CAJ | 학술논문

目的：观察臭氧注射联合体外冲击波治疗肩周炎的临床疗效。方法选择肩周炎患者120例，按数字表法将其随机分为两组，C 组采用体外冲击波治疗，H 组采用臭氧注射联合体外冲击波治疗。按照视觉模拟疼痛评分法（VAS）及肩关节活动度（ROM）评分标准进行临床疗效评定。结果治疗后1周、1个月、3个月及6个月两组 VAS 评分差异有统计学意义[分别为（4．56±0．27）分比（2．49±0．25）分，t ＝43．57；（3.96±0．23）分比（1．86±0．29）分，t ＝43．95；（3．36±0．20）分比（1．79±0．25）分，t ＝36．51；（3．98±0．23）分比（2．09±0．27）分，t ＝41．29，均 P ＜0．05]；ROM评分差异有统计学意义[分别为（55±18）分比（67±16）分，t ＝3．86；（60±20）分比（72±18）分，t ＝3．45；（56±19）分比（78±15）分，t ＝7．04；（46±18）分比77±14）分，t ＝10．53，均 P ＜0．05]；治疗后6个月 H 组总优良率与总有效率均明显高于 C 组（χ2＝38．90，P ＜0．01；χ2＝8．91，P ＜0．05）。结论采用体外冲击波联合臭氧治疗肩周炎关节炎能取得较单独臭氧治疗更好的临床效果。
목적：관찰취양주사연합체외충격파치료견주염적림상료효。방법선택견주염환자120례，안수자표법장기수궤분위량조，C 조채용체외충격파치료，H 조채용취양주사연합체외충격파치료。안조시각모의동통평분법（VAS）급견관절활동도（ROM）평분표준진행림상료효평정。결과치료후1주、1개월、3개월급6개월량조 VAS 평분차이유통계학의의[분별위（4．56±0．27）분비（2．49±0．25）분，t ＝43．57；（3.96±0．23）분비（1．86±0．29）분，t ＝43．95；（3．36±0．20）분비（1．79±0．25）분，t ＝36．51；（3．98±0．23）분비（2．09±0．27）분，t ＝41．29，균 P ＜0．05]；ROM평분차이유통계학의의[분별위（55±18）분비（67±16）분，t ＝3．86；（60±20）분비（72±18）분，t ＝3．45；（56±19）분비（78±15）분，t ＝7．04；（46±18）분비77±14）분，t ＝10．53，균 P ＜0．05]；치료후6개월 H 조총우량솔여총유효솔균명현고우 C 조（χ2＝38．90，P ＜0．01；χ2＝8．91，P ＜0．05）。결론채용체외충격파연합취양치료견주염관절염능취득교단독취양치료경호적림상효과。
Objective To observe the clinical efficacy of ozone injection combined with extracorporeal shock wave in treatment of arthritis of perishoulderr.Methods 120 patients with arthritis of perishoulderr and treated were choiced,they were randomly divided into two groups.Patients in group C were performanced extracorporeal shock wave treatment.Patients in group H were performanced with ozone injection combined with extracorporeal shock wave.Visu-al analogue score(VAS)and rane of motion(ROM)were used to evaluate the therapeutic effect.Results There was no significant difference between the two groups preoperation.Then significant difference of VAS in the two groups for 1week,1 month,3 months and 6 months after treatment showed respectively as (4.56 ±0.27)points vs.(2.49 ± 0.25)points,t =43.57,(3.96 ±0.23)points vs.(1.86 ±0.29)points,t =43.95,(3.36 ±0.20)points vs.(1.79 ± 0.25)points,t =36.51,(3.98 ±0.23)points vs.(2.09 ±0.27)points,t =41.29,P <0.05;The ROM data were respectively(55 ±18)points vs.(67 ±16)points,t =3.86,(60 ±20)points vs.(72 ±18)points,t =3.45,(56 ±19) points vs.(78 ±15),t =7.04,(46 ±18)points vs.(77 ±14)points,t =10.53,P <0.05.Patients feeled pain eased significantly in group H was significantly higher than group C in 6 month postoperativeiy.(χ2 =38.90,P <0.01;χ2 =8.91,P <0.05).Conclusion There is significant effect in patients with arthritis of perishoulderr treated by com-bined ozone injection with extracorporeal shock wave.