CAJ | 학술논문

目的：观察放射式冲击波治疗桡骨茎突狭窄性腱鞘炎的临床疗效。方法：112例患者分为观察组57例和对照组55例，观察组采用放射式冲击波治疗，对照组采用局部封闭治疗。采用疼痛数字评价量表（NRS）和Cooney腕关节功能评分评价腕关节功能，比较2组痊愈率，复发率及患者的不良反应率。结果：治疗1周时，2组N RS评分均明显下降（P＜0．05），且对照组NRS评分明显低于观察组（P＜0．05）；治疗4周后，观察组NRS评分显著低于治疗1周时及对照组（P＜0．05）；对照组治疗4周后NRS评分较治疗1周时有所上升，但差异无统计学意义。治疗4周后，2组Cooney腕关节功能评分均较治疗前明显提高（P＜0．05），且观察组更高于对照组（P＜0．05）；治疗4周后，观察组痊愈率更高于对照组（P＜0．05）；6个月后回访，观察组复发率明显低于对照组（P＜0．05）；观察组副作用发生率明显低于对照组（P＜0．05）。结论：放射式冲击波治疗桡骨茎突狭窄性腱鞘炎的疗效优于封闭疗法，且复发率低，无副作用，重复操作性强。
목적：관찰방사식충격파치료뇨골경돌협착성건초염적림상료효。방법：112례환자분위관찰조57례화대조조55례，관찰조채용방사식충격파치료，대조조채용국부봉폐치료。채용동통수자평개량표（NRS）화Cooney완관절공능평분평개완관절공능，비교2조전유솔，복발솔급환자적불량반응솔。결과：치료1주시，2조N RS평분균명현하강（P＜0．05），차대조조NRS평분명현저우관찰조（P＜0．05）；치료4주후，관찰조NRS평분현저저우치료1주시급대조조（P＜0．05）；대조조치료4주후NRS평분교치료1주시유소상승，단차이무통계학의의。치료4주후，2조Cooney완관절공능평분균교치료전명현제고（P＜0．05），차관찰조경고우대조조（P＜0．05）；치료4주후，관찰조전유솔경고우대조조（P＜0．05）；6개월후회방，관찰조복발솔명현저우대조조（P＜0．05）；관찰조부작용발생솔명현저우대조조（P＜0．05）。결론：방사식충격파치료뇨골경돌협착성건초염적료효우우봉폐요법，차복발솔저，무부작용，중복조작성강。
Objective:To observe the clinical efficacy of radial shock wave therapy for radius styloid process ste‐nosing tenosynovitis .Methods:A total of 112 patients were divided into observation group (57 cases) and control group (55 cases) ,given the radial shock wave therapy ,and blocking therapy respectively .Digital pain rating scale (NRS) and Cooney wrist joint function score were applied to evaluate the wrist joint function .The curative rate ,re‐current rate and adverse reaction rate were compared between two groups .Results:After treatment for one week , the NRS scores in both two groups were significantly decreased (P<0 .05) ,and those in control group were signifi‐cantly lower than in observation group (P< 0 .05) .After treatment for 4 weeks ,the NRS scores in observation group were significantly lower than those at first week and in control group (both P<0 .05) .NRS scores in control group after treatment for 4 weeks were slightly increased as compared with those at first week ,but there was no statistically significant difference .After treatment for 4 weeks ,Cooney wrist joint function scores were increased obviously (P<0 .05) ,and those in observation group were significantly higher than in control group (P<0 .05) . After treatment for 4 weeks ,the curate rate was significantly higher in observation group than in control group (P<0 .05) .At 6th month ,the recurrent rate in observation group was significantly lower than in control group (P<0 .05) .The incidence of the side effects in observation group was obviously lower than in control group (P<0 .05) .Conclusion:The efficacy of radial shock wave therapy for radius styloid process stenosing tenosynovitis is better than blocking therapy .