体外超声波联合局部封闭治疗老年指屈肌腱狭窄性腱鞘炎的效果及对患者疼痛程度、关节活动度的影响

Effects of extracorporeal ultrasound combined with local block in treatment of stenosing tenosynovitis of flexor tendons in the elderly and its impact on degree of pain and joint range of motion

中文关键词: 老年  体外超声波  局部封闭  指屈肌腱狭窄  腱鞘炎  疼痛程度  关节活动度

英文关键词: elderly  extracorporeal ultrasound  local block  flexor tendon stenosis  tenosynovitis  pain degree  joint range of motion

中文摘要:

      目的 探究体外超声波联合局部封闭治疗老年指屈肌腱狭窄性腱鞘炎的效果及对患者疼痛程度、关节活动度的影响.方法 将2023年2月—2024年2月青岛市胶州中心医院收治的指屈肌腱狭窄性腱鞘炎的86例患者纳入研究,将其按照随机数字表法分为观察组和对照组,每组43例.2组患者入院均进行常规检查后,对照组患者患处采用药物注射局部封闭治疗,观察组患者在对照组基础上联合体外超声波固定频率定时刺激治疗患处.评估2组治疗效果,比较2组治疗前、治疗1个月后疼痛程度、关节活动度,记录治疗过程中不良反应发生率.结果 治疗1个月后,观察组治疗优良率(62.79％)高于对照组(32.56％)(P＜0.05);2组PPTs、掌屈、背伸、尺偏活动度治疗1周时、治疗1个月后均高于治疗前,且观察组PPTs、掌屈、背伸、尺偏活动度治疗1周时、治疗1个月后与治疗前的差值绝对值均大于对照组(P均＜0.05);(P均＜0.05);治疗期间,观察组不良事件发生率与对照组无统计学差异(P＞0.05).结论 体外超声波联合局部封闭治疗指屈肌腱狭窄性腱鞘炎患者能有效缓解患者疼痛,提高其关节活动度,该方法安全性高,疗效明显,具有临床推广价值.

英文摘要:

      Objective To explore the effects of extracorporeal ultrasound combined with local block in the treatment of stenosing tenosynovitis of flexor tendons in the elderly and its impact on degree of pain and joint range of motion.Methods 86 patients with stenosing tenosynovitis of flexor tendon admitted to Jiaozhou Central Hospital,Qingdao City,from February 2023 to February 2024 were enrolled.They were randomly divided into observation group and control group according to the random number table method,with 43 patients in each group.Both groups received routine examination after admission.The control group received local block with drug injection at the affected site.The observation group was treated with extracorporeal ultra-sound at a fixed frequency timed stimulation to the affected site on the basis of the control group.The therapeutic effect was e-valuated in both groups.The pain degree and joint range of motion of the two groups were compared before treatment and one month after treatment.The incidence of adverse reactions during treatment was recorded.Results After 1 month of treatment,the excellent-good rate in the observation group(62.79％)was significantly higher than that in the control group(32.56％)(P＜0.05).At 1 week and 1 month of treatment,PPTs and joint ranges of motion(palmar flexion,dorsiflexion,ulnar devia-tion)in both groups were significantly higher than those in the same group before treatment(all P＜0.05).The absolute values of the differences in the joint ranges of motion(palmar flexion,dorsiflexion,ulnar deviation)in the observation group at l week and 1 month of treatment and before treatment were all greater than those in the control group(all P＜0.05).There was no sig-nificant difference in the incidence of adverse events between the two groups during treatment(P＞0.05).Conclusion The combination of extracorporeal ultrasound and local block can effectively relieve pain and improve joint range of motion in pa-tients with stenosing tenosynovitis of flexor tendon.This method has high safety and significant efficacy,and has clinical pro-motion value.