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复方倍他米松治疗冈上肌腱修复术后疼痛。

Compound betamethasone in the treatment of pain after supraspinatus tendon repair.

机构信息

Department of Orthopaedics, Lianshui County People's Hospital, Lianshui, Jiangsu, China.

出版信息

J Int Med Res. 2022 Sep;50(9):3000605221121962. doi: 10.1177/03000605221121962.

Abstract

OBJECTIVE

To investigate the effect of compound betamethasone on pain points of the supraspinatus tendon by local blocking therapy after repair surgery.

METHODS

This non-randomised controlled trial included patients who underwent arthroscopic repair of supraspinatus tendon tears and who had long-term pain. At 3 months following surgery, patients were assigned to an experimental group, whose pain points were treated with compound betamethasone, or a control group who did not receive compound betamethasone. Visual analogue scale (VAS) score, Pittsburgh Sleep Quality Index (PSQI) and Constant shoulder score for pain were determined at 3, 4, 5 and 6 months following surgery and analysed retrospectively.

RESULTS

Of 38 included patients, there were no statistically significant between-group differences in VAS score, PSQI or Constant shoulder scores at 3 months following surgery. At 4, 5 and 6 months after surgery, the VAS score and PSQI were significantly lower, and the Constant shoulder score was significantly higher, in the experimental group versus controls.

CONCLUSIONS

Using compound betamethasone to locally block pain points after supraspinatus tendon repair surgery may significantly alleviate pain, improve sleep quality, facilitate functional shoulder exercise and achieve good shoulder function.

摘要

目的

通过局部封闭治疗调查术后修复术对冈上肌腱痛点的复方倍他米松的影响。

方法

这项非随机对照试验纳入了接受冈上肌腱撕裂关节镜修复术且长期疼痛的患者。术后 3 个月,患者被分配到实验组(接受复方倍他米松治疗痛点)或对照组(不接受复方倍他米松治疗)。术后 3、4、5、6 个月,采用视觉模拟评分(VAS)、匹兹堡睡眠质量指数(PSQI)和 Constant 肩部评分评估疼痛,并进行回顾性分析。

结果

38 例纳入患者术后 3 个月 VAS 评分、PSQI 或 Constant 肩部评分在组间无统计学差异。术后 4、5、6 个月,实验组 VAS 评分和 PSQI 显著降低,Constant 肩部评分显著升高。

结论

在冈上肌腱修复术后局部封闭治疗痛点使用复方倍他米松可能显著缓解疼痛,改善睡眠质量,促进肩部功能锻炼,获得良好的肩部功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f13b/9478721/ff821921335e/10.1177_03000605221121962-fig1.jpg

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