[1]石洋 曾瑞瑞.体外冲击波治疗肩部钙化性肌腱炎疗效的Meta分析[J].中国中医骨伤科杂志,2017,25(12):26-30.
　SHI Yang ZENG Ruirui.Meta Analysis of Extracorporeal Shock Wave Therapy in the Treatment of Shoulder Calcific Tendinitis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(12):26-30.
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体外冲击波治疗肩部钙化性肌腱炎疗效的Meta分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年12期
页码:
26-30
栏目:
文献研究
出版日期:
2017-12-15

文章信息/Info

Title:
Meta Analysis of Extracorporeal Shock Wave Therapy in the Treatment of Shoulder Calcific Tendinitis
文章编号:
1005-0205(2017)12-0026-05
作者:
石洋1 曾瑞瑞2
1江苏常州市体育医疗科研所门诊部(江苏 常州,213000) 2郑州大学第一附属医院
Author(s):
SHI Yang1 ZENG Ruirui2
1Outpatient Department of Changzhou Sports and Medical Research Institute, Changzhou 213000,Jiangsu China; 2The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
关键词:
钙化性肌腱炎;  体外冲击波疗法;  肩关节;  Meta分析
Keywords:
Keywords: calcific tendonitis;  extracorporeal shock wave therapy;  shoulder;  Meta analysis
分类号:
R685
文献标志码:
A
摘要:
目的:通过系统地评价临床随机对照实验,探求体外冲击波治疗肩部钙化性肌腱炎的最佳强度和剂量。方法:通过检索The Cochrane Central Register of Controlled Trials,EMBASE,Medline和SCI数据库,获得有关比较不同的强度和剂量的体外冲击波治疗肩部钙化性肌腱炎的临床随机对照实验(RCT)。分别独立应用纳入和排除标准评价检索到的文献,提取数据并评价每一纳入文献的方法学上的质量。将纳入研究的文献用Rev Man5.3进行分析。结果:8个比较高、低强度的体外冲击波疗效的临床随机实验(492人)显示,高强度的体外冲击波疗效显著好于低强度体外冲击波,合并后的RR=1.93,95%CI=1.44～2.59; 6个比较高、低体外冲击波治疗剂量的临床随机实验(349人)显示,高剂量的体外冲击波疗效显著好于低剂量体外冲击波,合并的RR=1.71,95%CI=1.17～2.50.结论:体外冲击波在治疗肩部钙化性肌腱炎时强度在0.20～0.45 mJ/m2,治疗剂量在600～1 920 mJ/m2时疗效较好。
Abstract:
Abstract Objective:To explore the best intensity and dose of extracorporeal shock wave therapy for shoulder calcific tendonitis through the system evaluation of randomized controlled trials.Methods:By retrieving The Cochrane Central Register of Controlled Trials,EMBASE, Medline and SCI databases,the clinical randomized controlled trials(RCT)articles about different intensity and dose of extracorporeal shock wave treating shoulder calcific tendinitis were collected. The articles were evaluated separately using the inclusion and exclusion criteria, and the data were extracted and the methodological quality of each included literature was evaluated. The literature included in the study was analyzed by Rev Man5.3.Results:Eight randomized clinical trials(492 patients)comparing the efficacy of extracorporeal shock wave with different intensity showed that high intensity extracorporeal shock wave was significantly better than low intensity extracorporeal shock wave, with combined RR=1.93 and combined 95%CI=1.44～2.59. Six randomized clinical trials(349 patients)comparing the efficacy of extracorporeal shock wave with different dose showed that the high dose extracorporeal shock wave was significantly better than the low dose extracorporeal shock wave, with combined RR=1.71 and combined 95%CI=1.17～2.50. Conclusion:Extracorporeal shock wave has a better effect in the treatment of shoulder calcifying tendinitis when the intensity is 0.20～0.45 mJ/m2 and the dose is 600～1 920 mJ/m2.

