改良针刀“C”形松解术式治疗肩周炎临床疗效观察

发布时间：2018-05-12 02:33

本文选题：C形针刀松解术 + 粘连期肩周炎　；参考：《福建中医药大学》2016年硕士论文

【摘要】：目的：观察改良针刀“C"形松解术式治疗粘连期肩关节周围炎的临床疗效。方法：按照诊断标准、纳入标准和排除标准选择福建中医药大学附属人民医院骨伤科2014年9月～2015年9月间肩周炎患者90例,按照随机顺序法分为改良组、C形组和电针组,各30例。改良组采用改良针刀“C”形松解术式：取点：“C”形分布点,三角肌止点(臂佈),肩峰下滑囊(肩毼),冈下肌起点(天宗),肩胛内上角(天毼),治疗粘连期肩周炎。C形组采用“C”形针刀松解术：取点：从前到后,“C”形线上分布的肱二头肌短头起点—喙突点、肩胛下肌止点—小结节点、肱二头肌长头腱结节间沟的骨纤维管道部—肱骨结节间沟点、小圆肌止点—肱骨大结节后面,治疗粘连期肩周炎。每周1次,1周为1疗程。电针组每天1次,7天为1疗程。三组治疗结束后均配合相同的手法及肩关节功能锻炼。于治疗前、疗程结束后,记录患者的VAS评分、调整的Constant-Murley肩关节评分,并对三组治疗后总体疗效进行统计分析。治疗后3个月随访进行肩关节活动度恢复评价。三组病例治疗前组间在性别、年龄、病程、部位构成上无显著性差异,具有可比性。所有数据应用SPSS18.0软件包进行统计学处理。结果：1、改良组治愈25例,显效3例,有效1例,无效1例,总有效率为96.7%；C形组治愈15例,显效12例,有效1例,无效2例,总有效率为93.3%；电针组治愈5例,显效13例,有效7例,无效5例,总有效率为83.3%。三组疗效经统计学处理,差异具有统计学意义(P0.017)。2、治疗后,在VAS评分、调整的Contant-Murley肩关节评分中,三组治疗前后组内比较,差异具有显著性(P0.01),表明三种治疗方法均有显著疗效；治疗后三组组间比较,差异具有统计学意义(P0.05),表明改良针刀“C”形松解术式能够更有效地缓解肩部疼痛,改善肩关节活动范围。3、治疗后3个月,在肩关节外展上举活动度恢复评价中,三组数据经统计学处理,差异具有统计学意义(P0.05)；在上肢后伸后旋恢复评价中,三组数据经统计学处理,差异有统计学意义(P0.017)。表明改良针刀“C”形松解术式能更有效地恢复肩关节活动度。结论：改良针刀“C”形松解术式治疗粘连期肩周炎能够更有效地缓解肩部疼痛,改善肩关节活动范围。
[Abstract]:Objective: To observe the clinical effect of modified needle knife "C" form loosening on the treatment of adhesive periarthritis of the shoulder. Methods: according to the standard of diagnosis, 90 cases of periarthritis of shoulder were selected from the orthopedics department of the Affiliated People's Hospital of Fujian University of traditional Chinese medicine from September 2014 to September 2015. The patients were divided into the modified group and the C group according to the random sequence method. And the electroacupuncture group, each 30 cases. The modified group used the modified needle knife "C" form of release: "C" shape distribution point, the deltoid muscle stop point (arm cloth), the acromion glide sac (shoulder), the supraspinatus starting point (Tian Zong), the Upper Cape of the scapula in the.C shape group using "C" shaped Acupotomy: from the former to the post, "C" shape The starting point of the short head of the biceps brachii muscle line, the coracoid point, the subscapular muscle stop point, the nodule node, the bone fiber pipe of the long head of the biceps brachii tubercle, the point of the humerus tubercle, the small round muscle stop point - the large tubercle of the humerus, 1 times a week and the 1 course of 1 weeks. The electroacupuncture group was 1 times a day and the 7 day was 1 courses. Three groups three groups. After the treatment, the same technique and shoulder joint function exercise were performed. Before the treatment, the VAS score of the patients was recorded, the Constant-Murley shoulder joint score was adjusted, and the overall effect after the treatment of the three groups was statistically analyzed. After 3 months of treatment, the recovery of shoulder joint activity was evaluated. The three groups were in the group before treatment. There was no significant difference in gender, age, course of illness and position. All data were statistically treated with SPSS18.0 software package. Results: 1, 25 cases were cured, 3 cases were cured, 1 cases were effective, 1 cases were valid, 1 cases were invalid, the total effective rate was 96.7%; 15 cases were cured in C group, 12 cases were markedly effective, 2 cases were valid, 2 cases were invalid, the total effective rate was 93.3%; electroacupuncture. 5 cases were cured, 13 cases were markedly effective, 7 cases were effective and 5 cases were ineffective. The total effective rate was 83.3%. three. The difference was statistically significant (P0.017).2. After the treatment, the difference between the three groups was significant (P0.01) in the three groups before and after the adjustment of the adjusted Contant-Murley shoulder score (P0.01), indicating that the three treatments were significant. After treatment, the difference between the three groups was statistically significant (P0.05). The results showed that the modified Acupotomy "C" shape loosening was more effective in alleviating shoulder pain and improving the range of shoulder joint activity.3. In the 3 months after treatment, the three groups of data were statistically treated with statistics, and the difference was statistically significant. Significance (P0.05); in the evaluation of posterior extension back rotation of the upper limb, the three groups of data were statistically treated with statistical significance (P0.017). The results showed that the improved needle knife "C" shape loosening method could more effectively restore the shoulder joint activity. Conclusion: the improved Acupotomy "C" shape loosening method can more effectively relieve shoulder pain in adhesion period. Pain, improve the range of shoulder joint activity.

【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

【相似文献】