目的 探讨冲击波疗法对训练伤所致冈上肌肌腱炎的疗效。方法 回顾性分析武警特色医学中心骨科收治的236例训练伤冈上肌肌腱炎的病例,其中非钙化冈上肌肌腱炎158例(非钙化组),钙化冈上肌肌腱炎78例(钙化组),均行同样参数冲击波治疗,对比两组治疗前,治疗后6、12个月视觉模拟评分(VAS)、Constant肩关节评分。结果 与治疗前相比,治疗后6、12个月,两组VAS评分均明显降低,肩关节Constant评分显增加,差异有统计学意义(P<0.05);且治疗后6、12个月,钙化组与非钙化组比较,VAS评分更低、Constant评分更高,差异有统计学意义(P<0.05)。结论 冲击波疗法能够明显缓解训练伤冈上肌肌腱炎的疼痛症状,提高患侧肩关节功能;且对钙化性冈上肌肌腱炎疗效更好。
Abstract
Objective To study the effect of extracorporeal shock wave therapy(ESWT) on supraspinatus tendonitis caused by training injuries.Methods A retrospective review was carried out with the registration of 236 patients who were treated by the same ESWT in Characteristic Medical Center were divided into non-calcified group (158 cases) and calcified group (78 cases).The VAS (Visual analog scale ) and Constant scores were compared between the two groups at different time(before treatment, the sixth and the twelfth month after treatment).Results At the sixth and the twelfth month after treatment, the VAS and Constant scores were notably improved in the two groups, and there was statistically differences (P<0.05).Besides, the VAS in calcified group was much lower than the non-calcified one, while the constant score was the opposite, and there was statistically differences (P<0.05).Conclusion Shockwave therapy can significantly alleviate the pain caused by training injuries and improve the function of affected shoulder, whose curative effect is much better to calcified supraspinatus tendonitis.
关键词
冲击波疗法 /
训练伤 /
冈上肌肌腱炎 /
倾向性评分匹配
Key words
shock wave therapy /
training injury /
supraspinatus tendonitis /
propensity score matching
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