多点注射联合紧张位针刀松解治疗粘连期肩周炎临床研究  

Clinical Study of Multi-Point Injection Combined with Tension Position Acupotomy Release in Treatment of Scapulohumeral Periarthritis

作　　者：马幸福[1] 朱俊琛[1] 贺业霖 聂勇[1] 李迎春[1] 苏毅[1] 熊应宗[1] 郑智文[1] 李富有 王超[1] 王怀泽 MA Xingfu;ZHU Junchen;HE Yelin;NIE Yong;LI Yingchun;SU Yi;XIONG Yingzong;ZHENG Zhiwen;LI Fuyou;WANG Chao;WANG Huaize(The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China)

机构地区：[1]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《针灸临床杂志》2024年第11期45-50,共6页Journal of Clinical Acupuncture and Moxibustion

基　　金：安徽省“十四五”省级中医优势特色专科项目,编号:皖中医药服务秘(2021)71号。

摘　　要：目的:观察多点注射联合紧张位针刀松解治疗粘连期肩周炎的临床疗效。方法:选取符合粘连期肩周炎纳入标准的患者共70例,根据随机数字表法将患者随机分为观察组与对照组,每组35例,分别采用多点注射联合紧张位针刀松解治疗、常规注射联合针刀治疗。于治疗前、治疗后1个月、治疗后3个月及6个月随访时进行疼痛视觉模拟评分(VAS)、Constant-murley肩关节功能评分、肩关节活动度及临床疗效评估。结果:在6个月随访时观察组临床疗效优于对照组,差异具有统计学意义(P<0.05)。在治疗后1个月、治疗后3个月时,观察组VAS评分均低于对照组(P<0.05);在治疗后6个月,两组VAS评分差异无统计学意义。观察组在治疗后各时点的Constant-murley肩关节功能评分均高于对照组,差异有统计学意义(P<0.05)。两组肩关节活动度均较治疗前改善,在治疗后1个月、3个月时观察组肩关节前屈、外展、外旋及内旋活动度均优于对照组(P<0.05);而在治疗后6个月时,两组患者在前屈、外展及外旋活动度方面差异无统计学意义(P>0.05),但观察组肩关节内旋活动度仍优于对照组,差异有统计学意义(P<0.05)。结论:多点注射联合紧张位针刀治疗粘连期肩周炎在近远期疗效显著,可有效缓解疼痛、提高患者肩关节功能和改善患者肩关节活动度,且安全可行,值得临床推广。Objective:To observe the clinical effect of multi-point injection combined with tension position acupotomy release in treatment of adhesive scapulohumeral periarthritis.Methods:70 patients,who met the inclusion criteria for scapulohumeral periarthritis,were randomly divided into the control group and the observation group,with 35 patients in each group.The observation group was treated with multi-point injection combined with tension position acupotomy release therapy;whereas the control group was treated with routine injection combined with acupotomy therapy.The scores of visual analogue scale(VAS)and Constant-murley shoulder joint function,shoulder joint range of motion(ROM)were evaluated before the treatment,1 month,3 months and 6 months after the treatment in the two groups.Clinical efficacy was compared between the two groups.Results:At the 6-month follow-up,the clinical efficacy of the observation group was better than that of the control group(P<0.05).The VAS score of the observation group was lower than that of the control group 3 months after the treatment(P<0.05);there was no statistical difference in VAS score between the two groups 6 months after the treatment(P>0.05).The Constant-murley shoulder function score of the observation group was higher than that of the control group at each time point after the treatment(P<0.05).The ROM of shoulder was significantly improved after the treatment than that before the treatment in the two groups(P<0.05);the flexion,abduction and external rotation of shoulder joint was better in the observation group than that in the control group 3 months after the treatment(P<0.05);there was no statistical difference in flexion,abduction and external rotation between the two groups 6 months after the treatment(P>0.05);however,the internal rotation activity of the shoulder joint in the observation group was still better than that in the control group(P<0.05).Conclusion:Multi-point injection combined with tension point acupotomy has a significant short-term and long-term effect

关 键 词：肩周炎 多点注射 紧张位针刀松解 

分 类 号：R246.2[医药卫生—针灸推拿学]