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腕踝针疗法联合阶段性运动康复训练治疗肩袖损伤术后患者的效果

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目的:观察腕踝针疗法联合阶段性运动康复训练治疗肩袖损伤术后患者的效果.方法:选取 2022 年 3 月至 2023 年 4 月该院收治的 92 例肩袖损伤术后患者进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各 46 例.对照组实施阶段性运动康复训练治疗,观察组在对照组基础上联合腕踝针疗法治疗,两组均治疗 12 周.比较两组康复优良率,治疗前后自理能力[功能独立性评定量表(FIM)]评分、疼痛[视觉模拟评分法(VAS)]评分、肩关节活动度(外旋、外展、前屈),以及不良反应发生率.结果:观察组康复优良率为 95.65%(44/46),高于对照组的 80.43%(37/46),差异有统计学意义(P<0.05);治疗后,观察组FIM评分高于对照组,VAS评分低于对照组,差异均有统计学意义(P<0.05);治疗后,观察组外旋、外展、前屈等肩关节活动度均大于对照组,差异有统计学意义(P<0.05);两组治疗期间均未见明显不良反应.结论:腕踝针疗法联合阶段性运动康复训练治疗肩袖损伤术后患者可提高康复优良率、自理能力评分,增大肩关节活动度,降低疼痛评分,效果优于单纯阶段性运动康复训练治疗.
Effects of wrist-ankle acupuncture combined with staged exercise rehabilitation training on postoperative patients with rotator cuff injury
Objective:To observe effects of wrist-ankle acupuncture combined with staged exercise rehabilitation training on postoperative patients with rotator cuff injury.Methods:A prospective study was conducted on 92 patients with rotator cuff injury treated in this hospital from March 2022 to April 2023.They were divided into observation group and control group according to the random number table method,46 cases in each group.The control group was treated with staged exercise rehabilitation training,while the observation group was treated with wrist-ankle acupuncture on the basis of that of the control group.Both groups were treated for 12 weeks.The excellent and good rate of rehabilitation,the self-care ability[functional independence measure(FIM)]score,the pain[visual analogue scale(VAS)]score,the shoulder joint range of motion(external rotation,abduction,flexion)before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The excellent and good rate of rehabilitation in the observation group was 95.65%(44/46),which was higher than 80.43%(37/46)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the FIM score of the observation group was higher than that of the control group,the VAS score was lower than that of the control group,and the differences were statistically significant(P<0.05).After the treatment,the shoulder joint range of motion of external rotation,abduction and flexion in the observation group was greater than that in the control group,and the difference was statistically significant(P<0.05).However,there were no obvious adverse reactions in the two groups during the treatment.Conclusions:Wrist-ankle acupuncture combined with staged exercise rehabilitation training can improve the excellent and good rate of rehabilitation,the self-care ability score,increase the shoulder joint range of motion,and reduce pain scores in the postoperative patients with rotator cuff injury.Moreover,it is superior to single staged exercise rehabilitation training.

Rotator cuff injuryWrist-ankle acupuncture therapyStaged exercise rehabilitation trainingSelf-care abilityPainShoulder joint range of motionAdverse reaction

王莲花、万芬、乐敏珍

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南平市第一医院中医康复科,福建 南平 353000

肩袖损伤 腕踝针疗法 阶段性运动康复训练 自理能力 疼痛 肩关节活动度 不良反应

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(8)
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