摘要
目的评估在关节镜术中注射玻璃酸钠和复方倍他米松治疗肩袖损伤的临床疗效。方法回顾性分析2017年4月-2020年8月41例行关节镜肩袖修补术患者的临床资料,其中23例注射组患者在关节镜中肩袖修补后立即于肩峰下间隙内注射玻璃酸钠和复方倍他米松,而18例对照组患者不注射。比较两组患者术后1周视觉模拟评分法(VAS)评分,术后8周VAS评分、Constant-Murley评分和美国肩肘外科协会评分(ASES)差异。结果随访时间12~39个月,平均20.73个月。术后1周和8周,注射组VAS评分优于对照组,差异有统计学意义(P<0.05)。术后8周注射组Constant-Murley评分(87.04±8.29)分优于对照组(79.22±11.26)分,差异有统计学意义(t=2.560,P=0.010);术后8周注射组ASES评分(85.52±8.25)分优于对照组(77.33±9.81)分,差异有统计学意义(t=2.900,P=0.010)。结论关节镜肩袖修补术中注射玻璃酸钠和复方倍他米松安全有效,有利于减轻肩关节术后疼痛并改善肩关节功能。
Objective To evaluate the clinical efficacy of injection of sodium hyaluronate and compound betamethasone in the treatment of rotator cuff injury during arthroscopy.Methods The clinical data of 41 patients who underwent arthroscopic rotator cuff repair from April 2017 to August 2020 were retrospectively analyzed.Among them,23 patients in the injection group were injected with sodium hyaluronate and compound betamethasone into the subacromial space immediately after arthroscopic rotator cuff repair,while 18 patients in the control group did not inject.Visual analogue scale(VAS)score 1 week after surgery,VAS score 8 weeks after surgery,constant-Murley score and American Society for Shoulder and Elbow Surgery score(ASES)were compared between the two groups.Results The follow-up time was 12 to 39 months,with an average of 20.73 months.At 1 and 8 weeks after operation,the VAS score of the injection group was better than that of the control group,and the difference was statistically significant(P<0.05).The Constant-Murley score(87.04±8.29)points of the injection group was better than the control group(79.22±11.26)points at 8 weeks postoperatively,and the difference was statistically significant(t=2.560,P=0.010);the ASES score(85.52±8.25)points of the injection group was better than the control group(77.33±9.81)points at 8 weeks postoperatively,and the difference was statistically significant(t=2.900,P=0.010).Conclusion The injection of sodium hyaluronate and compound betamethasone during arthroscopic rotator cuff repair is safe and effective,which is beneficial to alleviate postoperative pain of shoulder joint and improve shoulder joint function.
作者
尹识渊
裴儒
YIN Shiyuan;PEI Ru(Department of Orthopedics,Suqian First People's Hospital Affiliated to Nanjing Medical University,Suqian,Jiangsu Province,223800 China)
出处
《中外医疗》
2022年第5期86-89,共4页
China & Foreign Medical Treatment
关键词
玻璃酸钠
复方倍他米松
肩袖损伤
关节镜
肩袖修补
回顾性分析
Sodium hyaluronate
Compound betamethasone
Rotator cuff injury
Arthroscopy
Rotator cuff repair
Retrospective analysis
