肩关节腔扩张联合扳动手法治疗老年肩周炎的临床疗效

发布时间：2018-01-31 03:47

本文关键词： 老年性肩周炎关节腔注射扳动手法中西医　出处：《中国老年学杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的观察肩关节腔扩张联合扳动手法对老年性肩周炎的临床疗效。方法采用前瞻性、随机对照试验的设计将123例肩周炎患者分为4组:对照组口服塞来昔布胶囊,手法组为扳动手法,注射组为关节腔注射药物扩张,结合组即手法组和注射组方法的结合。疗程均为1个月。使用视觉模拟评分法(VAS)、检测血清肿瘤坏死因子(TNF)-α水平和Constant Murley肩关节评分系统。结果治疗后1 d、1、2 w,结合组VAS评分明显低于同期对照组、手法组(P0.05);治疗后3个月,结合组VAS评分明显低于同期对照组、手法组、注射组(P0.05)。治疗后3个月,结合组TNF-α水平明显低于同期对照组、手法组、注射组(P0.05)。结合组总愈显率(77.4%)高于对照组(26.7%)、手法组(28.1%)、注射组(43.3%),而结合组复发率(9.7%)低于对照组(43.3%)、手法组(50.0%)、注射组(33.3%,P0.05)。结论肩关节腔扩张联合扳动手法治疗老年性肩周炎在缓解疼痛、改善关节活动度及日常生活方面具有优势。
[Abstract]:Objective to observe the clinical effect of shoulder joint dilatation combined with wrenching manipulation in the treatment of senile shoulder periarthritis. 123 patients with shoulder periarthritis were randomly divided into 4 groups: the control group was given celecoxib capsule, the manipulation group was wrench manipulation, and the injection group was injected with drug dilatation. The combination of manipulation group and injection group. The course of treatment was 1 month. Visual analogue score was used. Serum TNF- 伪 level and Constant Murley shoulder scoring system were measured. The VAS score of the combined group was significantly lower than that of the control group, and that of the manipulation group was significantly lower than that of the control group. 3 months after treatment, the VAS score in the combined group was significantly lower than that in the control group, while in the manipulation group and the injection group, the level of TNF- 伪 was significantly lower than that in the control group 3 months after treatment. In the manipulation group, the total recovery rate of the combined group was 77.4%, which was higher than that of the control group (26.7%), the manipulation group was 28.1g and the injection group was 43.3%). The recurrence rate of the combined group was lower than that of the control group (43.3%), the manipulation group (50.0%) and the injection group (33.3%). Conclusion the treatment of senile shoulder periarthritis with shoulder cavity dilation combined with wrenching has advantages in relieving pain, improving joint motion and daily life.
【作者单位】：浙江大学校医院;
【基金】：浙江省教育厅科研项目(Y201328900)
【分类号】：R686
【正文快照】： 中老年患者是肩周炎的好发人群。对老年性肩周炎的治疗中西医的方法也是多样,西医常用口服非甾体抗感染药,受老年人机体退化影响,口服用药不良反应亦多〔1~5〕。中医药的手法治疗,经济实惠、副作用小,但受疗效可重复性的困扰。中西医各方法,若单独使用收效缓慢,患者疼痛虽有改

【相似文献】