中国中医骨伤科杂志2024,Vol.32Issue(2) :56-59,66.DOI:10.20085/j.cnki.issn1005-0205.240210

针刀镜联合手法松解术治疗粘连性肩关节囊炎的临床研究

Clinical Study on Acupotomy Combined with Manual Release on the Treatment of Adhesive Shoulder Capsulitis

张云松 邓伟 高宏伟 王建宇 张英炎 韩继成
中国中医骨伤科杂志2024,Vol.32Issue(2) :56-59,66.DOI:10.20085/j.cnki.issn1005-0205.240210

针刀镜联合手法松解术治疗粘连性肩关节囊炎的临床研究

Clinical Study on Acupotomy Combined with Manual Release on the Treatment of Adhesive Shoulder Capsulitis

张云松 1邓伟 2高宏伟 2王建宇 2张英炎 1韩继成2
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作者信息

  • 1. 长春中医药大学中西医结合学院(长春,130118)
  • 2. 长春中医药大学附属医院
  • 折叠

摘要

目的:探究针刀镜联合手法松解术治疗粘连性肩关节囊炎的临床疗效.方法:选取粘连性肩关节囊炎患者64例,随机分成两组,每组32例,对照组予以全麻下手法松解术,观察组在对照组基础上联合针刀镜松解术.以视觉模拟量表(VAS)评分、Constant-Murley肩关节评分量表、肩关节活动度、有效率评价疗效.结果:相较于本组治疗前,两组治疗后VAS评分、Constant-Murley评分、肩关节各方向活动度均有显著改善,差异有统计学意义(P<0.05).治疗后观察组VAS评分明显低于对照组,差异有统计学意义(P<0.05);Constant-Murley评分明显高于对照组,差异有统计学意义(P<0.05);肩关节内旋及外旋活动度明显优于对照组,差异有统计学意义(P<0.05);有效率明显高于对照组,差异有统计学意义(P<0.05).两组治疗过程中均未发生不良事件.结论:针刀镜联合手法松解术对于粘连性肩关节囊炎患者的疼痛及关节功能改善具有显著疗效,针刀镜联合手法松解术治疗粘连性肩关节囊炎疗效确切.

Abstract

Objective:To explore the clinical efficacy of acupotomy combined with manual release in the treatment of adhe-sive shoulder bursitis.Methods:64 patients with adhesive shoulder capsulitis were randomly divided into two groups,32 cases in each group.The control group was given manual release under general anesthesia,and the observation group was combined with acupotomy on the basis of the control group.The efficacy was evaluated by visual analogue scale(VAS),Constant-Murley shoulder score,shoulder mobility and effective rate.Results:Compared with the group before treatment,the VAS score,Constant-Murley score,and shoulder joint activity in all directions were significantly improved after treat-ment in the two groups(P<0.05).The VAS score of the observation group was significantly lower than that of the con-trol group after treatment(P<0.05),the Constant-Murley score was significantly higher than that of the control group(P<0.05),the internal rotation and external rotation of the shoulder joint were significantly better than those of the con-trol group(P<0.05),and the effective rate was significantly higher than that of the control group(P<0.05).No adverse events were found in the two groups during the treatment.Conclusion:Acupotomy combined with manual release has a sig-nificant efficacy on the improvement of pain and joint function in patients with adhesive shoulder bursitis.Acupotomy combined with manual release is effective on the treatment of adhesive shoulder bursitis.

关键词

粘连性肩关节囊炎/冻结肩/针刀镜/全麻下手法松解

Key words

adhesive shoulder capsulitis/frozen shoulder/acu-potomy/manual release under general anesthesia

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基金项目

2019国家中医药管理局中医药循证能力建设项目(2019XZZX-GK004)

出版年

2024
中国中医骨伤科杂志
中华中医药学会,湖北省中医药研究院

中国中医骨伤科杂志

CSTPCD
影响因子:0.732
ISSN:1005-0205
参考文献量28
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