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目的:观察冲击波散点和定点治疗肱二头肌长头肌腱炎的临床疗效。方法:将52例肱二头肌长头肌腱炎患者随机分组,其中26例采用痛点定位冲击治疗,26例采用散点冲击治疗,于治疗前、治疗后采用视觉模拟评分法(VAS)评定2组患者的疼痛程度,并比较两种方法治疗肱二头肌长头腱炎的疗效。结果:与治疗前比较,无论是散点治疗组还是定点治疗组治疗后的 VAS评分均低于治疗前;散点治疗VAS评分低于定点治疗(P<0.05);散点治疗总有效率为92.3%,定点治疗总有效率为80.0%,散点治疗效果显著高于定点治疗效果。结论:冲击波治疗肱二头肌长头肌腱炎无论是在镇痛的即时性和有效性上,还是在缩短治疗时间、提高痊愈率和总有效率上都有明显优势。另外散点冲击波治疗肱二头肌长头肌腱炎的效果好于定点冲击波治疗,可更明显缓解疼痛,改善肩关节功能。
Objective: To observe the clinical effect of shock wave scatter point and fixed point treatment of biceps tendonitis. Methods: Fifty-two patients with biceps tendonitis were randomly divided into two groups. Among them, 26 cases were treated with pain point positioning and impact therapy, while 26 cases were treated with scattered impact therapy. Before treatment, visual analogue scale (VAS) Group of patients with pain, and to compare the efficacy of two methods of treatment of biceps tendonitis. Results: Compared with before treatment, the VAS scores of the scattered group and the fixed group were lower than those before treatment. The VAS score of the scattered group was lower than that of the fixed group (P <0.05). The total effective rate of the scattered group was 92.3%. The total effective rate of fixed point treatment was 80.0%. The effect of scattered point treatment was significantly higher than that of fixed point treatment. Conclusion: Shock wave treatment of biceps tendon tendon both in the immediate and effective analgesia, or shorten the treatment time, improve the cure rate and the total effective rate has obvious advantages. Scatter wave treatment of biceps tendon tendon is better than fixed-point shock wave treatment, can be more significant pain relief and improve shoulder joint function.