“通髃运臑”理筋法配合肌内效贴治疗肱二头肌长头腱鞘炎的临床效果  

Clinical Effect of"Tongyu Yunnao"Tendon Management Method Combined with Intramuscular Effect Patch in the Treatment of Tenosynovitis of Long Head of Biceps Brachii

作　　者：王旭[1] WANG Xu(Foshan Hospital of Traditional Chinese Medicine,Guangdong Province,Foshan 528000,China)

机构地区：[1]广东省佛山市中医院,广东佛山528000

出　　处：《中国医学创新》2023年第23期49-55,共7页Medical Innovation of China

基　　金：佛山市科技创新项目自筹经费类科技计划项目(2020年)(2020001005028)。

摘　　要：目的:探究“通髃运臑”理筋法配合肌内效贴治疗肱二头肌长头腱鞘炎的临床效果。方法:选取佛山市中医院2021年1月—2022年1月收治的80例肱二头肌长头腱鞘炎患者作为研究对象,以随机数字表法分成研究组和对照组,每组患者40例,其中对照组采用常规理筋手法及口服消炎止痛药治疗,研究组在口服消炎止痛药的基础上采用“通髃运臑”理筋法配合肌内效贴治疗,1个疗程为10 d,两组患者共连续治疗2个疗程。对比分析两组治疗前后的Constant-Murley肩关节功能(CM)评分,疼痛评分,肱二头肌长头腱鞘厚度,临床疗效,治疗期间不良反应发生情况及关节活动度。结果:相较于治疗前,两组治疗1、2个疗程后的CM评分均显著提高(P<0.05),且研究组CM评分均明显高于对照组(P<0.05)。相较于治疗前,两组治疗1、2个疗程后的疼痛评分均显著提高(P<0.05),且研究组疼痛评分均明显高于对照组(P<0.05)。研究组治疗有效率明显高于对照组(P<0.05)。治疗1、2个疗程后,两组肱二头肌长头腱鞘厚度均较治疗前明显降低(P<0.05);治疗1、2个疗程后,研究组肱二头肌长头腱鞘厚度均低于对照组(P<0.05)。治疗1、2个疗程后与治疗前比较,两组患者的肩关节上举、后伸角度均明显增大(P<0.05);治疗2个疗程后研究组肩关节上举、后伸角度均明显比对照组高(P<0.05)。两组患者在治疗时均未发生肌腱断裂、感染、昏厥、淤青等不良反应。结论:“通髃运臑”理筋法配合肌内效贴对肱二头肌长头腱鞘炎治疗具有较好的效果,不仅能降低长头肌腱鞘厚度,还能缓解患者的疼痛,提高肩关节的活动度,改善肩部关节功能障碍,且安全性高,为肱二头肌长头腱鞘炎的治疗提供更好的选择。Objective:To investigate the clinical effect of the"Tongyu Yunnao"tendon management method combined with the intramuscular effect patch in the treatment of tenosynovitis of long head of biceps brachii.Method:A total of 80 patients with tenosynovitis of long head of biceps brachii admitted to Foshan Hospital of Traditional Chinese Medicine from January 2021 to January 2022 were selected as the study subjects,and divided into the study group and control group by random number table method,with 40 patients in each group,the control group was treated with conventional tendon management method and oral anti-inflammatory and analgesic medication,and the study group was treated with"Tongyu Yunnao"tendon management method with intramuscular effect patch based on oral anti-inflammatory and analgesic medication,and one course of treatment lasted for 10 days,and the patients of the two groups were treated for two consecutive courses.The Constant-Murley shoulder function(CM)score,pain scores,thickness of the biceps long head tendon sheath before and after treatment,clinical efficacy,occurrence of adverse effects and joint mobility were compared between the two groups.Result:Compared with before treatment,the CM scores of both groups were significantly higher after 1 course and 2 courses of treatment(P<0.05),and the CM scores of the study group were significantly higher than those of the control group(P<0.05).Compared with before treatment,the pain scores of both groups were significantly higher than those after 1 course and 2 courses of treatment(P<0.05),and the pain scores of the study group were significantly higher than those of the control group(P<0.05).The treatment effective rate of the study group was significantly higher than that of the control group(P<0.05).After 1 course and 2 courses of treatment,the thickness of the tendon sheath of the long head of the biceps brachii in both groups were significantly decreased compared with those before treatment(P<0.05);after 1 course and 2 courses of treatment,the thickness o

关 键 词：“通髃运臑”理筋法 肌内效贴 肱二头肌长头腱鞘炎 关节活动度 

分 类 号：R686.1[医药卫生—骨科学]