体外冲击波治疗肩周炎应用优质护理的临床效果分析

林丽景　韦翠花　吴爱花　黄凯莉

[摘要] 目的 探讨体外冲击波治疗肩周炎患者实施优质护理干预的临床效果。 方法 选择2013年6月～2015年6月158例患有肩周炎患者，采用体外冲击波进行治疗，将患者随机分成观察组90例，对照组68例，对照组采用常规护理，观察组采用优质护理。观察并分析两组患者的治疗效果情况。 结果 观察组在治疗后1周、1个月、3个月及半个月后疼痛缓解明显优于对照组，治疗6个月后肩关节活动度明显改善；差异具有统计学意义（P<0.05）。 结论 优质护理干预对于体外冲击波治疗肩周炎患者效果显著，解决患者疾患，促进医护患和谐，提高患者的满意度，此护理值得在临床上推广应用。

[关键词] 冲击波；肩周炎；优质护理；疼痛

[中图分类号] R686 [文献标识码] B [文章编号] 2095-0616（2016）09-113-04

[Abstract] Objective To explore the clinical efficacy of quality care for treatment of frozen shoulder with extracorporeal shock wave. Methods From June 2013 to June 2015，158 patients suffering from frozen shoulder were selected，all the patients were treated with extracorporeal shock wave，and were randomly divided into observation group（90 cases） and control group（68 patients）.The patients in control group were given usual care， the patients in observation group were given quality care.The therapeutic effect of patients in two groups were observed and analyzed. Results In the observation group，after one week，one month，three months and two weeks treatment，the pain relief of patients was significantly better than that of patients in control group，after 6 months of treatment，the patients joint activity were significantly improved in observation group，the difference was statistically significant. Conclusion Quality care intervention for extracorporeal shock wave therapy in patients with frozen shoulder have significant effect，can relieve symptoms，promote harmony between doctors，care and patients，improve patient satisfaction，the quality care worthy of clinical application.

[Key words] Shock wave；Frozen shoulder；Quality care；Pain

肩周炎是指肩关节囊和关节周围软组织损伤、退变而引起的慢性无菌性炎症，以肩关节部疼痛、运动功能障碍和肌肉萎缩为主要临床表现[1]。多发于中老年人，女性略高于男性，单侧多见。目前在临床上一般采用药物局部封闭、针灸疗法、物理疗法、运动疗法等，但其效果并不理想。体外冲击波是近年来出现的一种针对肩周炎等慢性软组织损伤性疼痛等疾病的治疗技术，疗效显著[2]，其原理是将声波生成高能量的冲击波，作用于病变部位，促进炎症的吸收，促进组织再生[3]，达到疼痛的缓解、功能的恢复[4]。治疗的同时结合的优质护理干预，其效果显著，现报道如下。

1 资料与方法

1.1 一般资料

选择2013年6月～2015年6月我科室收治158例肩周炎患者，其中男67例，女91例，年龄48～68岁，平均62岁，左侧53例，右侧94例，双侧21例。整个研究均在患者知情同意下完成，并经过本院伦理委员会的批准。……