参考文献/References:

[1] Litchman HM,Silver CM,Simon SD,et al.The surgical management of calcific tendinitis of the shoulder.An analysis of 100 consecutive cases[J].International Surgery,1968,50(5):474-479.
[2] Howard D,Sturtevant B.In vitro study of the mechanical effects of shock-wave lithotripsy[J].Ultrasound Med Biol,1997,23(7):1107-1122.
[3] 于铁成,郑学清,徐莘香.冲击波原理和生物学作用[J].中华创伤骨科杂志,2003,5(3):247-250.
[4] 邢更彦,江明,井茹芳.骨肌系统疾病体外冲击波疗法及其演变与发展[J].中国矫形外科杂志,2005,13(1):64-66.
[5] Sabeti M,Dorotka R,Goll A,et al.A comparison of two different treatments with navigated extracorporeal shock-wave therapy for calcifying tendinitis -a randomized controlled trial[J].Wien Klini Wochenschr,2007,119(3-4):124-128.
[6] Albert JD,Meadeb J,Guggenbuhl P,et al.High-energy extracorporeal shock-wave therapy for calcifying tendinitis of the rotator cuff:a randomised trial[J].J Bone and Joint Surg,2007,89(3):335-341.
[7] Moretti B,Garofalo R,Genco S,et al.Medium-energy shock wave therapy in the treatment of rotator cuff calcifying tendinitis[J].Knee Surg,Sports Traumatol Arthrosc,2005,13(5):405-410.
[8] Pleiner J,Crevenna R,Langenberger H,et al.Extracorporeal shockwave treatment is effective in calcific tendonitis of the shoulder.a randomized controlled trial[J].Wien Klini Wochenschrift,2004,116(15-16):536-541.
[9] Perlick L,Luring C,Bathis H,et al.Efficacy of extracorporal shock-wave treatment for calcific tendinitis of the shoulder:experimental and clinical results[J].J Orthop Sci,2003,8(6):777-783.
[10] Gerdesmeyer L,Wagenpfeil S,Haake M,et al.Extracorporeal shock wave therapy for the treatment of chronic calcifying tendonitis of the rotator cuff:a randomized controlled trial[J].JAMA,2003,290(19):2573-2580.
[11] Wiley P.Low energy extracorporeal shock-wave treatment for tendinitis of the supraspinatus[J].Clin J Sport Med,2002,12(4):262.
[12] Rompe JD,Zollner J,Nafe B et al.Significance of calcium deposit elimination in tendinosis calcarea of the shoulder[J].Zeitschrift fur Orthopadie und ihre Grenzgebiete,2000,138(4):335-339.
[13] Jadad A,Moore A,Carroll D.Assessing the quality of reports on randomized clinical trials,is blinding necessary?[J].Control Clin Trials,1996(17):1-12.
[14] Higgins J,Green SE.Cochrane handbook for systematic reviews of interventions version 5.1.0.the cochrane collaboration(Eds)[J].Naunyn-Schmiedebergs Archiv für experimentelle Pathologie und Pharmakologie,2011,2011(14):S38.
[15] Seil R,Rupp S,Hammer DS et al.Extracorporeal shockwave therapy in tendionosis calcarea of the rotator cuff:comparison of different treatment protocols[J].Z Orthop Grenzgebi,1999,137(4):310-315.
[16] Loew M,Daecke W,Kusnierczak D,et al.Shock-wave therapy is effective for chronic calcifying tendinitis of the shoulder[J].J Bone Joint Surg Br,1999,81(5):863-867.
[17] Ioppolo F,Tattoli M,Di Sante L,et al.Extracorporeal shock-wave therapy for supraspinatus calcifying tendinitis:a randomized clinical trial comparing two different energy levels[J].Phys Ther,2012,92(11):1376-1385.
[18] Rompe JD,Zoellner J,Nafe B.Shock wave therapy versus conventional surgery in the treatment of calcifying tendinitis of the shoulder[J].Clinical orthopaedics and related research,2001,387:72-82.
[19] Haake M,Rautmann M,Wirth T.Assessment of the treatment costs of extracorporeal shock wave therapy versus surgical treatment for shoulder diseases[J].Int J Technol Assess Health Care,2001,17(4):612-617.
[20] 王家良.循证医学与临床医学[J].中国循证医学,2001,1(1):5-7.
[21] Schmitt J,Haake M,Tosch A,et al.Low-energy extracorporeal shock-wave treatment(ESWT)for tendinitis of the supraspinatus.a prospective,randomised study[J].J Bone Joint Surg Br,2001,83(6):873-876.
[22] Jakobeit C,Winiarski B,Jakobeit S,et al.Ultrasound-guided,high-energy extracorporeal -shock-wave treatment of symptomatic calcareous tendinopathy of the shoulder[J].ANZ J Surg Br,2002,72(7):496-500.
[23] 周旭毓,方积乾.Meta分析的常见偏倚[J].循证医学,2002,2(4):216-220.
[24] Haake M,Deike B,Thon A,et al.Exact focusing of extracorporeal shock wave therapy for calcifying tendinopathy[J].Clini Orthopa Relat Res,2002,397:323-331.

更新日期/Last Update: 2017-12-08