Objective: To study the clinical effect of ultrasound-guided injection combined with extracorPoreal shock wave on shoulder periarthritis. Methods: A total of 60 patients with periarthritis of the shoulder who were admitted to the Pain Department of Baotou Central Hospital were randomly divided into an ultrasound-guided injection treatment group, an extracorporeal shock wave therapy (ESWT) group, and an ultrasound-guided injection combined with extracorporeal shock wave group, with 20 cases in each group. The ultrasound-guided injection group was treated with ultrasound-guided drug injection, the ESWT group was treated with extracorporeal shock wave therapy, and the combined group was treated with extracorporeal shock wave therapy t every other day after ultrasound-guided injection treatment. The pain degree (visual analogue scale, VAS) and range of motion (ROM) of the three groups were compared before treatment and 1 week, 2 weeks, 4 weeks and three months after treatment. Results: After treatment, the VAS and ROM scores of the three groups were significantly improved compared with those before treatment (P＜0.05). The improvement of VAS and ROM scores at each time point after treatment in the combined group was higher than that in the other two groups (P＜0.05).The VAS and ROM scores of the ultrasound-guided injection group were better than those of the ESWT group after 1 week of treatment (P＜0.05), the VAS and ROM scores of ESWT group were slightly better than those of ultrasound injection group after 4 weeks and 3 months of treatment. There are statistically significant differences in the efficacy of the three groups (P＜0.05). Conclusion: The clinical efficacy of the combined group in the treatment of periarthritis of shoulder is the best, and the total effective rate and cure rate are higher than those of two single treatment groups. Ultrasound injection group onset faster, better short-term efficacy; the effect of ESWT group is slow and lasting; combined with the characteristics of the two groups, the curative effect is better in each research time point, which is an efficient and feasible treatment scheme in clinical treatment of periarthritis of shoulder.
LV Jiaojie
,
Cao Hong
. Clinical effect of ultrasound-guided injection combined with extracorporeal shock wave in the treatment of periarthritis of shoulder[J]. Journal of Baotou Medical College, 2022
, 38(11)
: 64
-67
.
DOI: 10.16833/j.cnki.jbmc.2022.11.013
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