肌骨超声引导下针刀治疗肩峰下撞击综合征47例  

47 Cases Clinical Study for Needle Knife Guided by Musculoskeletal Ultrasound in Treating Subacromial Impingement Syndrome

作　　者：葛林璞 谢跃鹏 陈智能[1] 姚新苗[1] GE Linpu;XIE Yuepeng;CHEN Zhineng;YAO Xinmiao(The Third Affiliated Hospital of Zhejiang Traditional Chinese Medicine University,Hangzhou 310005,China)

机构地区：[1]浙江中医药大学附属第三医院,杭州310005

出　　处：《中国中医骨伤科杂志》2021年第12期47-49,53,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：全国名老中医药专家传承工作室建设项目(国中医药人教发[2014]20号);浙江省姚新苗国医名师传承工作室建设项目(浙卫发[2018]70号);浙江省“十三五”中医药重点专科建设项目(浙卫办中医[2019]1号);浙江省中医药科技计划项目(2021ZB149)。

摘　　要：目的:观察肌骨超声引导下针刀治疗肩峰下撞击综合征的有效性、安全性。方法:将94例肩峰下撞击综合征患者随机分成两组各47例,观察组采用肌骨超声引导下小针刀治疗,对照组采用常规小针刀治疗,观察记录并比较两组治疗后的有效性、安全性。结果:两组患者在治疗后即刻、治疗后2周肩VAS疼痛评分、AAROM活动度、UCLA评分,差异均有统计学意义(P<0.05);组间比较,观察组临床疗效明显优于对照组,VAS疼痛评分、AAROM活动度、UCLA评分在统计学上差异有统计学意义(P<0.05)。结论:肌骨超声引导下针刀治疗肩峰下撞击综合征的具有良好的临床疗效,且安全性高,值得推广应用。Objective:To observe the efficacy and safety of acupotomy guided by musculoskeletal ultrasound on the treatment of subacromial impingement syndrome.Methods:94 patients with subacromial impingement syndrome were randomly divided into observation group and control group with 47 cases in each.The observation group was treated with musculoskeletal ultrasound guided small needle knife, while the control group was treated with conventional small needle knife.The efficacy and safety of the two groups were observed and compared.Results:There were statistically significant differences in shoulder VAS pain score, AAROM activity and UCLA score between the two groups immediately after treatment and two weeks after treatment(P<0.05).The clinical efficacy of the observation group was significantly better than that of the control group, and the VAS pain score, AAROM activity and UCLA scores were statistically significantly different(P<0.05).Conclusion:Acupotomy guided by musculoskeletal ultrasound has good clinical efficacy and high safety on the treatment of subacromial impingement syndrome, which is worthy of popularization and application.

关 键 词：肌骨超声 肩峰下撞击综合征 针刀疗法 

分 类 号：R684[医药卫生—骨科学]