肩关节针刀闭合松解麻醉推拿术治疗肩周炎的临床研究  

Clinical Study of Acupotomotor Closure and Relaxation Anesthesia Massage of Shoulder Joint for Scapulohumeral Periarthritis

作　　者：卢通 张万翔 郭菲宇 祝永刚[2] 肖辉灯 李春根 柳根哲[2] LU Tong;ZHANG Wanxian;GUO Feiyu;ZHU Yonggang;XIAO Huideng;LI Chungen;LIU Genzhe(Beijing University of Chinese Medicine,Beijing 100029,China;Department of Orthopedics,Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China)

机构地区：[1]北京中医药大学,北京100029 [2]首都医科大学附属北京中医医院骨伤科,北京100010

出　　处：《医学综述》2020年第11期2235-2239,2245,共6页Medical Recapitulate

摘　　要：目的探讨针刀闭合松解麻醉推拿术治疗肩周炎的临床疗效。方法回顾性分析2018年3月至2019年3月就诊于首都医科大学附属北京中医医院骨伤科的60例单侧重度肩周炎患者的临床资料,按治疗方式不同分为对照组(n=30)和试验组(n=30),对照组采用口服双氯芬酸钠肠溶片联合功能锻炼治疗,试验组采用针刀闭合松解麻醉推拿术联合功能锻炼治疗。比较两组治疗前后肩关节疼痛视觉模拟评分(VAS)、肩关节Constant-Murley评分、Lovett肌力分级标准量表评分及日常生活活动能力(ADL)量表评分。结果治疗前,两组肩关节VAS评分、Constant-Murley评分、Lovett肌力分级标准量表评分、ADL量表评分比较差异无统计学意义(P>0.05)。治疗后,试验组VAS评分低于对照组[(2.54±0.74)分比(3.23±0.69)分](P<0.01),Constant-Murley评分、Lovett肌力分级标准量表评分、ADL量表评分均高于对照组[(72.1±7.2)分比(51.2±8.4)分、(4.48±0.21)分比(4.13±0.19)分、(93.6±2.4)分比(90.1±3.6)分](P<0.01)。对照组仅1例出现食欲减退,停药后症状消失;试验组无不良事件及并发症发生。结论针刀闭合松解麻醉推拿术联合功能锻炼在缓解肩周炎疼痛、促进肩关节活动度和肌力恢复、提高患者生活质量方面具有明显优势。Objective To explore the clinical effect of acupotomotor closure and relaxation anesthesia massage in the treatment of scapulohumeral periarthritis.Methods The clinical data of 60 cases of unilateral severe scapulohumeral periarthritis admitted to the Department of Orthopedics of Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University From Mar.2018 to Mar.2019 were retrospectively analyzed.They were divided into a control group(n=30)and a test group(n=30)according to different treatment methods.The control group was treated with oral diclofenac sodium enteric-coated tablets combined with functional exercise,and the test group was treated with acupotomotor closure and relaxation anesthesia massage combined with functional exercise.The visual analogue scale(VAS),Constant-Murley,Lovett muscle strength grading standard scale and activities of daily living(ADL)scores of the two groups were compared before and after treatment.Results Before treatment,there were no significant differences in VAS,Constant-Murley,Lovett and ADL scores between the two groups(P>0.05).After treatment,the VAS score of the test group was lower than that of the control group(2.54±0.74 vs 3.23±0.69)(P<0.01),the scores of Constant-Murley,Lovett and ADL were all higher than those of the control group(72.1±7.2 vs 51.2±8.4,4.48±0.21 vs 4.13±0.19,93.6±2.4 vs 90.1±3.6)(P<0.01).In the control group,only one patient had anorexia,and the symptoms disappeared after discontinuation of the medication;in the test group,there were no adverse events and complications.Conclusion Acupotomotor closure and relaxation anesthesia massage combined with functional exercise has obvious advantages in relieving periarthritis pain,promoting shoulder joint activity and muscle strength recovery,and improving the quality of life of the patients.

关 键 词：肩周炎 针刀 麻醉 推拿 双氯芬酸钠肠溶片 

分 类 号：R684.8[医药卫生—骨科学]