【原】【罂粟摘要】超声引导脉冲射频治疗慢性肩痛：一项前瞻性研究

超声引导脉冲射频治疗慢性肩痛:一项前瞻性研究

贵州医科大学  麻醉与心脏电生理课题组

翻译：王婷婷  编辑：王婷婷  审校：曹莹

背景和目的：慢性肩痛是一种常见的疼痛原因，可导致生活质量受损。治疗包括非药物和药物治疗，以及诸如肩胛上神经阻滞和射频治疗等介入性手术。本前瞻性研究旨在评估超声引导肩胛上神经脉冲射频治疗慢性肩痛的临床疗效。

方法：采用数值疼痛评定量表，分别在基线、即刻、3个月、6个月及患者运动功能改善情况下，通过疼痛强度评估治疗效果。次要结果是患者满意度。

结果：总计 34 名患者被纳入研究，且所有患者在治疗结束后即刻，其数字疼痛评定量表数值均有所降低。从基线至术后 6 个月，静态和动态的疼痛减轻幅度分别为 34.4%和 36.9%。在即刻、术后 3 个月以及 6 个月时，中位百分比减轻程度均具有统计学显著性。关节活动范围亦有改善，外展提高 39.6%，屈曲提高 24.1%，伸展提高 29.5%。90%的患者报告其患者总体变化印象优于 6 分。

结论：超声引导下肩胛上神经脉冲射频治疗可减轻疼痛强度至少6个月，并伴有运动功能的改善和患者满意度的提高。因此，这项技术是治疗慢性肩痛的有效方法。

原始文献来源：

Pinto RDT, Pinto JMT, Loureiro MCU, Cardoso C, Assun O JP. Ultrasound-guided pulsed radiofrequency for chronic shoulder pain: a prospective study. Braz J Anesthesiol. 

2024;74(1):744268. doi:10.1016/j.bjane.2021.08.006

Ultrasound-guided pulsed radiofrequency for chronic shoulder pain: a prospective study

Background and objectives: Chronic shoulder pain is a frequent cause of suffering and impaired quality of life. Treatment includes non-pharmacological and pharmacological therapies, and interventional procedures such as suprascapular nerve blocks and radiofrequency. This prospective study aims to evaluate the efficacy of ultrasound-guided pulsed radiofrequency of suprascapular nerve for chronic shoulder pain in a clinical setting.

Methods: Therapeutic efficacy was evaluated through pain intensity using numeric pain rating scale at baseline, immediately, 3, and 6 months after, and patient...s motor function improvement. The secondary outcome was patient satisfaction.

Results: A total of 34 patients were enrolled and all patients presented a reduction in the numeric pain rating scale immediately after treatment. Pain reduction from baseline to 6 months after the procedure was 34.4% and 36.9% static and dynamic, respectively. The median percentage reduction was statistically significant immediately, 3 and 6 months after. There was also an improvement in range of motion, 39.6% in abduction, 24.1% in flexion, and 29.5% in extension. Ninety percent of patients reported patient...s global impression of change superior to six.

Conclusion: This study concludes that ultrasound-guided pulsed radiofrequency of suprascapular nerve reduces pain intensity for at least 6 months, accompanied by improvement of motor function and higher levels of patients... satisfaction. Therefore, this technique represents a valid analgesic approach to chronic shoulder pain.

原文链接：Ultrasound-guided pulsed radiofrequency for chronic shoulder pain_ a prospective study.pdf 

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