摘要
目的:观察细银质针导热松解术治疗肱二头肌长头腱炎(myotenositis of the long head of biceps brachii, MLHB)的有效性和安全性。方法:纳入MLHB病人102例,采用随机数字表法平均分为细银质针导热组(A组)和局部注射组(B组),比较两组治疗前后的肩关节功能评分(american shoulder and elbow surgeons’form score, ASES)、腱鞘积液厚度和长头腱周长。结果:A组治疗后1周的ASES显著提高、腱鞘积液厚度明显降低,治疗后4周长头腱周长显著减小;B组治疗后5 min的ASES明显升高,治疗后4周较2周的ASES明显降低;治疗后1周长头腱周长明显减小、2周腱鞘积液厚度明显减少。治疗后4周A组ASES评分以及腱鞘积液厚度均优于B组。两组无明显不良反应。结论:细银质针导热松解术及局部药物注射均能改善MLHB的临床症状,细银质针导热松解术远期疗效优于局部药物注射。
Objective:To evaluate the efficacy and safety of thin silver needle heat conduction in the treatment of myotenositis of the long head of biceps brachii(MLHB). Methods: There were 102 patients with MLHB who randomly and equally divided into thin silver needle heat conduction group(group A) and local injection group(group B), and received thin silver needle heat conduction therapy and local injection respectively. American shoulder and elbow surgeons’ form score(ASES), the thickness of tendon sheath effusion, and the circumference of long head tendon were assessed and compared between 2 groups at pre-treatment and 1, 2, and 4 weeks after treatment. Adverse reactions were also observed. Results: There was no significant difference between 2 groups in the ASES, the thickness tendon sheath effusion and the circumference of long head tendon before treatment. In group A, the ASES score and the thickness of tendon sheath effusion were significantly reduced 1 week after treatment compared with that before treatment, and the long head tendon circumference was significantly reduced 4 weeks after treatment. In group B, the ASES score was improved considerably 5 minutes after treatment, and was obviously lower 4 weeks after treatment than 2 weeks after treatment. The thickness of tendon sheath effusion was significantly reduced 2 weeks after treatment, and the head tendon circumference was significantly reduced 1 week after treatment. After 4 weeks’ treatment, both the ASES score and the thickness of tendon sheath effusion in group A were better than those in group B. There were no adverse events reported in both groups during the treatment and follow-up. Conclusion: Both thin silver needle heat conduction and local injection can alleviate the clinical symptoms of MLHB, but the long-term effect of thin silver needle heat conduction is better than that of local injection.
作者
毛鹏
李怡帆
李春蕊
张毅
杨阳
刘波涛
樊碧发
MAO Peng;LI Yi-Fan;LI Chun-Rui;ZHANG Yi;YANG Yang;LIU Bo-Tao;FAN Bi-Fa(Department of Pain Medicine,China-Japan Friendship Hospital,Beijing 100029,China;Department of Graduate School,Beijing University of Chinese Medicine,Beijing 100029,China;Center of Day Surgery,China-Japan Friendship Hospital,Beijing 100029,China)
出处
《中国疼痛医学杂志》
CAS
CSCD
北大核心
2020年第6期422-426,共5页
Chinese Journal of Pain Medicine
基金
国家重点专科项目
中央高校基本科研业务费专项资金
中日友好医院生物医学转化工程系列研究项目(PYBZ1840)
关键词
肱二头肌长头腱炎
银质针
局部注射
疼痛
Myotenositis of the long head of biceps brachii
Silver needle heat conduction
Local injection
Pain
作者简介
第一作者:毛鹏。;第一作者:李怡帆。;通讯作者:樊碧发,fbf1616@yeah.net
