高频超声精准定位下注射富血小板血浆结合针灸治疗肩袖部分损伤的疗效分析

Analysis of the Therapeutic Effect of High Frequency Ultrasound and Precise Location of Platelet Rich Plasma Injection Combined with Acupuncture on Partial Rotator Cuff Injury

摘要: 目的：探讨高频超声精准定位下注射富血小板血浆结合针灸治疗肩袖部分损伤的疗效分析。方法：选取我院2018年11月至2020年11月收治的肩袖部分损伤患者60例作为研究对象，按数字表法将其随机分为对照组(n = 30)和观察组(n = 30)，对照组给予肩峰下注射玻璃酸钠治疗，观察组给予高频超声精准定位下注射富血小板血浆结合针灸治疗，比较两组患者治疗临床效果；并于治疗前及治疗后3个月采用肩关节评分系统(UCLA)、美国肩肘关节外科医师协会评分(ASES)评分、肩关节功能测试CMS功能评分、视觉模拟法(VAS)评分评价两组患者肩功能；并于治疗后6个月观察两组患者恢复情况，包括疼痛消失时间、术后钙化灶消失时间、水肿消失时间以及活动功能恢复时间。结果：观察组治疗有效率为96.67% (29/30)明显高于对照组73.33% (23/30)，差异有统计学意义(p < 0.05)；治疗后两组患者UCLA、ASES、CMS以及VAS评分均较治疗前明显升高，且观察组者UCLA、ASES、CMS以及VAS评分明显高于对照组(p < 0.05)；观察组疼痛消失时间、术后钙化灶消失时间、水肿消失时间以及活动功能恢复时间均较对照组缩短(p < 0.05)。结论：高频超声精准定位下注射富血小板血浆结合针灸治疗肩袖部分损伤可明显改善患者肩功能，缓解疼痛，促进恢复，疗效显著，具有明显的应用价值。

Abstract: Objective: To investigate the therapeutic effect of high frequency ultrasound in the treatment of rotator cuff injury. Methods: 60 patients with partial rotator cuff injury admitted to our hospital from January 2017 to September 2020 were randomly divided into the control group (n = 30) and the observation group (n = 30) according to the numerical table method. The control group was given sodium hyaluronate injection under the acromion, the observation group was given platelet rich plasma injection combined with acupuncture treatment under the precise positioning of high frequency ultra sound, and the clinical treatment of the two groups was compared Before and 3 months after treatment, UCLA, ASES, CMS and VAS were used to evaluate the shoulder function of the two groups, and 6 months after treatment, including the time of pain disappearance and the time of calcification disappearance Time of disappearance of edema and recovery of activity func-tion. Results the effective rate of treatment in the observation group was 96.67% (29/30), which was significantly higher than that in the control group (73.33%), the difference was statistically significant (p < 0.05); after treatment, the scores of UCLA, ASES, CMS and VAS in the two groups were significantly higher than those before treatment, and the scores of UCLA, ASES, CMS and VAS in the observation group were significantly higher than those in the control group (p < 0.05); the time of pain disappearance and the disappearance of calcification focus in the observation group were significantly longer than those in the control group (p < 0.05). The time of loss, the time of disappearance of edema and the time of recovery of activity function were shorter than those of the control group (p < 0.05). Conclusion: Injection of platelet rich plasma combined with acupuncture and moxibustion under the precise location of high-frequency ultrasound can significantly improve the shoulder function of patients with partial rotator cuff injury, relieve pain, promote recovery, and have a significant effect.