中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
15期
78-80,87
,共4页
封闭%关节镜检测%肩峰成形术%肩峰下撞击综合征
封閉%關節鏡檢測%肩峰成形術%肩峰下撞擊綜閤徵
봉폐%관절경검측%견봉성형술%견봉하당격종합정
Block therapy%Arthroscopy%Acromioplasty%Subacromial impingement syndrome
目的：观察比较关节镜下肩峰成形术配合肩峰下间隙封闭治疗肩峰下撞击综合征的临床效果。方法将2013年5月~2014年8月中国医科大学附属盛京医院56例肩峰下撞击综合征患者随机分为实验组及对照组。实验组30例患者给予关节镜下肩峰成形术及肩峰下封闭治疗，对照组26例患者同样给予关节镜下肩峰成形术及生理盐水安慰治疗。比较两组患者的视觉模拟评分(VAS)、美国加州大学肩袖评分(UCLA)及疗效。结果术后1个月实验组VAS疼痛评分[(2.72±0.27)分]低于对照组[(3.22±0.18)分]，差异有统计学意义(P<0.05)；实验组UCLA评分[(32.32±3.84)分]优于对照组[(31.14±3.65)分]，差异有统计学意义(P<0.05)。术后3个月实验组VAS疼痛评分[(1.25±0.23)分]低于对照组[(2.18±0.17)分]，差异有统计学意义(P<0.05)；实验组UCLA评分[(34.25±3.27)分]优于对照组[(33.18±3.18)分]，差异有统计学意义(P<0.05)。结论与单独肩峰成形术比较，关节镜下肩峰成形术配合术中肩峰下间隙封闭治疗可明显提高肩峰下撞击综合征的治疗效果，可作为肩峰下撞击综合征的更有效的治疗手段。
目的：觀察比較關節鏡下肩峰成形術配閤肩峰下間隙封閉治療肩峰下撞擊綜閤徵的臨床效果。方法將2013年5月~2014年8月中國醫科大學附屬盛京醫院56例肩峰下撞擊綜閤徵患者隨機分為實驗組及對照組。實驗組30例患者給予關節鏡下肩峰成形術及肩峰下封閉治療，對照組26例患者同樣給予關節鏡下肩峰成形術及生理鹽水安慰治療。比較兩組患者的視覺模擬評分(VAS)、美國加州大學肩袖評分(UCLA)及療效。結果術後1箇月實驗組VAS疼痛評分[(2.72±0.27)分]低于對照組[(3.22±0.18)分]，差異有統計學意義(P<0.05)；實驗組UCLA評分[(32.32±3.84)分]優于對照組[(31.14±3.65)分]，差異有統計學意義(P<0.05)。術後3箇月實驗組VAS疼痛評分[(1.25±0.23)分]低于對照組[(2.18±0.17)分]，差異有統計學意義(P<0.05)；實驗組UCLA評分[(34.25±3.27)分]優于對照組[(33.18±3.18)分]，差異有統計學意義(P<0.05)。結論與單獨肩峰成形術比較，關節鏡下肩峰成形術配閤術中肩峰下間隙封閉治療可明顯提高肩峰下撞擊綜閤徵的治療效果，可作為肩峰下撞擊綜閤徵的更有效的治療手段。
목적：관찰비교관절경하견봉성형술배합견봉하간극봉폐치료견봉하당격종합정적림상효과。방법장2013년5월~2014년8월중국의과대학부속성경의원56례견봉하당격종합정환자수궤분위실험조급대조조。실험조30례환자급여관절경하견봉성형술급견봉하봉폐치료，대조조26례환자동양급여관절경하견봉성형술급생리염수안위치료。비교량조환자적시각모의평분(VAS)、미국가주대학견수평분(UCLA)급료효。결과술후1개월실험조VAS동통평분[(2.72±0.27)분]저우대조조[(3.22±0.18)분]，차이유통계학의의(P<0.05)；실험조UCLA평분[(32.32±3.84)분]우우대조조[(31.14±3.65)분]，차이유통계학의의(P<0.05)。술후3개월실험조VAS동통평분[(1.25±0.23)분]저우대조조[(2.18±0.17)분]，차이유통계학의의(P<0.05)；실험조UCLA평분[(34.25±3.27)분]우우대조조[(33.18±3.18)분]，차이유통계학의의(P<0.05)。결론여단독견봉성형술비교，관절경하견봉성형술배합술중견봉하간극봉폐치료가명현제고견봉하당격종합정적치료효과，가작위견봉하당격종합정적경유효적치료수단。
Objective To investigate the clinical effect of arthroscopic acromioplasty combined with intraoperative sub-acromial block in the treatment of subacromial impingement syndrome. Methods 56 patients with subacromial impinge-ment syndrome from May 2013 to August 2014 in Shenjing Hopital of China Medical University were divided into ex-perimental group and control group randomly. 30 cases of the experimental group were given the treatment of arthro-scopic acromioplasty combined with intraoperative subacromial block, and 26 cases of the control group were given the treatment of arthroscopic acromioplasty combined with placebo of saline. The visual analogue scale (VAS), UCLA score and efficacy of two groups were compared. Results One months after operation, VAS score of the experimental group [(2.72±0.27) scores] was lower than that of the control group [(3.22±0.18) scores], the difference was statistically significant (P<0.05); the UCLA score of the experimental group [(32.32±3.84) scores] was better than that of the con-trol group [(31.14±3.65) scores], the difference was statistically significant (P< 0.05). 3 months after operation VAS pain score of the experimental group [(1.25±0.23) scores] was lower than that of the control group [(2.18±0.17) scores], the difference was statistically significant (P<0.05);the UCLA score of the experimental group [(34.25±3.27) scores] was better than that of the control group [(33.18±3.18) scores], the difference was statistically significant (P< 0.05). Conclusion Compared with the single arthroscopic acromioplasty, arthroscopic acromioplasty combined with intraopera-tive subacromial block therapy can improve clinical efficacy, and is a safe and efficient treatment for subacromial im-pingement syndrome.
