Volume 19 Issue 4
Apr.  2021
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JIANG Jun, JIN Xiao-feng, YANG Yan-ping, FANG Bin. Study on the effect of extracorporeal shock wave on pain and inflammatory factor levels in patients with shoulder periarthritis[J]. Chinese Journal of General Practice, 2021, 19(4): 660-662. doi: 10.16766/j.cnki.issn.1674-4152.001887
Citation: JIANG Jun, JIN Xiao-feng, YANG Yan-ping, FANG Bin. Study on the effect of extracorporeal shock wave on pain and inflammatory factor levels in patients with shoulder periarthritis[J]. Chinese Journal of General Practice, 2021, 19(4): 660-662. doi: 10.16766/j.cnki.issn.1674-4152.001887

Study on the effect of extracorporeal shock wave on pain and inflammatory factor levels in patients with shoulder periarthritis

doi: 10.16766/j.cnki.issn.1674-4152.001887
Funds:

 2020KY990

  • Received Date: 2021-01-18
    Available Online: 2022-02-16
  •   Objective  To analyze the efficacy of extracorporeal shock wave (ESW) in the treatment of scapulohumeral periarthritis and the improvement of pain and inflammatory factors.  Methods  A total of 120 patients with shoulder periarthritis in the Department of Orthopedics of our hospital from January 2019 to January 2020 were selected. According to different treatment plans, they were divided into group A and group B with 60 cases each. Group A was treated with sodium hyaluronate injection in the shoulder joint cavity, and group B were used sodium hyaluronate injection in the shoulder joint cavity combined with electromagnetic extracorporeal shock wave therapy. The clinical efficacy, pain degree, shoulder joint function, shoulder joint range of motion and inflammatory factor levels were compared between the two groups.  Results  After treatment, the total effective rate of group B (93.33%) was higher than that of group A (78.33%), the VAS score of group B [(2.21±0.72) points] was lower than that of group A [(4.19±1.04) points], and the Constant-Murley score[(70.76±5.89) points] was higher than that of group A [(64.22±6.15) points]. After treatment, the range of movement of shoulder joint abduction, flexion and extension (133.12°±7.25°, 137.81°±8.27°, 40.06°±3.15°) of group B was greater than that of group A (108.43°±6.87°, 102.54°±7.82°, 33.82°±2.90°). After treatment, the levels of interleukin-6 and tumor necrosis factor-α in group B [(47.93±4.01) ng/L, (11.02±1.76) ng/L] were lower than those in group A [(56.61±3.27) ng/L, (18.21±2.05)ng/L], all P < 0.05.  Conclusion  ESW treatment of shoulder periarthritis has a definite effect, which can significantly reduce the pain of patients, improve shoulder joint function, increase shoulder joint mobility, reduce inflammation, and have a high clinical total effective rate, which can help patients recover as soon as possible.

     

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