摘要
目的观察肩峰下关节腔注射玻璃酸钠复合臭氧治疗肩周炎的临床疗效。方法 120例肩周炎患者随机分为两组。A组:肩峰下关节腔注射止痛液(2%利多卡因2 ml+曲安奈德20 mg+生理盐水)共6 ml;B组:A组液+玻璃酸钠注射液2.5 ml+30μg/ml臭氧6 ml;其余在肩周较为局限的痛点如喙突下、肩峰背侧下方处等各注入止痛液5ml,治疗一次/周。对比观察两组治疗次数和临床疗效。结果 B组在治疗次数明显少于A组,治疗有效率明显高于A组。差异均有统计学意义(P<0.05)。结论肩峰下关节腔注射玻璃酸钠复合臭氧治疗肩周炎可以缩短疗程,疗效更明显。
Objective To observe the therapeutic effect of the intra- articular injection of sodium hyaluronate combined with ozone under shoulder peak in the treatment for scapulohumeral periarthritis. Methods A hundred and twenty patients with scapulohumeral periarthritis were randomly assigned to the group A（ n = 30） in which an intra- articular injection of the analgesic solution（ 2% lidocaine 40 mg and triamcinolone acetonide 20 mg diluted in 0. 9% sodium chloride to 6 ml） under shoulder peak was performed and group B in which an intra- articular injection of the same analgesic solution and sodium hyaluronate（ 2. 5 ml） combined with ozone（ 180 μg in 6 ml） under shoulder peak was performed. Additional injections of the same analgesic solution were performed in circumscribed pain points such as the area of subcoracoid or low back of shoulder peak in all patients. The therapeutic result and the activity of shoulder joint were observed between two groups. Results Patients in group B needed fewer number of treatment and had better therapeutic effect significantly than those in group A（ all P 0. 05）. Conclusion The intra-articular injection of sodium hyaluronate combined with ozone under shoulder peak in the treatment for scapulohumeral periarthritis will shorten the therapeutic duration and have better therapeutic result.
出处
《临床和实验医学杂志》
2015年第16期1375-1377,共3页
Journal of Clinical and Experimental Medicine
关键词
肩周炎
肩峰下关节腔注射
玻璃酸钠
臭氧
Scapulohumeral periarthritis
Intra-articular injection under shoulder peak
Sodium hyaluronate
Ozone
