CAJ | 학술논문

目的：观察关节松动术结合体外冲击波治疗肩周炎的疗效。方法：70例肩周炎患者随机分为观察组和对照组各35例。2组均采用关节松动术治疗，观察组加用体外冲击波治疗。治疗前后采用视觉模拟评分法（VAS）评定疼痛，并评定肩关节疼痛与功能障碍指数（SPADI）及临床疗效。结果：治疗1及2个疗程后，2组患者VAS评分均较治疗前显著降低，且同时段观察组评分更低于对照组（均 P＜0．05）。治疗2个疗程后，2组SPADI亚量表及总评分均较治疗前明显降低（P＜0．05），且观察组更低于对照组（P＜0．05）；观察组有效率明显高于对照组（94．3％、77．1％，P＜0．05）。结论：关节松动术结合体外冲击波治疗肩周炎疗效显著，值得临床进一步推广、应用。
목적：관찰관절송동술결합체외충격파치료견주염적료효。방법：70례견주염환자수궤분위관찰조화대조조각35례。2조균채용관절송동술치료，관찰조가용체외충격파치료。치료전후채용시각모의평분법（VAS）평정동통，병평정견관절동통여공능장애지수（SPADI）급림상료효。결과：치료1급2개료정후，2조환자VAS평분균교치료전현저강저，차동시단관찰조평분경저우대조조（균 P＜0．05）。치료2개료정후，2조SPADI아량표급총평분균교치료전명현강저（P＜0．05），차관찰조경저우대조조（P＜0．05）；관찰조유효솔명현고우대조조（94．3％、77．1％，P＜0．05）。결론：관절송동술결합체외충격파치료견주염료효현저，치득림상진일보추엄、응용。
Objective :To observe the efficacy of mobilization combined with extracorporeal shock wave treatment in patients with scapulohumeral periarthritis .Methods :Seventy patients were divided into observation group and control group randomly(n=35 each) .Both groups received mobilization treatment ,and observation group given extracorpo-real shock wave treatment additionally .Two groups were evaluated by Visual Analogue Scale (VAS) ,shoulder pain and disability index (SPADI) and clinical effects before and after treatment .Results :After one and two courses of treatment ,the VAS scores in both groups were decreased obviously as compared to pretreatment ,more significantly in observation group than in control group(all P<0 .05) .After two courses of treatment ,the SPADI scores in both groups were decreased obviously as compared to pretreatment (P<0 .05) ,more significantly in observation group than in control group(P<0 .05) .The clinical effective rate in observation group was significantly higher than in con-trol group(94 .3% vs .77 .1% ,P<0 .05) .Conclusion :Mobilization combined with extracorporeal shock wave treat-ment can alleviate the pain of patients with scapulohumeral periarthritis ,and the technique was worth expanding .