放射状冲击波疗法在电脑所致重复性使力损伤中的治疗作用-前瞻性单盲随机对照研究.pdfVIP

外科研究与新技术 2015 年6 月第4 卷第2 期 ·89 · The application of radial shock wave therapy in the treatment of computer-related repetitive strain injuries ：a prospective randomized controlled single-blind study 1 2 2 WANG Xuming ，XING Gengyan ，LI Zhiguo 1.Department of Orthopedics ，8750 Hospital of the Chinese Peoples Armed Police Forces ，Mengzi 661199 ，China ； 2.Orthopedic and Traumatology Unit ，General Hospital of the Chinese People ’s Armed Police Forces ，Beijing 100039 ，China [Abstract] Objective To evaluate the efficacy of the treatment with low-energy radial extracorporeal shock wave therapy (rESWT or RSWT) in computer-related repetitive strain injuries (RSIs). Methods In a prospective randomized controlled single-blind study ，82 adults with computer-related RSIs diagnosed by a qualified orthopedist and physiatrist were randomly assigned to study group and control group. There were 41 patients in the study group and 41 patients in the control group. Both groups had received a treatment per week for 3- 5 weeks ；The study group had received on 2 average 2000 pulses of RSWT at pressure of 2.0 bar (8 Hz ，0.08 mJ/mm ) according to Swiss EMS DolorClast equipment and the control group 20 pulses of RSWT. All subjects were assessed 3 times ：before treatment ，at the end of treatment and to 3 months follow-up. Outcome measures consisted of visual analogue scores (VAS) for pain in the d