体外冲击波联合银质针治疗糖尿病合并冻结肩的临床研究

Clinical study of extracorporeal shock wave combined with silver needle in the treatment of diabetic patients with frozen shoulder

摘要:

摘 要 目的：研究体外冲击波联合银质针导热治疗糖尿病合并冻结肩患者的疗效及安全性。方法：选取糖尿病合并冻结肩病人60例，随机分为两组，每组30例：对照组（A组）：行体外冲击波治疗；观察组（B组）：行体外冲击波联合银质针导热治疗；评价治疗前、首次治疗后1周、4周、8周、12周的肩关节疼痛和功能障碍指数（score of shoulder pain and disability index,SPADI）、肩关节活动度（range of motion,ROM）及不良反应。结果：两组病人治疗前SPADI和ROM比较无显著差异，两组病人治疗后各时间点的SPADI和ROM均较治疗前有显著改变（P＜0.05）；与A组相比，B组SPADI和ROM有更显著的改变（P＜0.05）且无严重不良反应发生。结论：体外冲击波联合银质针治疗冻结肩能有效改善疼痛和肩关节功能，无明显不良反应，适合糖尿病人群应用。

Abstract:

Abstract Objective:To explore the clinical effect and safety of extracorporeal shock wave combined with silver needle thermal conduction in the treatment of diabetes me with frozen shoulder. Methods:Sixty patients with diabetes combined with frozen shoulder were selected and randomly divided into two groups,thirty patients in each group:Control group (group A):extracorporeal shock wave treatment ;Observation group (group B):extracorporeal shock wave combined with silver needle thermal conduction treatment;The score of shoulder pain and disability index (SPADI), range of motion (ROM) and complications treatment were recorded before treatment and 1weeks, 4weeks, 8weeks, 12 weeks after the first treatment.Results: There was no significant difference in SPADI score and ROM between the two groups before treatment, and there were significant changes in SPADI score and ROM between the two groups at each time point after treatment compared with before treatment (P < 0.05).Compared with group A, there were more significant changes in SPADI score and ROM in group B (P < 0.05) and no serious adverse reactions.Conclusion:The treatment of frozen shoulder with extracorporeal shock wave combined with silver needle can effectively relieve the pain and shoulder joint function without obvious adverse reactions.Suitable for diabetics.