筋针联合手法松解治疗肩撞击综合征疗效观察  

Efficacy of sinew acupuncture combined with manipulation release in the treatment of shoulder impingement syndrome

作　　者：胡锐 唐浩琛[1] 刘太[1] 王标[1] 唐流刚 HU Rui;TANG Haochen;LIU Tai;WANG Biao;TANG Liugang(Department of Muscles and Traumatology,Sichuan Province Orthopedic Hospital,Chengdu 610041,China)

机构地区：[1]四川省骨科医院筋伤科,四川成都610041

出　　处：《陕西中医》2022年第5期662-665,共4页Shaanxi Journal of Traditional Chinese Medicine

基　　金：四川省中医药管理局中医药科研专项课题(2021MS358)。

摘　　要：目的:评价筋针联合手法松解治疗肩撞击综合征的疗效。方法:纳入82例肩撞击综合征患者,采用随机数字表法分为观察组、对照组各41例。对照组施以传统针刺联合手法松解治疗,观察组采用筋针联合手法松解治疗,治疗3个疗程。比较两组临床疗效,治疗前后上肢功能指数量表(UEFI)评分、疼痛视觉模拟(VAS)评分、肩关节活动度(前屈、外展、内收、后伸、内旋、外旋)变化、肩肱节律改善率、不良反应发生率及随访6个月复发率。结果:治疗21 d后,观察组治疗总有效率为97.56%,显著高于对照组的85.37%(P<0.05);两组UEFI评分均较治疗前提高(P<0.05),且观察组高于对照组(P<0.05),VAS评分均较治疗前降低(P<0.05),且观察组低于对照组(P<0.05);治疗21 d后,两组前屈、外展、内收、后伸、内旋、外旋角度均较治疗前增大(P<0.05),且观察组治疗后肩关节活动度大于对照组(P<0.05);治疗21 d后,观察组肩肱节律改善率为82.93%,显著高于对照组的63.41%(P<0.05);观察组随访6个月复发率为2.44%,显著低于对照组的17.07%(P<0.05)。结论:筋针联合手法松解治疗肩撞击综合征疗效确切,可有效缓解疼痛,改善肩关节活动功能,减少复发。Objective:To evaluate the efficacy of sinew acupuncture combined with manipulation release in the treatment of shoulder impingement syndrome.Methods:82 patients with shoulder impingement syndrome were enrolled and divided into observation group and control group by the random number table method,with 41 cases in each group.The control group was treated with traditional acupuncture combined with manipulation release,and the observation group was given sinew acupuncture combined with manipulation release,and both groups were given 3 courses of treatment.The clinical efficacy,upper extremity function index(UEFI),visual analogue scale(VAS),shoulder ranges of motions(anteflexion,abduction,adduction,rear protraction,internal rotation,external rotation)and improvement rate of scapulohumeral rhythm before and after treatment,incidence rates of adverse reactions and recurrence rate at 6 months of follow-up were compared between the two groups.Results:After 21 d of treatment,the total effective rate of treatment of 97.56%in observation group was significantly higher than 85.37%in control group(P<0.05).The UEFI scores of the two groups were higher than those before treatment(P<0.05),and the score of observation group was higher than that of control group(P<0.05),and the VAS scores were lower than those before treatment(P<0.05),and the score of observation group was lower than that of control group(P<0.05).The angles of anteflexion,abduction,adduction,rear protraction,internal rotation,and external rotation in the two groups after 21 d of treatment were all larger than those before treatment(P<0.05),and the shoulder ranges of motions of observation group after treatment were larger than those of control group(P<0.05).The improvement rate of scapulohumeral rhythm of 82.93%in observation group was significantly higher than 63.41%in control group after 21 d of treatment(P<0.05).The recurrence rate of 2.44%in observation group at 6 months of follow-up was significantly lower than 17.07%in control group(P<0.05).Conclusion:Sinew a

关 键 词：肩撞击综合征 筋针 手法松解 上肢功能运动 疼痛 

分 类 号：R684[医药卫生—骨科学]