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针刀结合康复训练治疗肩周炎的临床效果

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目的:观察肩周炎患者采用针刀结合康复训练治疗的效果.方法:选取 2022 年 5 月—2023 年 4 月中山市人民医院收治的 60 例肩周炎患者作为本次研究对象,依据随机数表法分为两组,各 30 例.对照组采用电针治疗,治疗组采用针刀治疗,两组均实行康复训练.比较两组治疗有效率、治疗前后的肩关节疼痛评分、功能评分、活动度.结果:治疗组治疗总有效率为 96.67%,高于对照组的 76.67%,差异有统计学意义(P<0.05).治疗前,两组肩关节视觉模拟评分(VAS)评分比较,差异无统计学意义(P>0.05);治疗后,两组VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05).治疗前,两组Constant-Murley肩关节评分法(CMS)评分、日本骨科协会(JOA)评分比较,差异无统计学意义(P>0.05);治疗后,两组CMS评分、JOA评分均高于治疗前,且观察组均高于对照组,差异有统计学意义(P<0.05).治疗前,两组肩关节活动度比较,差异无统计学意义(P>0.05);治疗后,两组肩关节前屈、内旋、外展、外旋活动角度高于均高于治疗前,且观察组均高于对照组,差异有统计学意义(P<0.05).结论:肩周炎患者采用针刀结合康复训练治疗效果显著,可减轻肩关节疼痛感,明显改善肩关节功能和活动度.
Clinical Effect of Acupotomy Combined with Rehabilitation Training on Shoulder Periarthritis
Objective:To observe the effect of acupotomy combined with rehabilitation training on patients with shoulder periarthritis.Method:A total of 60 patients with shoulder periarthritis treated in Zhongshan City People's Hospital from May 2022 to April 2023 were selected as the subjects of this study,and they were divided into two groups according to random number table method,with 30 cases in each group.The control group was treated with electroacupuncture and the treatment group was treated with acupotomy.Both groups received rehabilitation training.The effective rate,pain score,function score and range of motion of shoulder joint before and after treatment were compared between the two groups.Result:The total effective rate of treatment group was 96.67%,which was higher than 76.67%of control group,the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in visual analogue scale(VAS)score between the two groups(P>0.05).After treatment,VAS scores in both groups were lower than that before treatment,and observation group was lower than that in control group,the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in Constant-Murley shoulder joint score(CMS)and Japanese Orthopaedic Association(JOA)score between the two groups(P>0.05).After treatment,CMS scores and JOA scores in both groups were higher than those before treatment,and which in the observation group were higher than those in control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in shoulder joint motion between the two groups(P>0.05).After treatment,the activity angles of shoulder flexion,internal rotation,abduction and external rotation in both groups were higher than before treatment,and the angles in the observation group were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:The effect of acupotomy combined with rehabilitation training in patients with shoulder periarthritis is remarkable,which can reduce shoulder joint pain and improve shoulder joint function and motion significantly.

Periarthritis of shoulderNeedle knifeRehabilitation trainingShoulder joint functionVAS score

夏云云、余新平、梁建敏、林昔和

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中山市人民医院 广东 中山 528403

肩周炎 针刀 康复训练 肩关节功能 视觉模拟评分法评分

广东省中山市医学科研项目

2022A020151

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(4)
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