肌肉内效贴疗法联合运动康复治疗肩峰下撞击综合征的临床疗效  

Clinical efficacy of intramuscular patch therapy combined with exercise rehabilitation in the treatment of subacromial impingement syndrome

作　　者：丁志清 丁勤能 刘蓓蓓 谢财忠 汤江帆 DING Zhiqing;DING Qinneng;LIU Beibei;XIE Caizhong;TANG Jiangfan(Rehabilitation Medicine Department,Eastern Theater Command General Hospital of the People's Liberation Army of China,Nanjing,Jiangsu,210000,China)

机构地区：[1]中国人民解放军东部战区总医院康复医学科,江苏南京210000

出　　处：《当代医学》2023年第24期98-100,共3页Contemporary Medicine

摘　　要：目的探讨肌肉内效贴疗法联合运动康复锻炼对肩峰下撞击综合征(SAIS)的效果。方法选取2018年6月至2021年6月本院收治的60例SAIS患者作为研究对象,按照随机数字表法随机分为观察组与对照组,各30例。对照组接受运动康复治疗,观察组在对照组基础上采用肌肉内效贴疗法,比较两组临床疗效及治疗前后疼痛程度与肩关节活动度。结果观察组治疗总有效率为93.33%,明显高于对照组的73.33%,差异有统计学意义(P<0.05);治疗后,两组视觉模拟评分法(VAS)评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组肩关节活动度外展、前屈、外旋、内旋均大于治疗前,且观察组大于对照组,差异有统计学意义(P<0.05)。结论肌肉内效贴疗法联合运动康复锻炼能改善SAIS治疗效果,有效缓解患者疼痛,改善肩关节活动度,值得临床推广应用。Objective To explore the effect of intramuscular patch therapy combined with exercise rehabilitation on subacromial impingement syndrome(SAIS).Methods 60 patients with SAIS admitted to our hospital from June 2018 to June 2021 were selected as the study subjects,and they were divided into the observation group and the control group according to the random number table method,with 30 cases in each group.The control group received exercise rehabilitation treatment,while the observation group received intramuscular patch therapy on the basis of the control group,the clinical efficacy,pain level,and shoulder joint range of motion before and after treatment were compared between the two groups.Results The total effective rate of the observation group was 93.33%,which was significantly higher than 73.33%in the control group,the difference was statistically significant(P<0.05).After treatment,the visual analogue scale(VAS)score of the two groups were lower than before treatment,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).After treatment,shoulder joint mobility abduction,forward flexion,external rotation and internal rotation of the two groups were greater than before treatment,and observation group was greater than control group,the differences were statistically significant(P<0.05).Conclusion The combination of intramuscular patch therapy and exercise rehabilitation can improve the therapeutic effect of SAIS,effectively alleviate patient pain,and improve shoulder joint mobility,which is worthy of clinical promotion and application.

关 键 词：肌肉内效贴疗法 康复训练 肩关节 肩峰下撞击综合征 

分 类 号：R68[医药卫生—骨科学]