首页|牵张推拿手法联合放散式体外冲击波治疗早期原发性冻结肩的多中心随机对照临床研究

牵张推拿手法联合放散式体外冲击波治疗早期原发性冻结肩的多中心随机对照临床研究

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目的:观察牵张推拿手法联合放散式体外冲击波治疗早期原发性冻结肩的临床疗效.方法:将240例符合诊断标准的早期原发性冻结肩患者,分为3组,观察组和对照组各90例,空白对照组60例,观察组予牵张推拿手法联合放散式体外冲击波治疗,对照组予放散式体外冲击波治疗,空白对照组予塞来昔布口服,比较3组的CMS评分、VAS评分和疗效.结果:VAS评分比较,3组均较治疗前评分降低,观察组评分最低,对照组次之,空白对照组评分最高,P<0.05,差异具有统计学意义.3组CMS评分比较,空白对照组评分最低,对照组次之,观察组评分最高,P<0.05,差异具有统计学意义.3组疗效比较,P<0.05,差异具有统计学意义.结论:牵张推拿手法联合放散式体外冲击波治疗早期原发性冻结肩有着良好的疗效,值得临床推广.
A Multicenter Randomized Controlled Clinical Study of Stretch Massage Manipulation Combined with Disseminated Extracorporeal Shock Wave in the Treatment of Early Primary Frozen Shoulder
Objective:To observe the clinical efficacy of traction massage combined with disseminated extracorporeal shock wave in the treatment of early primary frozen shoulder.Methods:240 patients with early primary frozen shoulder were divided into three groups:ob-servation group(n=90),control group(n=90)and blank control group(n=60).The observation group was treated with stretch massage combined with elusive extracorporeal shock wave,the control group was treated with elusive extracorporeal shock wave,and the blank control group was treated with celecoxib orally.CMS score,VAS score and curative effect of the three groups were compared.Results:The VAS scores of the three groups were lower than those before treatment,the observation group had the lowest score,the control group took the second place,and the blank control group had the highest score.The difference was statistically significant.The CMS score of the blank control group was the lowest,the control group was the second,and the observation group was the highest,P<0.05,the difference was statistically significant.There was significant difference in the curative effect among the three groups P<0.05.Conclusion:Stretch massage combined with disseminated extracorporeal shock wave has a good effect in the treatment of early primary frozen shoulder,which is worthy of clinical promotion.

Extracorporeal shock wave therapyFrozen shoulderStretch massagemulticenter

朱成林、徐晶、万兴、俞竹青、王建平、王娅玲、赵增趁、傅瑞阳

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浙江中医药大学附属湖州中医院推拿科 浙江 湖州 313000

江苏省中医院推拿科 江苏 南京 210000

绍兴市中医医院针灸推拿科 浙江 绍兴 312000

体外冲击波疗法 冻结肩 牵张推拿手法 多中心

国家中医药局重点专科建设项目(十二五)全国名老中医药专家传承工作室建设项目傅瑞阳传承工作室项目湖州市科技计划

ZJ1101TN010国医药人教发[2017]29号2018GY22

2024

内蒙古中医药
内蒙古自治区中医药学会,内蒙古自治区中蒙医研究所

内蒙古中医药

影响因子:0.444
ISSN:1006-0979
年,卷(期):2024.43(2)
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