传统康复疗法配合复合抗肩扳法对肩凝症的疗效分析  

Therapeutic effect of traditional rehabilitation therapy combined with compound anti-shoulder pulling method on shoulder coagulation

作　　者：李世海 李秀荣 豆志强 寇永恒 张国忠 LI Shihai;LI Xiurong;DOU Zhiqiang;KOU Yongheng;ZHANG Guozhong(Department of Traditional Chinese Medicine,Wuwei Occupational College,Wuwei 733000;Department of Basic Medicine,Wuwei Occupational College,Wuwei 733000;Department of Traditional Chinese Medicine,Wuwei Branch,The Second People's Hospital of Wuwei,Wuwei 733000;Department of Rehabilitation,Affiliated Hospital of Traditional Chinese Medicine,Wuwei Occupational College,Wuwei 733000,China)

机构地区：[1]武威职业学院中医康复教研室,甘肃武威733000 [2]武威职业学院基础医学教研室,甘肃武威733000 [3]武威市第二人民医院武威分院中医科,甘肃武威733000 [4]武威职业学院直属附属中医院康复科,甘肃武威733000

出　　处：《国外医学（医学地理分册）》2019年第3期296-299,共4页Foreign Medical Sciences：Section of Medgeography

基　　金：武威市科技计划项目(WW190118)

摘　　要：目的探讨传统康复疗法配合复合抗肩扳法对肩凝症的治疗效果。方法选择本院中医科2016年2月至2019年2月收治的肩凝症粘连期(冻结期)患者110例。根据随机数字表法,将所有患者分为治疗组和对照组,每组55例。对照组患者给予传统康复治疗方法,治疗组患者在对照组基础上给予复合抗肩扳法。对比两组患者的治疗效果、治疗前后的肩关节VAS评分、肩部活动功能及成本-效益。结果治疗组的治疗总有效率明显高于对照组(P<0.05)。治疗前,两组患者的肩关节疼痛程度对比无统计学意义(P>0.05);治疗后,两组的VAS评分均明显降低,且治疗组明显低于对照组(P<0.05)。治疗前,两组的肩部疼痛、肩关节活动度、肌力、日常生活能力、局部形态、总分等资料对比无统计学意义(P>0.05);治疗后,两组以上指标评分均明显上升,且治疗组明显高于对照组(P<0.05)。治疗组的成本-效果低于对照组,但无统计学意义(P>0.05),治疗疗程研究组少于对照组。结论与单独应用传统康复疗法相比,传统康复疗法配合复合抗肩扳法可提高肩凝症患者的疗效及肩关节功能,降低患者的疼痛度,成本-效果较低,缩短疗程,比较经济适用。Objective To expiore the efficacy and cost-effectiveness analysis of traditional rehabilitation therapy combined with anti-shoulder pulling method on shoulder coagulation.Methods 110 patients with shoulder clotting adhesion(freezing period) from February 2016 to February 2019 in the regions department of our hospital were chosen.According to the random number table method,all patients were divided into the control group and the treatment group,55 cases in each group.The control group were given traditional rehabilitation,the treatment group were given composite anti-shoulder pulling on the bases of the control group.The treatment effect,VAS score of shoulder before and after treatment,the shoulder activity function and cost-effectiveness were compared in the two groups were compared.Results The total effective rate of the treatment group was significantly higher than that of the control group(P<0.05).Before treatment,there was no statistically significant difference in the degree of shoulder joint pain between the two groups(P>0.05).After treatment,the VAS scores in two groups were significantly reduced,and the treatment group was significantly lower than the control group(P<0.05).Before treatment,the shoulder pain data,shoulder range of mobility,muscle strength,daily living ability,local morphology and total score of the patients in two groups showed no statistical significance(P>0.05).After treatment,the above index scores of patients in two groups were significantly increased,and the treatment group was significantly higher than the control group(P<0.05).The cost-effectiveness of the treatment group was lower than that of the control group,but it was not statistically significant(P>0.05).The treatment course the treatment group was less than the control group.Conclusion Compared with traditional rehabilitation therapy alone,traditional rehabilitation therapy combined with composite anti-shouldering method can improve the efficacy and shoulder function of patients with shoulder clotting,reduce the pain of patie

关 键 词：传统康复疗法 抗肩扳法 肩凝症 

分 类 号：R686[医药卫生—骨科学]