[1]张锡玮,侯德才△.侯德才教授手法治疗肩周炎冻结期的临床经验[J].中国中医骨伤科杂志,2023,31(10):54-56.[doi:10.20085/j.cnki.issn1005-0205.231011]
　ZHANG Xiwei,HOU Decai.Professor Hou Decai's Clinical Experience on Manipulative Treatment of Frozen Phase of Scapulohumeral Periarthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(10):54-56.[doi:10.20085/j.cnki.issn1005-0205.231011]
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侯德才教授手法治疗肩周炎冻结期的临床经验()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年10期
页码:
54-56
栏目:
临床报道
出版日期:
2023-10-15

文章信息/Info

Title:
Professor Hou Decai's Clinical Experience on Manipulative Treatment of Frozen Phase of Scapulohumeral Periarthritis
文章编号:
1005-0205(2023)10-0054-03
作者:
张锡玮1; 2; 侯德才2△
1辽宁中医药大学(沈阳,110847)
2辽宁中医药大学附属医院
Author(s):
ZHANG Xiwei1; 2; HOU Decai2△
1Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;
2The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China.
关键词:
肩周炎;  冻结肩;  冻结期;  侯德才四步松解手法
Keywords:
scapulohumeral periarthritis;  frozen shoulder;  freezing period;  Hou Decai's four-step release adhesion manipulation therapy
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.231011
文献标志码:
B
摘要:
目的:通过观察臂丛神经阻滞麻醉下肩关节手法松解术治疗肩周炎冻结期的有效性和安全性,总结老中医药专家侯德才教授松解手法的临床经验。方法:采用自身对照的研究方法,纳入肩周炎冻结期患者30例,在臂丛神经阻滞麻醉下采用侯德才教授的四步肩关节粘连松解手法,观察治疗后10 d的临床疗效。结果:肩关节疼痛的视觉模拟量表(VAS)评分、肩关节活动度及肩关节活动评分,治疗后较治疗前明显改善,治疗前后比较差异有统计学意义(P<0.05)。无不良事件发生。结论:臂丛神经阻滞麻醉下四步肩关节粘连手法松解术操作简单,术中无疼痛,患者依从性良好,是肩周炎冻结期的有效治疗方法。
Abstract:
Objective:To observe the efficacy and safety of manual release of shoulder joint under brachial plexus block anesthesia on the treatment of scapulohumeral periarthritis during freezing period,and to summarize the clinical experience of Hou Decai,an old expert in traditional Chinese medicine.Methods:30 patients with frozen scapulohumeral periarthritis were treated with Professor Hou Decai's four-step shoulder adhesion release manipulation under brachial plexus block anesthesia,and the clinical efficacy was observed 10 d after treatment.Results:The visual analogue scale(VAS)score,shoulder range of motion and shoulder activity score of shoulder pain were significantly improved after treatment,and there was significant difference before and after treatment.And no adverse events occurred in the course of this study.Conclusion:Four-step manual release of shoulder adhesion under brachial plexus block anesthesia has the advantages of simple operation,no pain during operation and good compliance of patients.It is an effective method on the treatment of scapulohumeral periarthritis during freezing period.

参考文献/References:

[1] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:186.
[2] 杨树萱.肩周炎康复体疗功能评定方案[J].中国康复医学杂志,1993,8(1):8-10.
[3] 张浩,程健,吕南宁,等.牛蒡子汤联合针灸推拿治疗痰湿阻络型肩周炎的临床疗效[J].中国中医骨伤科杂志,2021,29(11):24-27.
[4] 余红超,郭中华,董博,等.针刀整体松解术结合卧位平衡手法治疗肩关节周围炎90例临床观察[J].中国医药导报,2016,13(27):167-169.
[5] 黄建军,李建伟,张景春,等.体外冲击波联合肩胛上神经脉冲射频治疗肩周炎50例[J].中国中医骨伤科杂志,2020,28(9):68-70.
[6] 王乐乐,彭成忠,周海,等.双醋瑞因联合玻璃酸钠治疗肩关节周围炎的临床疗效及其安全性[J].临床合理用药,2021,14(5):83-85.
[7] 肖中兴.针灸推拿结合体外冲击波治疗肩周炎的疗效观察[J].内蒙古中医药,2020,39(10):122-123.
[8] 程鑫,聂娟,龚国平,等.小针刀联合肩关节松动术、玻璃酸钠治疗肩周炎的效果观察[J].航空航天医学杂志,2020,31(10):1194-1196.
[9] 方仪德,许金海,叶洁,等.国医大师施杞整肩三步九法治疗肩周炎的学术思想及临证经验[J].中国中医骨伤科杂志,2022,30(10):74-75.
[10] 顾骐,李金学,朱立国,等.中医正骨推拿手法分类的现状与分析[J].中医正骨,2011,23(8):74-77.
[11] 黄桂成,王拥军.中医骨伤科学[M].北京:中国中医药出版社,2016:56.

备注/Memo

备注/Memo:
基金项目:第六批全国老中医药专家学术经验继承工作资助项目(国中医药人教发〔2017〕29号)
△通信作者 E-mail:lnzyhdc@163.com
更新日期/Last Update: 2023-10-01