肩关节镜下肩袖修补术联合肩三针治疗肩袖损伤的临床疗效

Clinical effect of shoulder arthroscopic rotator cuff repair combined with shoulder three needles for rotator cuff injury

摘要:

目的 探讨肩关节镜下肩袖修补术联合肩三针治疗肩袖损伤的临床效果。方法 选取2021年6月－2023年3月该院收治的肩袖损伤患者86例，按随机数表法分为研究组（43例）和对照组（43例）。研究组予以肩关节镜下肩袖修补术联合肩三针治疗，对照组予以肩关节镜下肩袖修补术联合安慰针治疗。比较两组患者术前和术后6个月疼痛程度、肩关节功能和肩关节活动度，比较两组患者术后6个月肩关节功能优良率、术前和术后4周炎症因子变化情况。结果 术后6个月，两组患者视觉模拟评分法（VAS）评分明显低于术前，且研究组（包括中撕裂亚组和大撕裂亚组）明显低于对照组（包括中撕裂亚组和大撕裂亚组）；两组患者美国肩肘外科协会（ASES）评分明显高于术前，且研究组（包括中撕裂亚组和大撕裂亚组）明显高于对照组（包括中撕裂亚组和大撕裂亚组）；两组患者肩关节活动度明显大于术前，且研究组（包括中撕裂亚组和大撕裂亚组）明显大于对照组（包括中撕裂亚组和大撕裂亚组），差异均有统计学意义（P < 0.05）。术后6个月，研究组肩关节功能优良率明显高于对照组，差异有统计学意义（P < 0.05）。术后4周，两组患者肿瘤坏死因子-α（TNF-α）、C反应蛋白（CRP）、白细胞介素-6（IL-6）和白细胞介素-8（IL-8）明显低于术前，且研究组（包括中撕裂亚组和大撕裂亚组）明显低于对照组（包括中撕裂亚组和大撕裂亚组），差异均有统计学意义（P < 0.05）。结论 肩关节镜下肩袖修补术联合肩三针可缓解肩袖损伤患者疼痛程度，改善肩关节功能和肩关节活动度，提高肩关节功能优良率，减轻炎症反应。值得临床推广应用。

Abstract:

Objective To investigate the clinical effect of shoulder arthroscopic rotator cuff repair combined with shoulder three needles in treatment of rotator cuff injury.Methods 86 patients with rotator cuff injury from June 2021 to May 2023 were divided into two groups using a random number table method. The research group received 43 cases of rotator cuff repair under arthroscopy combined with shoulder three needles rotator cuff repair, while the control group received 43 cases of rotator cuff repair under arthroscopy combined with placebo needling. Then compare the pain level, shoulder joint function, and shoulder joint range of motion between the two groups before and 6 months after surgery, and calculate the excellent and good shoulder joint function rates between the two groups at 6 months after surgery, and compare the changes in inflammatory factors between the two groups at before and 4 weeks after surgery.Results 6 months after surgery, the visual analogue scale (VAS) score of both groups was lower than that before surgery, and the VAS score in research group (including the moderate tearing subgroup and the major tearing subgroup) was lower than that of the control group (including the moderate tearing subgroup and the major tearing subgroup), while the American Shoulder and Elbow Surgeons (ASES) score and shoulder joint range of motion were higher than those before surgery, and the ASES score and shoulder joint range of motion in research group (including the moderate tearing subgroup and the major tearing subgroup) were higher than those of the control group (including the moderate tearing subgroup and the major tearing subgroup), the differences were statistically significant (P < 0.05). 6 months after surgery, the excellent and good rate of shoulder joint function in the research group was higher than that in the control group, the difference was statistically significant (P < 0.05). At 4 weeks after surgery, the levels of tumor necrosis factor-α (TNF-α), C-reactive protein (CRP), interleukin-6 (IL-6), and interleukin-8 (IL-8) in both groups were lower than those before surgery, and the research group (including the moderate tearing subgroup and the major tearing subgroup) were lower than those of control group (including the moderate tearing subgroup and the major tearing subgroup), the differences were statistically significant (P < 0.05).Conclusion Arthroscopic rotator cuff repair combined with shoulder three needles can alleviate the pain level of patients with rotator cuff injury, improve shoulder joint function and range of motion, increase the excellent and good rate of shoulder joint function, and reduce inflammatory reaction. It is worthy of clinical application.