臭氧痛点阻滞联合玻璃酸钠治疗肩周炎的临床疗效及对肩关节活动度的影响

目的:研究臭氧痛点阻滞联合玻璃酸钠治疗肩周炎的临床疗效及对肩关节活动度的影响。方法:选取2014年1月到2015年1月我院收治的肩周炎患者110例,按照随机数字表法将患者分为I组和II组,每组55例。I组给予臭氧痛点阻滞治疗,II组给予臭氧痛点阻滞联合玻璃酸钠治疗。应用视觉模拟量表(VAS)评价疼痛情况,应用量角器测量患者肩关节活动度,并比较两组临床疗效和不良反应。结果:I组总有效率83.6%显著低于II组的94.5%,比较差异具有统计学意义(P0.05);两组治疗后VAS评分、外展、内旋以及外旋活动度均显著优于治疗前,且II组显著优于I组,比较差异具有统计学意义(P0.05);两组不良反应发生率比较无统计学意义(P0.05)。结论:臭氧痛点阻滞联合玻璃酸钠治疗肩周炎具有较好的临床疗效,能显著改善患者肩关节活动度。

Clinical Efficacy of Ozone Pain Points Block plus SodiumHyaluronate onScapulohumeral Periarthritis and Its Influence on Should Activity

Objective:To study the clinical efficacy of ozone pain points block combined with sodiumhyaluronate in the treatmentof patients with scapulohumeral periarthritis and its influence on should activity.Methods:A total of 110 patients with scapulohumeralperiarthritis, who were treated in Baoding First Central Hospital fromJanuary 2014 to January 2015, were selected and randomly dividedinto group I (n=55) and group II (n=55). Group I was treated with ozone pain points block,while group II, with ozone pain points blockcombined with sodium hyaluronate. The shoulder pain was evaluated with visual analogue scale (VAS), and the shoulder activity wasmeasured with protractor in the two groups before and after treatment. The clinical efficacy and adverse reactions of the two groups werecompared.Results:Total efficiency of group I (83.6%) was significantly lower than that (94.5%) of group II, the difference wasstatistically significant (P<0.05). VAS score, outreach, internal rotation, and external rotation degree of two groups after treatment weresignificantly better than before treatment, and group II were significantly better than group I, the differences were statistically significant(P<0.05). There was no statistical significance in the incidence of adverse reactions between the two groups (P>0.05).Conclusion:Ozonepain points block combined with sodium hyaluronate has a good clinical efficacy, and can significantly improve the shoulder activity inthe treatment of patients with scapulohumeral periarthritis.