彩色超声引导下针刀治疗肩胛上神经卡压综合征临床疗效观察  

Clinical Effect Observation on the Treatment of Suprascapular Nerve Compression Syndrome with Acupotomy Under the Guidance of Color Ultrasound

作　　者：贺业霖 朱俊琛[2] 龚悦诚 熊忠兴 HE Ye-lin;ZHU Jun-chen;GONG Yue-cheng;XIONG Zhong xing(Anhui University of CM,Hefei,Anhui,China,230031;The Second Afiliated Hospital of Anhui University of CM,Hefei,Anhui,China,230038)

机构地区：[1]安徽中医药大学,安徽合肥230031 [2]安徽中医药大学第二附属医院,安徽合肥230038

出　　处：《河南中医》2020年第5期776-779,共4页Henan Traditional Chinese Medicine

基　　金：国家中医药管理局中医药标准化项目{SATCM-2015-BZ[102]}。

摘　　要：目的:观察彩色超声引导下针刀治疗肩胛上神经卡压综合征的临床疗效。方法:选择本院治疗的肩胛上神经卡压综合征患者60例,随机分为观察组和对照组,每组30例。对照组给予小针刀松解治疗,观察组在彩色超声引导下给予小针刀松解治疗。结果:观察组有效率96.7%,对照组有效率86.7%,观察组高于对照组,差异有统计学意义(P<0.05);治疗1周后、1个月后随访,两组VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗1周后、1个月后随访,两组Constant-Murley肩关节评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:彩超引导下针刀局部松解治疗肩胛上神经卡压综合征,可减轻患者的疼痛,缩短肩关节活动功能恢复的时间。Objective:To observe the clinical curative effect of acupotomy under the guidance of color ultrasound on suprascapular nerve compression syndrome.Methods:A total of 60 patients with suprascapular nerve compression syndrome treated in our hospital were randomly divided into the observation group and the control group,with 30 cases in each group.The control group was treated with acupotomy release,while the observation group was treated with acupotomy release under the guidance of color ultrasound.Results:The effective rate was 96.7% in the observation group and 86.7% in the control group.The difference was statistically significant(P<0.05).After one week and one month’s treatment,the follow-up showed that the VAS scores of the two groups were lower than those before the treatment,and that of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).After one week and one month’s treatment,the follow-up showed that the constant Murley shoulder scores of the two groups were higher than those before the treatment,and that of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Acupotomy under the guidance of color ultrasound has a remarkable efficacy on suprascapular nerve compression syndrome,can reduce the pain of patients and shorten the recovery time of shoulder joint activity.

关 键 词：肩胛上神经卡压综合征 彩色超声引导 针刀疗法 

分 类 号：R246.9[医药卫生—针灸推拿学]