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肩关节腔注射曲安奈德对糖尿病合并冻结肩患者的疗效分析

Effect of intra-articular triamcinolone acetonide injection on diabetic patients with frozen shoulder

  • 摘要:
    目的 探讨肩关节腔注射曲安奈德对糖尿病合并冻结肩患者保守治疗效果的影响。
    方法 回顾性分析2017年1月至2018年7月嘉兴学院附属第二医院门诊收治的糖尿病合并冻结肩88例患者病例资料。根据患者肩关节腔是否注射曲安奈德,分为激素组(CI组,42例)和非激素组(NCI组,46例)。比较2组患者治疗前、治疗1个月、3个月和6个月后的视觉模拟评分(visual analog scale,VAS)、关节活动范围(range of motion,ROM)、肩关节Constant评分以及治疗6个月后2组的Constant评分优良率。
    结果 CI组治疗1个月和3个月后的VAS评分分别为(2.74±0.45)分和(2.24±0.43)分,Constant评分分别为(69.10±1.76)分和(75.81±1.25)分,均优于NCI组(P < 0.05)。治疗6个月后,2组VAS评分、ROM、Constant评分差异均无统计学意义。CI组Constant评分优良率为76.2%,NCI组为67.4%,差异无统计学意义。
    结论 肩关节腔曲安奈德注射治疗可减轻糖尿病合并冻结肩患者早期疼痛,促进肩关节功能恢复,是糖尿病合并冻结肩的有效治疗方案。

     

    Abstract:
    Objective To explore the effect of intra-articular corticosteroid injection on diabetic patients with frozen shoulder.
    Methods From January 2017 to July 2018, 88 patients who met the inclusion criteria were analyzed retrospectively. Patients were divided into the corticosteroid injection group (CI group, 42 cases) and non-corticosteroid injection group (NCI group, 46 cases) according to whether triamcinolone acetonide was used. The visual analogue score (VAS), range of motion (ROM), constant score of the shoulder, and the excellent and good rate of constant score after six months were compared between the two groups.
    Results The VAS score of the CI group were (2.74±0.45) and (2.24±0.43) points, and the constant scores were (69.10±1.76) and (75.81±1.25) points, respectively, which were better than those of the NCI group at 1 and 3 months after the treatment (all P < 0.05). After 6 months of treatment, there was no significant difference in VAS score, ROM and Constant score between the two groups. The excellent and good rate of constant score was 76.2% in the CI group and 67.4% in the NCI group, the difference was not statistically significant.
    Conclusion A triamcinolone acetonide injection on diabetic patients with frozen shoulder reduces pain perception and promotes functional recovery in the early stages. An intra-articular triamcinolone acetonide injection is an effective treatment for frozen shoulder in patients with diabetes.

     

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