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内热针联合神经肌肉关节促进技术对冻结肩的临床疗效

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观察内热针联合神经肌肉关节促进技术(NJF)对冻结肩的临床效果.方法:选取江苏省人民医院浦口分院康复医学科收治的 60 例冻结肩患者为研究对象,随机分为观察组和对照组各 30 例.观察组采用内热针联合NJF治疗,对照组采用口服塞来昔布胶囊联合关节松动术治疗;分别于治疗前、治疗 3 周后对两组患者肩关节活动度(ROM)、疼痛视觉模拟评分(VAS)及Constant-Murley肩关节功能评分作为疗效评价.结果:治疗 3 周后,两组患者Constant肩关节评分、VAS评分及ROM均较治疗前明显改善,差异有统计学意义(P<0.05),且观察组Constant评分、ROM及VAS疼痛评分均明显优于对照组,差异有统计学意义(P<0.05),但两组治疗后肩关节后伸比较,差异无统计学意义(P>0.05);观察组总有效率高于对照组,差异有统计学意义(P<0.05).结论:内热针联合神经肌肉关节促进技术治疗冻结肩,可缓解肩部疼痛,并更大程度地改善肩部功能,提高患者生活质量.
Clinical efficacy of internal heat acupuncture combined with NJF technique on frozen period of periarthritis of shoulder
Objective To observe the clinical effect of internal heat acupuncture combined with neuromuscular joint promotion(NJF)on frozen period of periarthritis of shoulder.Method 60 patients withfrozen period of periarthritis of shoulder from Rehabilita-tion Medicine Department,Pukou Branch Hospital of Jiangsu Province Hospital,were selected as research object and randomly divided into observation group and control group.30 cases in the observation group were treated with internal heat acupuncture combined with NJF,and 30 cases in the control group were treated with oral celecoxib capsule combined with joint loosening;The active range of mo-tion(ROM),VAS pain score and constant Murley shoulder function score of the two groups were evaluated before and 3 weeks after treatment.Results After 3 weeks of treatment,the Constant shoulder score,VAS pain score and range of motion of shoulder in 2 groups were significantly improved compared with before treatment(P<0.05),and the Constant score,shoulder ROM and VAS pain score of the observation group were significantly better than that of the control group(P<0.05).However,there was no significant difference in shoulder extension between the two groups after treatment(P>0.05);The total effective rate of the observation group was higher than that of the control group(P<0.05).Conclusion Internal heat acupuncture combined with neuromuscular joint promotion technology in the treatment of frozen period of periarthritis of shoulder can alleviate shoulder pain,improve shoulder function and activity ability to a greater extent,and improve the quality of life of patients.

Internal heat acupunctureNeuromuscular Joint Facilitation(NJF)Frozen period of periarthritis of shoulder

叶思、马腾、徐志鹏、刘忠琦、陈荣元、田然

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江苏省人民医院浦口分院康复医学科,江苏 南京 211800

内热针 神经肌肉关节促进技术 冻结肩

南京医科大学科技发展基金一般项目

NMUB2019271

2024

吉林医学
吉林省人民医院

吉林医学

影响因子:0.926
ISSN:1004-0412
年,卷(期):2024.45(8)
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