摘要
【目的】观察温针灸对肩袖损伤术后功能康复的影响。【方法】将63例肩袖损伤修补术后患者随机分为观察组32例和对照组31例。对照组给予常规康复疗法治疗,观察组在对照组治疗的基础上给予温针灸疗法治疗,连续治疗8周。治疗4周和8周后,分别观察2组患者治疗前后肩关节功能评价量表评分、疼痛视觉模拟评定量表(VAS)评分的变化情况,并比较2组患者不良反应的发生情况。【结果】(1)研究过程中,观察组失访2例,对照组失访1例。最终观察组和对照组各30例纳入疗效统计。(2)治疗4、8周后,2组患者的肩关节功能评价量表评分均明显改善(P<0.05),且治疗8周后,观察组在改善肩关节功能评价量表评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗4、8周后,2组患者的VAS评分均明显改善(P<0.05),且观察组在改善VAS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(4)2组患者在治疗期间均未出现恶心、呕吐、肢体麻木、药物过敏、皮肤烫伤、感染等与针刺和艾灸相关的不良反应。【结论】温针灸结合常规康复方法治疗肩袖损伤术后功能康复,能够快速减轻患者疼痛的症状,更有效地促进肩关节功能的恢复,疗效显著。
Objective To observe the effect of moxibustion with warming needle on function recovery after rotator cuff repair. Methods Sixty-three patients with post-operative rotator cuff repair were randomly divided into observation group(32 cases)and control group(31 cases). Patients in the control group received conventional rehabilitation, and patients in the observation group received moxibustion with needle warming based on the treatment of the control group,the treatment lasting 8 weeks. After 4 and 8 weeks of treatment,Shoulder Function Rating Scale score and Visual Analogue Scale(VAS)pain score were observed in the two groups before and after treatment,and incidence of adverse reactions in the two groups was compared. Results(1)During the trial,2 cases from the observation group lost to follow-up, and one case from the control group lost to follow-up.Ultimately,30 cases in each group were given statistical analysis.(2)After 4 and 8 weeks of treatment,Shoulder Function Rating Scale score in the two groups was improved(P<0.05), and after 8 weeks of treatment, the improvement in Shoulder Function Rating Scale score of the observation group was superior to that of the control group,the difference being significant(P<0.05).(3)After 4 and 8 weeks of treatment,VAS score in the two groups was improved(P<0.05),and the improvement in VAS score of the observation group was superior to that of the control group,the difference being significant(P<0.05).(4)There were no nausea,emesis,numbness of limb,allergic to drug,skin burn,infection,and moxibustion-related adverse reaction in the two groups during period of treatment. Conclusion Moxibustion with warming needle combined with conventional rehabilitation is effective for the treatment of function recovery after rotator cuff repair,and has effects on relieving pain symptom,and promoting shoulder function recovery.
作者
黄美玲
谢卫勇
王安森
路杰能
叶鑫璇
吴博
闵水平
HUANG Mei-Ling;XIE Wei-Yong;WANG An-Sen;LU Jie-Neng;YE Xin-Xuan;WU Bo;MIN Shui-Ping(Longgang Orthopedics Hospital,Shenzhen 518116 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2021年第1期74-78,共5页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
深圳市科技计划项目(编号:JCYJ20180305124912336)
深圳市卫生计生系统科研项目(编号:SZFZ2018037)。
关键词
温针灸疗法
肩袖损伤
功能康复
疗效观察
moxibustion with warming needle
rotator cuff injury
function rehabilitation
curative observation
