[1]张云松,邓伟,高宏伟,等.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[J].中国中医骨伤科杂志,2024,32(02):56-59+66.[doi:10.20085/j.cnki.issn1005-0205.240210]
　ZHANG Yunsong DENG Wei GAO Hongwei WANG Jianyu ZHANG Yingyan HAN Jicheng.Clinical Study on Acupotomy Combined with Manual Release on the Treatment of Adhesive Shoulder Capsulitis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(02):56-59+66.[doi:10.20085/j.cnki.issn1005-0205.240210]
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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()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年02期
页码:
56-59+66
栏目:
临床研究
出版日期:
2024-02-15

文章信息/Info

Title:
Clinical Study on Acupotomy Combined with Manual Release on the Treatment of Adhesive Shoulder Capsulitis
文章编号:
1005-0205(2024)02-0056-04
作者:
张云松1; 邓伟2; 高宏伟2; 王建宇2; 张英炎1; 韩继成2△
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
Author(s):
ZHANG Yunsong1 DENG Wei2 GAO Hongwei2 WANG Jianyu2 ZHANG Yingyan2 HAN Jicheng2△
1College of Integratied Chinese and Western Medicine,Changchun University of Chinese Medicine,Changchun 130118,China; 2Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China.
关键词:
粘连性肩关节囊炎;  冻结肩;  针刀镜;  全麻下手法松解
Keywords:
adhesive shoulder capsulitis;  frozen shoulder;  acupotomy;  manual release under general anesthesia
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.240210
文献标志码:
A
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 adhesive 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 treatment in the two groups(P<0.05).The VAS score of the observation group was significantly lower than that of the control 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 control 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 significant 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.

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备注/Memo

备注/Memo:
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)
△通信作者 E-mail:384052930@qq.com
更新日期/Last Update: 2024-02-15