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首页> 外文期刊>Journal of International Medical Research >High-dose short-course oral corticosteroid protocol for treatment of primary frozen shoulder: a retrospective cohort study
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High-dose short-course oral corticosteroid protocol for treatment of primary frozen shoulder: a retrospective cohort study

机译：高剂量短程口服皮质类固醇方案，用于治疗原发性冷冻肩：回顾性队列研究

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Objective To evaluate the effect of high-dose prednisolone on the functional outcome of patients with early-stage primary frozen shoulder. Methods Eighteen patients treated with oral prednisolone at an initial dose of 1 mg/kg/day for primary frozen shoulder were retrospectively evaluated. The patients’ range of motion, Disabilities of the Arm, Shoulder, and Hand (DASH) score, Constant–Murley score, American Shoulder and Elbow Surgeons (ASES) score, and visual analog scale score were recorded at baseline and at 4 weeks and 6 months after treatment. Results Rapid recovery of shoulder motion was noted at 4 weeks with the exception of abduction, which was maintained at 6 months. Significant improvement in pain perception and the Constant–Murley score was evident at 4 weeks and extended to 6 months. The DASH and ASES scores did not show significant improvement in the first 4 weeks but were significantly improved at 6 months. Conclusion High-dose oral prednisolone treatment provides rapid symptom resolution that persists long after drug discontinuation. The early treatment period is characterized by marked reduction in pain and rapid recovery of shoulder motion. Improvements in functional outcomes and disability indices tend to be more subtle in the early period but significantly improve during late treatment.
机译：目的探讨高剂量泼尼松龙对早期初级冻结肩患者功能果糖的影响。方法回顾性评价初始剂量为1mg / kg / kg / kg / kg / kg / kg / kg / kg / kg初级冷冻肩部的18名患者。患者的动作范围，手臂，肩部和手（DASH）得分，恒定的Murley评分，美国肩部和肘部外科医生（ASES）得分，以及视觉模拟比分在基线和4周和4周治疗后6个月。结果展示了4周，在6个月内保持速度迅速恢复肩部运动。疼痛感知的显着改善和恒定的Murley评分在4周内显而易见并扩展到6个月。挫折和ASES分数在前4周内没有显着改善，但在6个月内显着提高。结论高剂量口服泼尼松治疗提供了在中药停止后持续的快速症状分辨率。早期治疗期的特征在于疼痛和肩部运动的快速恢复显着降低。功能成果和残疾指标的改善往往在早期往往更加微妙，但在延迟治疗期间显着改善。

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