 patients with postoperative rotator cuff injury treated in our hospital(from Feb.2020 to Sep.2021)were selected and divided into control group(n=40)and observation group(n=40)by a random number table method.The control group received rehabilitation training,and the observation group received shoulder trigger point extracorporeal shock wave combined with rehabilitation training.The Constant-Murley Shoulder Scale(CMS),the University of California Shoulder Score(UCLASS)score,range of motion(ROM),pain status(VAS)and patients’satisfaction were compared.Results:The CMS and UCLASS scores of both groups showed an upward trend after treatment,and the CMS scores in the observation group were significantly higher than those in the control group(P<0.05).The scores of pain,function,shoulder joint flexion angle,and satisfaction in UCLASS were significantly higher in the observation group than those in the control group(P<0.05).After treatment,the ROM scores in the observation group were significantly higher than those in the control group(P<0.05).The VAS scores in the observation group were significantly lower than those in the control group after treatment(P<0.05).The satisfaction rate and treatment excellence rate in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:For patients with rotator cuff injury,the use of shoulder trigger point extracorporeal shock wave combined with rehabilitation training has a significant effect,which can significantly improve the shoulder joint function of patients,relieve pain,and have high patient’s satisfaction.