摘要
目的:探讨浮针配合运动康复手法对粘连型肩周炎的临床疗效。方法:选择符合纳入标准的2020年1月—2021年6月黑龙江中医药大学附属第一医院针灸科门诊就诊粘连型肩周炎患者80例,按照随机数字表法分为观察组和对照组,每组各40例。观察组中2例因恐惧针刺,未坚持治疗,对照组中1例脱落失访,因此,最终纳入观察的病例,观察组38例,对照组39例。对照组采用电针治疗,观察组采用浮针配合运动康复疗法,两组均治疗2周。观察治疗前后VAS评分、Fugl-Meyer评分、Constant-Murley和肩关节功能评分的变化情况,并采用电子肢体角度尺测量肩关节前屈、外展和后伸的角度。比较两组的临床疗效及不良反应发生情况。结果:治疗2周后,观察组总有效率为92.11%(35/38),对照组治愈为74.36%(29/39),两组比较差异有统计学意义(P<0.05)。治疗后两组患者VAS评分均下降,Fugl-Meyer评分、Constant-Murley肩关节功能评分均升高,与治疗前比较,差异有统计学意义(P<0.05);与对照组治疗后比较,观察组VAS评分、Fugl-Meyer评分和Constant-Murley肩关节功能评分改善得更加明显,差异有统计学意义(P<0.05)。治疗后,两组患者前屈、外展和后伸角度均升高,与治疗前比较,差异有统计学意义(P<0.05);与对照组治疗后比较,观察组前屈、外展和后伸角度改善得更加明显,差异有统计学意义(P<0.05)。两组均未见明显不良反应。结论:浮针配合运动康复手法能够明显改善粘连型肩周炎患者临床症状,改善肩关节活动度,值得临床推广应用。
Objective:To explore the clinical effect of floating needling combined with exercise rehabilitation on adhesive scapulohumeral periarthritis.Methods:80 patients with adhesive scapulohumeral periarthritis were randomly divided into the observation group and the control group,with 40 cases in each group.Two cases in the observation group did not carry on the treatment due to fear of needling,and one case in the control group fell off during the treatment.Therefore,38 cases in the observation group and 39 cases in the control group were finally included in the study.The control group was treated with electro-acupuncture,and the observation group was treated with floating needling combined with exercise rehabilitation therapy.Both groups were treated for 2 weeks.VAS scores,Fugl-Meyer scores and Constant-Murley scores were observed before and after the treatment in the two groups.The changes of shoulder function score,and the angles of shoulder flexion,abduction and extension were measured by protractor.The clinical efficacy and adverse reactions were compared between the two groups.Results:The effective rate was 92.11%(35/38)in the observation group,which was significantly higher than 74.36%(29/39)in the control group(P<0.05).VAS scores decreased,whereas Fugl-Meyer scores and Constant-Murley scores increased after the treatment compared with those before the treatment in the two groups(P<0.05);of which the improvements in the observation group were more significant than those in the control group(P<0.05).The angles of flexion,abduction and extension increased after the treatment compared with those before the treatment in both groups(P<0.05),and the improvements in the observation group were more significant than those in the control group(P<0.05).There were no obvious adverse reactions in both groups.Conclusion:Floating needling combined with exercise rehabilitation manipulation can significantly improve the clinical symptoms and shoulder mobility of the patients with adhesive scapulohumeral periarthritis,which is w
作者
侯建鹏
公维治
徐西林
刘鹏
张燕丽
HOU Jianpeng;GONG Weizhi;XU Xilin;LIU Peng;ZHANG Yanli(Heilongjiang University of Chinese Medicine,Harbin 150040,China;The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China)
出处
《针灸临床杂志》
2023年第3期25-29,共5页
Journal of Clinical Acupuncture and Moxibustion
基金
黑龙江省自然科学基金联合引导项目,编号:LH2019H057。
关键词
浮针
运动康复疗法
肩周炎
粘连型
Floating needling
Exercise rehabilitation therapy
Scapulohumeral periarthritis
Adhesive type
