体外冲击波联合富血小板血浆注射治疗部分肩袖损伤的早期疗效观察

Early efficacy observation of extracorporeal shock wave combined with platelet rich plasma injection in the treatment of partial rotator cuff injury

目的:探讨体外冲击波联合富血小板血浆注射治疗部分肩袖损伤的早期疗效。方法:选取在某院就诊的60例部分肩袖损伤患者为本次研究对象,根据治疗方法分为观察组(30例)和对照组(30例),观察组给予体外冲击波联合富血小板血浆注射治疗,对照组仅给予富血小板血浆注射治疗。利用视觉模拟评分(VAS)、肩关节活动度、加州大学肩关节评分(UCLA)对两组治疗前、治疗后1个月、治疗后3个月疼痛、肩关节功能情况进行评估和比较。结果:两组患者VAS评分时间效应、组间效应及时间与组间交互效应比较,差异存在统计学意义(P<0.05),且观察组患者治疗后1个月、3个月VAS评分均比对照组低(P<0.05)。两组患者主动外展和被动外展时肩关节活动度时间效应、组间效应及时间与组间交互效应比较差异存在统计学意义,且观察组患者治疗后1个月、3个月主动外展、被动外展时肩关节活动度均比对照组大(P<0.05)。两组患者UCLA评分时间效应、组间效应及时间与组间交互效应比较,差异存在统计学意义(P<0.05),且观察组患者治疗后1个月、3个月UCLA评分均比对照组高(P<0.05)。结论:体外冲击波联合富血小板血浆注射治疗部分肩袖损伤患者能减轻关节疼痛程度,促进肩袖关节功能提升的同时,改善肩关节活动度。

Objective:To explore the early efficacy of extracorporeal shock wave combined with platelet rich plasma injection in the treatment of partial rotator cuff injury.Method:Sixty patients with partial rotator cuff injury who visited our hospital were selected as the study subjects.According to the treatment method,they were divided into an observation group of 30 cases and a control group of 30 cases.The observation group was treated with extracorporeal shock wave combined with platelet rich plasma injection,while the control group was only treated with platelet rich plasma injection.Visual analogue scale(VAS),Shoulder joint range of motion,and University of California Shoulder joint score(UCLA)were used to evaluate and compare the pain and Shoulder joint function of the two groups before treatment,one month after treatment,and three months after treatment.Result:There were statistically significant differences in the time effect,inter group effect,and time to group interaction effect of VAS scores between the two groups,and the VAS scores of the observation group patients were lower than those of the control group at 1 month and 3 months after treatment(P<0.05).There were statistically significant differences in the time effect,inter group effect,and time and inter group interaction effect of shoulder joint mobility during active and passive abduction between the two groups.Moreover,the observation group had higher shoulder joint mobility during active and passive abduction at 1 and 3 months after treatment compared to the control group(P<0.05).There were statistically significant differences in the time effect,inter group effect,and time to group interaction effect of UCLA scores between the two groups,and the UCLA scores of the observation group patients were higher than those of the control group at 1 and 3 months after treatment(P<0.05).Conclusion:Extracorporeal shock wave combined with platelet rich plasma injection can alleviate joint pain in some patients with rotator cuff injury,promote the function of rotator cuff joint,and improve the range of motion of Shoulder joint.