[1]龙迪和 张暑岚△ 时宗庭 黄沪 张清烽 王宝剑 乔若愚.针刀结合功能锻炼治疗冻结肩的临床疗效观察[J].中国中医骨伤科杂志,2017,25(08):18-21.
　LONG Dihe ZHANG Shulan SHI Zongting HUANG Hu ZHANG Qingfeng WANG Baojian QIAO Ruoyu.Acupotomology in Combination with Functional Exercise the Clinical Effect of the Treatment of Frozen Shoulder[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(08):18-21.
点击复制

针刀结合功能锻炼治疗冻结肩的临床疗效观察()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年08期
页码:
18-21
栏目:
临床研究
出版日期:
2017-08-03

文章信息/Info

Title:
Acupotomology in Combination with Functional Exercise the Clinical Effect of the Treatment of Frozen Shoulder
文章编号:
1005-0205(2017)08-0018-04
作者:
龙迪和1 张暑岚2△ 时宗庭2 黄沪2 张清烽2 王宝剑2 乔若愚2
1.北京市昌平区中西医结合医院(北京,100029)
2.北京中医药大学第三附属医院
△.通信作者 E-mail:1317245737@qq.com
Author(s):
LONG Dihe1 ZHANG Shulan2△ SHI Zongting2 HUANG Hu2 ZHANG Qingfeng2 WANG Baojian2 QIAO Ruoyu2
1.Beijing Changping Hospital of Integrated Chinese and Western Medicine,Beijing 100029,China;
2.The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China.
关键词:
针刀;  功能锻炼;  冻结肩;  针刺
Keywords:
acupotomy;  functional exercise;  frozen shoulder;  acupuncture
分类号:
R274.39
文献标志码:
A
摘要:
目的:观察针刀结合功能锻炼治疗冻结肩的临床疗效。方法:将符合冻结肩纳入标准的80例患者,分为治疗组和对照组,每组40例。治疗组采用针刀结合功能锻炼,对照组采用针刺结合功能锻炼。针刀治疗每周1次,针刺治疗采取局部取穴与循经取穴相结合的方法,每日针灸1次,留针30 min,功能锻炼早晚各 1 次,每次 10～20 min,疗程3周。在治疗前和疗程结束后采用 Constant-Murley 评分法评价两组临床疗效。结果:治疗组40例,其中治愈23例,显效9例,有效6例,无效2例,治愈率为57.5%,总有效率为95.0%; 对照组40例,治愈11例,显效10例,有效12例,无效6例,治愈率为27.5%,总有效率为85.0%.两组治疗后 Constant-Murley 评分均高于治疗前,差异有统计学意义(P<0.05); 而治疗后两组比较,治疗组Constant-Murley评分、疗效均高于对照组且差异有统计学意义(P<0.05)。结论:采用针刀结合功能锻炼治疗冻结肩临床疗效显著并优于针刺结合功能锻炼。
Abstract:
Objective: to observe the clinical curative effect of needle knife in combination with functional exercise to treat frozen shoulder.Methods: 80 patients with frozen shoulder were divided into treatment group and control group,40 cases in each group.The treatment group used acupuncture combined with functional exercise,control group were treated by acupuncture combined with functional exercise.Acupotomologic therapy 1 times a week,take the method of acupuncture treatment of local acupoints along meridians and acupoints combined with acupuncture,1 times daily,for 30min,functional exercise in the morning and 1 times,each time 10～20 min,for three weeks.In before and after treatment with ConstantMurley score method to evaluate the clinical curative effect of 2 groups:Constant shoulder score.Results: The treatment group of 40 cases,23 cases were cured,9 cases markedly effective,6 cases effective,2 cases ineffective.The cure rate:57.5%,the total efficiency of 95%; control group of 40 cases,1 cases of loss,11 cases were cured,10 cases markedly effective,12cases effective,6cases ineffective.The cure rate:27.5%,the total efficiency of 85.0%.After treatment,the Constant-Murley scores of 2 groups were higher than before treatment(P<0.05).Compared with the 2 groups after treatment,the Constant-Murley score(P<0.05),the cure rate and theeffective rate of the treatment group were higher than those of the control group.Conclusion: needle knife combined with functional exercise treatment of frozen shoulder clinical curative effect is distinct and is superior to the acupuncture combined with functional exercise.

参考文献/References:

[1] Arce G.Primary frozen shoulder syndrome:arthroscopic capsular release[J].Arthrosc Tech,2015,4(6):717-720.
[2] Hand C,Clipsham K,Rees JL,et al.Long-term outcomee of frozen shoulder[J].J Shoulder Elbow Surg,2008,17(2):231-236.
[3] Hand GCR,Athanasou NA,Matthews T,et al.The pathology of frozen shoulder[J].J Bone Joint Surg Br,2007,89(7):928-932.
[4] 唐培仙.非甾体抗炎药不良反应发生表现及预防[J].北方药学,2015,12(7):128-129.
[5] 邢帅,高延征,高坤,等.非甾体类抗炎药治疗强直性脊柱炎的研究现状及展望[J].风湿病与关节炎,2015,4(3):60-63.
[6] 陈传榜,李满意,王淑静,等.肩痹的源流及相关历史文献复习[J].风湿病与关节炎,2015,4(12):49-56.
[7] 赵莉,郭长青.针刀治疗肩痹的经穴定位及操作[J].中国针灸,2016,36(3):299-302.
[8] 徐耀,张昶,刘赵丽,等.冻结肩的中医治疗进展[J].世界中西医结合杂志,2016,11(11):1619-1623.
[9] 倪广宝,胡琼,焦群茹,等.“C”形针刀松解术配合功能锻练治疗肩周炎疗效观察[J].亚太传统医药,2016,12(21):111-113.
[10] 裘胜.温针灸联合自主功能锻炼治疗寒凝血瘀肩周炎30例临床观察[J].实用中医内科杂志,2016,3(8):87-89.
[11] 李明,赵军.针刺结合功能锻炼治疗肩周炎30例[J].针灸临床杂志,2011,27(12):11-12.
[12] 国家中医药管理局.中医病症诊断疗效标准[S].南京:南京中医药大学出版社,1994:186-187.
[13] 李伟,詹红生,陆念祖,等.原发性冻结肩危险因素的病例对照研究[J].中国中医骨伤科杂志,2015,23(12):20-24.
[14] 蒋红梅,李卫国,路小伟,等.探讨改良隔姜灸用于风寒侵袭型冻结肩的疗效分析[J].中西医结合心血管病电子杂志,2016,4(3):164-165.
[15] 粟胜勇,李妮娜.针刀治疗肩周炎临床研究进展[J].亚太传统医药,2016,12(18):35-37.
[16] 王玥,党晓谦,王坤正,等.原发性冻结肩发病的分子机制及研究现状[J].中华关节外科杂志(电子版),2014,8(1):113-115.
[17] 蒋涛,鲁常胜,林铭,等.麻醉下手法松解与传统推拿治疗冻结肩的对比研究[J].中国中医骨伤科杂志,2015,23(12):62-64.
[18] 陈孙裕,李坚,肖展豪,等.关节镜下冻结肩松解使用局部镇痛装置的早期疗效[J].实用医学杂志,2016,32(3):444-446.
[19] 李锦青,宋凌恒,禹智波,等.斜冠状位喙肱韧带MR影像对冻结肩的诊断价值[J].局解手术学杂志,2016,25(11):811-815.

备注/Memo

备注/Memo:
基金项目:北京中医药大学青年教师自主课题项目
更新日期/Last Update: 2017-08-15