| 贺涓涓,麦艺颖,钟小娟,何宗国,汤伟健,岳博宇,辛 蔚,姜 丽.肌骨超声影像引导高渗葡萄糖与糖皮质激素注射治疗网球肘的对照研究[J].中国康复医学杂志,2020,(12):1428~1433 |
| 肌骨超声影像引导高渗葡萄糖与糖皮质激素注射治疗网球肘的对照研究 点此下载全文 |
| 贺涓涓 麦艺颖 钟小娟 何宗国 汤伟健 岳博宇 辛 蔚 姜 丽 |
| 中山大学附属第三医院康复科，广州，510630 |
| 基金项目：国家自然科学基金项目（81201508）; 西藏自治区首席专家专项经费资助 |
| DOI：10.3969/j.issn.1001-1242.2020.12.004 |
| 摘要点击次数: 994 |
| 全文下载次数: 910 |
| 摘要： |
| 摘要
目的：对比肌骨超声影像引导高渗葡萄糖（hyperosmotic glucose，HG）与糖皮质激素（glucocorticoid，GC）注射治疗网球肘的疗效和安全性，为临床选择不同治疗方案提供参考。
方法：收集2017年7月至2018年12月在中山大学附属第三医院康复科门诊行肌骨超声影像引导注射治疗的网球肘患者，按注射药物不同分为HG组和GC组，对两组患者注射前、注射后1个月、注射后3个月、注射后6个月的疼痛视觉模拟评分（visual analogue scale，VAS）、Mayo肘关节功能评分（Mayo elbow performance score，MEPS）、臂、肩、手功能障碍（disabilities of the arm shoulder and hand，DASH）值和不良反应进行比较。
结果：共纳入患者31例，患肘35例，HG组17例，GC组18例。与注射前相比，两组患者注射后1个月、3个月、6个月的VAS评分、MEPS评分和DASH值均显著改善（P<0.05）。GC组患者注射后1个月疗效显著，注射后3个月、6个月疗效维持；HG组注射后1个月疗效明显（P<0.05），注射后3个月疗效更优于注射后1个月（P<0.05），注射后6个月疗效维持。两组相比，注射后1个月、3个月、6个月的VAS评分、MEPS评分、DASH值，GC组较HG组改善更明显（P<0.05）。两组患者治疗后均未出现明显不良反应。
结论：肌骨超声影像引导HG与GC注射治疗网球肘均安全、有效；注射后6个月内GC组的疗效优于HG组；该研究结果为网球肘的个体化治疗方案提供更多选择。 |
| 关键词：肌骨超声 注射 网球肘 高渗葡萄糖 糖皮质激素 |
| A comparative study of musculoskeletal ultrasound imaging guided injection of hyperosmotic glucose and glucocorticoid for the treatment of tennis elbow Download Fulltext |
|
| Third Affiliated Hospital， Sun Yat-sen University， Guangzhou， 510630 |
| Fund Project: |
| Abstract: |
| Abstract
Objective：To compare the efficacy and safety of ultrasound guided injection of hyperosmotic glucose (HG) and glucocorticoid (GC) for the treatment of tennis elbow， so as to supply reference for clinicians to choose proper therapeutic schedule.
Method：The data of tennis elbow patients who received ultrasound guided injection between July 2017 and December 2018 in the Third Affiliated Hospital of Sun Yat-sen University were collected. Patients were divided into two groups， HG group and GC group， according to different injected drugs. Visual analogue scale (VAS) scores， Mayo elbow performance scores (MEPS)， disabilities of the arm shoulder and hand (DASH) scores and possible adverse reactions were compared before injection， and 1，3 and 6 months after injection.
Result：VAS scores， MEPS scores and DASH scores of the two groups were improved in all time points after injections (P<0.05). The improvement in GC group at 1 month were most significant， and maintained effective at 3 month and 6 month after injection. The improvements of HG group at 1 month after injection were significant (P<0.05)， even better at 3 month (P<0.05)， and maintained effective at 6 month after injection. When compared with HG group， VAS scores， MEPS scores and DASH scores of GC group in all time points after injection were better improved (P<0.05). No adverse reactions were found in both group.
Conclusion：The injection of both GC and HG guided by ultrasound for tennis elbow were effective and safe. The improvement were better in GC group than in HG group within 6 months after injection and the results of present study provided more selectivity for individualized treatment of tennis elbow. |
| Keywords:musculoskeletal ultrasound injection tennis elbow hyperosmotic glucose glucocorticoid |
|
| 查看全文 查看/发表评论 |
