CAJ | 학술논문

目的：评价超声引导下复方倍他米松联合玻璃酸钠注射治疗肩峰下滑囊炎（SAB）的疗效。方法收集2013年1月至2014年9月因肩部疼痛于四川省人民医院附属医院超声科就诊的门诊患者200例，将其中72例诊断为单纯性SAB且欲行超声引导下肩峰下滑囊注射治疗的患者纳入本研究，随机分为2组。试验组给予复方倍他米松联合玻璃酸钠注射，对照组给予复方倍他米松注射，所有患者治疗后第1周和第4周进行电话随访，治疗前、后均进行疼痛评分（视觉模拟评分法， VAS）和肩关节主动外展活动度评分。结果2组患者治疗后1周和4周，VAS评分及肩关节主动外展活动度评分均较治疗前明显改善（P均＜0.05）。治疗后1周，试验组与对照组VAS评分及肩关节主动外展活动度评分比较，差异无统计学意义（P均＞0.05）；治疗后4周，试验组VAS评分明显低于对照组（2.08±1.95vs 3.14±2.0，P＜0.05），试验组肩关节主动外展活动度评分明显高于对照组（7.12±2.10vs 6.11±1.93，P＜0.05）。结论超声引导下肩峰下滑囊内复方倍他米松联合玻璃酸钠注射可有效治疗SAB，其缓解疼痛及改善肩关节主动外展活动范围的短期疗效优于单一使用复方倍他米松注射治疗。
목적：평개초성인도하복방배타미송연합파리산납주사치료견봉하활낭염（SAB）적료효。방법수집2013년1월지2014년9월인견부동통우사천성인민의원부속의원초성과취진적문진환자200례，장기중72례진단위단순성SAB차욕행초성인도하견봉하활낭주사치료적환자납입본연구，수궤분위2조。시험조급여복방배타미송연합파리산납주사，대조조급여복방배타미송주사，소유환자치료후제1주화제4주진행전화수방，치료전、후균진행동통평분（시각모의평분법， VAS）화견관절주동외전활동도평분。결과2조환자치료후1주화4주，VAS평분급견관절주동외전활동도평분균교치료전명현개선（P균＜0.05）。치료후1주，시험조여대조조VAS평분급견관절주동외전활동도평분비교，차이무통계학의의（P균＞0.05）；치료후4주，시험조VAS평분명현저우대조조（2.08±1.95vs 3.14±2.0，P＜0.05），시험조견관절주동외전활동도평분명현고우대조조（7.12±2.10vs 6.11±1.93，P＜0.05）。결론초성인도하견봉하활낭내복방배타미송연합파리산납주사가유효치료SAB，기완해동통급개선견관절주동외전활동범위적단기료효우우단일사용복방배타미송주사치료。
ObjectiveTo evaluate the effectiveness of ultrasound-guided (US-guided) subacromial bursa injection of betamethasone combined with hyaluronate for treatment of subacromial bursitis.MethodsA total of 72 patients who were diagnosed as subacromial bursitis by ultrasound and then decided to performed US-guided subacromial bursa injection were randomly divided into two groups. The study group was treated with compound betamethasone suspension followed by sodium hyaluronate, and the control group was treated only with compound betamethasone suspension. Visual analogue score (VAS) and the shoulder active abduction range of motion (AAROM) score were observed before treatment, 1 week and 4 weeks post-treatment during 1 month's followed-up.ResultsThere were signifi cantly decreased in VAS score and increased in AAROM score at 1 week and 4 weeks post treatment for both groups (bothP<0.05). There was no difference of both VAS score and AAROM score between the two groups at 1 week post treatment (bothP>0.05). But at 4 weeks post treatment, the VAS score of the study group was signifi cantly lower than that of the control group (2.08±1.95vs 3.14±2.0,P<0.05), while the AAROM score of the study group was signifi cantly higher than that of the control group (7.12±2.10vs 6.11±1.93,P<0.05). ConclusionsUltrasound-guided subacromial bursa injection of betamethasone combined with hyaluronate is effective in treating subacromial bursitis. It produces better pain and active abduction functional improvement than betamethasone at a short-term follow-up.