运动式推拿疗法联合关节松动术对冻结肩患者疼痛、肩关节活动及血清炎症指标的影响  

Effect of exercise massage therapy combined with joint mobilization on pain,shoulder mobility and serum inflammatory indexes in patients with frozen shoulder

作　　者：郑宽广 陈志标[1] 许美珍[1] 冼祖新[1] 吴晓华 白伟杰[1] ZHENG Kuanguang;CHEN Zhibiao;XU Meizhen;XIAN Zuxin;WU Xiaohua;BAI Weijie(Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528400,China)

机构地区：[1]中山市中医院,广东中山528400

出　　处：《陕西中医》2021年第3期372-375,共4页Shaanxi Journal of Traditional Chinese Medicine

基　　金：广东省中医药局科研项目(20161267)。

摘　　要：目的:探讨运动式推拿疗法联合关节松动术对冻结肩患者疼痛、肩关节活动及血清炎症指标的影响。方法:采用信封法随机将110例冻结肩患者分为研究组57例和对照组53例,对照组采用关节松动术进行治疗,研究组联合运动式推拿疗法与关节松动术治疗,比较两组疗效,分析不同治疗方式对患者疼痛、肩关节活动度及血清炎症指标的影响。结果:研究组总有效率94.74%高于对照组的79.25%,差异有统计学意义(P<0.05)。治疗后两组疼痛、生活功能、肩关节活动度、肌力各维度评分升高,且研究组以上得分高于对照组,差异有统计学意义(均P<0.05)。治疗后两组炎症因子指标低于治疗前(均P<0.05)。治疗后研究组VAS评分、UCLA评分、ASES评分明显高于对照组,差异有统计学意义(均P<0.05)。治疗后研究组内旋、外旋、外展、前屈活动度高于对照组,差异有统计学意义(均P<0.05)。结论:运动式推拿疗法联合关节松动术治疗冻结肩可改善肩关节活动度及肩关节功能,降低机体炎症因子水平,疗效较佳。Objective:To investigate the effect of exercise massage therapy combined with joint mobilization on pain,shoulder mobility and serum inflammatory index in patients with frozen shoulder.Methods:110 frozen shoulder patients were randomly divided into 57 cases in the study group and 53 cases in control group.The control group was treated with joint mobilization,the study group treated with exercise massage therapy and joint loosening therapy.The curative effect,pain,shoulder mobility and serum inflammatory index were compared between the two groups.Results:The effective rate of the study group 94.74%was higher than that of the control group 79.25%,difference statistically significant(P<0.05).After treatment,scores for pain,life function,shoulder mobility and muscle strength were significantly increased in the two groups.Compared with the control group,the above scores of the study group were significantly higher(all P<0.05).The levels of inflammatory factors were significantly lower than before treatment(all P<0.05).The scores for VAS,UCLA and ASES in the study group were significantly higher than those in the control group(all P<0.05).The ranges of internal rotation,external rotation,abduction and anteflexion in the study group were significantly larger than those in the control group(all P<0.05).Conclusion:Exercise massage therapy combined with joint mobilization can significantly improve the mobility,function of shoulder joint,and lower the levels of inflammatory factors,with better curative effect.

关 键 词：运动式推拿疗法 关节松动术 冻结肩 疼痛 肩关节活动 炎症指标 

分 类 号：R274[医药卫生—中医骨伤科学]