超声引导下针刀序贯疗法治疗肩关节周围炎的临床效果  

Clinical effect of ultrasound-guided akupotomye sequential therapy in the treatment of scapulohumeral periarthritis

作　　者：李子源 张振宇[1] 冯敏山[2] 司江涛[1] LI Ziyuan;ZHANG Zhenyu;FENG Minshan;SI Jiangtao(Characteristic Diagnosis and Treatment Center,Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing100102,China;the Second Department of Spine,Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing100102,China)

机构地区：[1]中国中医科学院望京医院特色诊疗中心,北京100102 [2]中国中医科学院望京医院脊柱二科,北京100102

出　　处：《中国医药导报》2023年第27期152-155,161,共5页China Medical Herald

基　　金：国家中医药管理局国家中医药传承创新团队项目(ZYYCXTD-C-202003);中国中医科学院望京医院院级科研课题(WJYY2020-10)。

摘　　要：目的观察超声引导下针刀序贯疗法治疗肩周炎的临床效果。方法选取2021年8月至2022年9月中国中医科学院望京医院就诊的60例肩周炎患者,按随机数字表法分将其为治疗组和对照组,各30例。治疗组采用超声引导-液压扩张-针刀松解-肩关节松动术,对照组采用超声引导-痛点封闭-肩关节松动术。两组疗程均为3周。比较两组治疗前(T_(1)),末次治疗后(T_(2))及治疗后2周(T_(3))视觉模拟评分法(VAS)、Constant-Murley肩关节功能评分,T_(1)、T_(3)时结节间沟积液厚度、盂下关节囊厚度及两组临床疗效。结果两组不同时间点VAS、Constant-Murley肩关节功能评分比较,差异均有统计学意义(P<0.05)。治疗组T_(2)~T_(3)时VAS评分低于同期对照组,Constant-Murley肩关节功能评分高于同期对照组,差异有统计学意义(P<0.05)。T_(3)时两组结节间沟积液厚度及盂下关节囊厚度较T_(1)时均减小,且治疗组低于对照组,差异有统计学意义(P<0.05)。治疗组临床疗效优于对照组,差异有统计学意义(P<0.05)。结论超声引导下针刀序贯疗法治疗肩关节周围炎的临床效果好,可缓解疼痛及改善活动度。Objective To observe the clinical effect of ultrasound-guided akupotomye sequential therapy on scapulohumeral periarthritis.Methods Sixty patients with scapulohumeral periarthritis treated in Wangjing Hospital of Chinese Academy of Traditional Chinese Medicine from August 2021 to September 2022 were divided into treatment group and control group by random number table method,with 30 cases in each group.The treatment group was treated with ultrasonic guidance-hydraulic expansion-akupotomye release-shoulder joint loosening,while the control group was treated with ultrasonic guidance-pain point sealing-shoulder joint loosening.The course of treatment in both groups was three weeks.Visual analogue scale(VAS)and Constant-Murley shoulder function score were compared before treatment(T_(1)),after the last treatment(T_(2))and two weeks after treatment(T_(3)),the thickness of internodal sulci and subglenoid capsula at T_(1) and T_(3) were compared and the clinical efficacy of the two groups were compared.Results VAS and Constant-Murley shoulder joint function scores at different time points between the two groups were statistically significant(P<0.05).The VAS score at T_(2)-T_(3) in the treatment group was lower than that in the control group,and the Constant-Murley shoulder joint function score was higher than that in the control group,the differences were statistically significant(P<0.05).The thickness of internodal sulci and subglenoid capsula decreased in T_(3) compared with T_(1),and the treatment group was lower than the control group,the differences were statistically significant(P<0.05).The clinical effect of the treatment group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Ultrasound-guided akupotomye sequential therapy has a good clinical effect on periarthritis of shoulder,which can relieve pain and improve mobility.

关 键 词：超声引导 针刀松解 液压扩张 肩关节周围炎 

分 类 号：R246.9[医药卫生—针灸推拿学]