肩三针联合体外冲击波治疗肩周炎患者的效果  

Effects of shoulder three needles combined with extracorporeal shock wave in treatment of patients with periarthritis of shoulder

作　　者：陈小刚 申瑞玉 CHEN Xiaogang;SHEN Ruiyu(Department of Physiotherapy of Community Health Service Center of Shangjun Road Sub-district Office,Yulin 719000 Shaanxi,China)

机构地区：[1]榆林市榆阳区上郡路街道办事处社区卫生服务中心理疗科,陕西榆林719000

出　　处：《中国民康医学》2024年第23期97-99,106,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察肩三针联合体外冲击波治疗肩周炎患者的效果。方法:回顾性分析2023年1—12月该院收治的90例肩周炎患者的临床资料,按照治疗方法不同将其分为对照组44例和研究组46例。两组均给予药物治疗和常规康复锻炼,在此基础上,对照组采用体外冲击波治疗,研究组在对照组基础上联合肩三针治疗,两组均治疗4周。比较两组临床疗效,治疗前后肩关节功能[美国加州大学肩关节评分系统(UCLA)、Fugl-Meyer运动功能评定量表(FMA)]评分、肩关节活动度、疼痛[视觉模拟评分法(VAS)]评分和炎性因子[白细胞介素-6(IL-6)、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)]水平。结果:研究组治疗总有效率为95.65%(44/46),高于对照组的79.55%(35/44),差异有统计学意义(P<0.05);治疗后,研究组UCLA、FMA评分均高于对照组,差异有统计学意义(P<0.05);治疗后,研究组后伸、外旋、外展、前屈等肩关节活动度均大于对照组,差异有统计学意义(P<0.05);治疗后,研究组VAS评分低于对照组,差异有统计学意义(P<0.05);治疗后,研究组IL-6、CRP、TNF-α水平均低于对照组,差异有统计学意义(P<0.05)。结论:肩三针联合体外冲击波治疗肩周炎患者可提高治疗总有效率和肩关节功能评分,改善肩关节活动度,降低疼痛评分和炎性因子水平,效果优于单纯体外冲击波治疗。Objective:To observe effects of shoulder three needles combined with extracorporeal shock wave in treatment of patients with periarthritis of shoulder.Methods:The clinical data of 90 patients with periarthritis of shoulder admitted to this hospital from January to December 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group(44 cases)and study group(46 cases).Both groups were given drug treatment and routine rehabilitation exercise.On this basis,the control group was treated with extracorporeal shock wave therapy,while the study group was treated with shoulder three needles on the basis of that of the control group.Both groups were treated for 4 weeks.The clinical efficacy,the shoulder joint function[University of California at Los Angeles shoulder score(UCLA),Fugl-Meyer assessment(FMA)]score,the shoulder range of motion,the pain[visual analogue scale(VAS)]score,and the inflammatory factors[interleukin-6(IL-6),C-reactive protein(CRP),tumor necrosis factor-α(TNF-α)]levels before and after the treatment were compared between the two groups.Results:The total effective rate of treatment in the study group was 95.65%(44/46),which was higher than 79.55%(35/44)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of UCLA and FMA in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the shoulder ranges of motion of extension,external rotation,abduction and flexion in the study group was greater than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the VAS score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Further,after the treatment,the levels of IL-6,CRP and TNF-αin the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusio

关 键 词：肩周炎 肩三针 体外冲击波 肩关节活动度 肩关节功能 疼痛 炎性因子 

分 类 号：R684[医药卫生—骨科学]