横络理筋手法联合红炉拔筋罐治疗顽固冻结肩32例
The Treatment of 32 Cases of Stubborn Frozen Shoulder by Transverse and Collateral-Tendons Manipulation Combined with Red Furnace Pull-Tendons Pot
张新国 1陈洁 1王钏 1曾艳阳 1杨俊兴 1赵亮1
作者信息
- 1. 广州中医药大学深圳医院(福田)(广东 深圳,518034)
- 折叠
摘要
目的:全麻下采用横络理筋手法对肩关节粘连靶点多向进行松解,术后予红炉拔筋罐温通筋络、散寒止痛,观察二者联合治疗顽固冻结肩的临床疗效.方法:自2020年1月至2022年12月,对收治的32例顽固性冻结肩患者,全麻下采用横络理筋手法对肩关节粘连靶点非选择性多向进行松解术1次,术后联合红炉拔筋罐温通筋络、散寒止痛治疗2周,随访6个月.治疗结束后采用视觉模拟量表(VAS)评分、Constant-Murley肩关节评分进行疗效评价.结果:32例患者全部随访6个月,肩部VAS疼痛评分均较治疗前显著降低,差异有统计学意义(P＜0.05);Constant-Murley肩关节评分较治疗前显著增加,差异有统计学意义(P＜0.05);根据疗效评价,优24例,良6例,可2例,优良率为93.75％.结论:全麻下横络理筋手法粘连靶点多向松解联合红炉拔筋罐温通筋络、散寒止痛,治疗顽固冻结肩疗效显著,缓解顽固性冻结肩的疼痛症状有效,改善了肩部功能,提高了患者生活质量,其治疗安全有效,值得临床推广应用.
Abstract
Objective:To observe the clinical efficacy of the combination of transverse and collateral-tendons manipulation on the shoulder joint adhesion target under general anesthesia,and red furnace pull-tendons pot after operation to warm the tendons and relieve cold and pain.Methods:From January 2020 to December 2022,32 patients with intractable frozen shoulder were treated with non-selective multi-directional release of shoulder joint adhesion targets under general anesthe-sia using transverse and collateral-tendons manipulation.After surgery,the patients were treated with red furnace pull-ten-dons pot to warm up tendons and relieve cold and pain for 2 weeks,and followed up for 6 months.Visual analogue scale(VAS)score and Constant-Murley shoulder joint score were used to evaluate the curative efficacy after treatment.Results:32 patients were followed up for 6 months,and the shoulder VAS pain scores were significantly lower than that before treatment,the statistical difference was significant(P＜0.05).The Constant-Murley shoulder joint scores were signifi-cantly higher than that before treatment,and the difference was statistically significant(P＜0.05).According to the cura-tive effect evaluation,24 cases were excellent,6 cases were good,2 cases were fair,and the excellent and good rate was 93.75％.Conclusion:The combination of transverse and collateral-tendons manipulation under general anesthesia combined with red furnace pull-tendons pot can warm tendons,dispel cold and relieve pain,and has significant curative efficacy in the treatment of stubborn frozen shoulder,which is effectively alleviating pain symptoms of stubborn frozen shoulder,impro-ving shoulder function and improving patients'quality of life.The treatment is safe and effective,worthy of clinical promo-tion.
关键词
横络理筋手法/顽固性冻结肩/红炉拔筋罐Key words
transverse and collaterals-tendons manipulation/recurrent refractory frozen shoulder/red furnace pull-tendons pot引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据