超声引导下多靶点精准注射联合展肩悬蹲锻炼法治疗原发性冻结肩的效果

doi:10.3969/j.issn.1006-5725.2026.10.014

Abstract

Abstract:

Objective To investigate the clinical efficacy of ultrasound-guided multi-target precise injection combined with the shoulder suspension squat exercise method in treating primary adhesive capsulitis of the shoulder， and to analyze its effects on inflammatory factors. Methods A total of 120 patients in Zunyi Municipal Hospital of Traditional Chinese Medicine with adhesive capsulitis were randomly divided into a treatment group （60 cases） and a control group （60 cases）. The control group underwent ultrasound-guided multi-target precise injections， while the treatment group received the same injections combined with the shoulder suspension squat exercise method. Compared the scores of pain and shoulder joint function， passive range of motion， inflammatory levels， treatment efficacy， and safety before and after treatment. Results After intervention， both groups showed reduced （Visual analog scale， VAS） scores and inflammatory levels （C-reactive protein，CRP），（interleukin-6，IL-6），（tumor necrosis factor-α，TNF-α）， and the treatment group exhibited significantly lower VAS scores and inflammatory levels compared to the control group （P < 0.05）. Both groups demonstrated improved Constant-Murley shoulder function scores， forward flexion， backward extension， and external rotation range of motion scores after intervention， and the treatment group significantly higher than the control group （P < 0.05）. The overall effective rate of the treatment group was significantly higher than the control group （P < 0.05）. None of the patients experienced serious adverse reactions. Conclusions Compared to ultrasound-guided multi-target precise injections， the combined shoulder suspension squat exercise had superior clinical efficacy in treating primary frozen shoulder. It promoted shoulder joint function recovery， reduced inflammation， and provided a valuable reference for selecting clinical treatment options for frozen shoulder.

Key words: ultrasound, multi-target injection, shoulder suspension squat exercise, frozen shoulder, inflammatory factors

CLC Number:

R684.8

Wenbo ZHANG,Zaifei CHEN,Guodong LI,Changsheng DU,Wenxu WU,Weijun KONG. Observation on the clinical efficacy of ultrasound-guided multi-target precise injection combined with shoulder suspension squat exercise in the treatment of primary frozen shoulder[J]. The Journal of Practical Medicine, 2026, 42(10): 1798-1804.

Figures/Tables 7

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References 27

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组别	例数	治疗前	治疗后3个月	治疗后6个月
对照组	60	7.29 ± 1.84	6.37 ± 1.23	4.57 ± 0.73
治疗组	60	7.26 ± 1.78	5.16 ± 1.17	2.06 ± 0.57
t值		0.53	6.36	8.99
P值		0.62	<0.001	<0.001

组别	例数	治疗前	治疗后3个月	治疗后6个月
对照组	60	45.29 ± 5.64	60.77 ± 9.03	78.77 ± 12.33
治疗组	60	43.66 ± 5.51	67.46 ± 7.37	87.46 ± 10.67
t值		0.47	7.06	8.98
P值		0.64	<0.001	<0.001

组别	例数	前屈		后伸		外旋
组别	例数	治疗前	治疗后6个月	治疗前	治疗后6个月	治疗前	治疗后6个月
对照组	60	90.52 ± 16.31	122.37 ± 25.33	20.77 ± 5.83	40.63 ± 7.33	29.72 ± 6.07	42.55 ± 6.17
治疗组	60	91.02 ± 17.13	155.52 ± 30.02	20.66 ± 5.57	53.57 ± 8.23	30.25 ± 5.83	53.91 ± 7.52
t值		0.63	12.21	0.67	11.16	0.55	11.01
P值		0.53	<0.001	0.36	<0.001	0.43	<0.001

组别	例数	痊愈	显效	有效	无效	总有效率/%
对照组	60	5	23	12	20	66.67（40/60）
治疗组	60	15	30	13	2	96.67（58/60）
χ² 值						8.93
P值						0.038

组别	例数	CRP/（mg./L）		IL-6/（pg./mL）		TNF-α/（pg./mL）
组别	例数	治疗前	治疗后3个月	治疗前	治疗后3个月	治疗前	治疗后3个月
对照组	60	27.32 ± 6.84	13.32 ± 3.93	40.37 ± 10.73	10.57 ± 3.03	29.12 ± 6.87	12.51 ± 3.17
治疗组	60	27.36 ± 6.78	5.32 ± 1.03	42.06 ± 10.57	5.37 ± 1.83	30.35 ± 6.93	3.91 ± 1.02
t值		0.53	12.03	0.69	11.52	0.65	11.93
P值		0.62	<0.001	0.35	<0.001	0.36	<0.001

Observation on the clinical efficacy of ultrasound-guided multi-target precise injection combined with shoulder suspension squat exercise in the treatment of primary frozen shoulder

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