[1]胡 锐,唐浩琛,刘 太,等.筋针联合手法松解治疗肩撞击综合征疗效观察[J].陕西中医,2022,(5):662-665.[doi:DOI:10.3969/j.issn.1000-7369.2022.05.028]
　HU Rui,TANG Haochen,LIU Tai,et al.Efficacy of sinew acupuncture combined with manipulation release in the treatment of shoulder impingement syndrome[J].,2022,(5):662-665.[doi:DOI:10.3969/j.issn.1000-7369.2022.05.028]
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筋针联合手法松解治疗肩撞击综合征疗效观察
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年5期
页码:
662-665
栏目:
针灸经络
出版日期:
2022-05-05

文章信息/Info

Title:
Efficacy of sinew acupuncture combined with manipulation release in the treatment of shoulder impingement syndrome
作者:
胡 锐; 唐浩琛; 刘 太; 王 标; 唐流刚
(四川省骨科医院筋伤科,四川 成都 610041)
Author(s):
HU Rui; TANG Haochen; LIU Tai; WANG Biao; TANG Liugang
(Department of Muscles and Traumatology,Sichuan Province Orthopedic Hospital,Chengdu 610041,China)
关键词:
肩撞击综合征;  筋针;  手法松解;  上肢功能运动;  疼痛
Keywords:
Shoulder impingement syndrome;  Sinew acupuncture;  Manipulation release;  Upper extremity motor function;  Pain
分类号:
R 684
DOI:
DOI:10.3969/j.issn.1000-7369.2022.05.028
文献标志码:
A
摘要:
目的:评价筋针联合手法松解治疗肩撞击综合征的疗效。方法:纳入82例肩撞击综合征患者,采用随机数字表法分为观察组、对照组各41例。对照组施以传统针刺联合手法松解治疗,观察组采用筋针联合手法松解治疗,治疗3个疗程。比较两组临床疗效,治疗前后上肢功能指数量表(UEFI)评分、疼痛视觉模拟(VAS)评分、肩关节活动度(前屈、外展、内收、后伸、内旋、外旋)变化、肩肱节律改善率、不良反应发生率及随访6个月复发率。结果:治疗21 d后,观察组治疗总有效率为97.56%,显著高于对照组的85.37%(P<0.05); 两组UEFI评分均较治疗前提高(P<0.05),且观察组高于对照组(P<0.05),VAS评分均较治疗前降低(P<0.05),且观察组低于对照组(P<0.05); 治疗21 d后,两组前屈、外展、内收、后伸、内旋、外旋角度均较治疗前增大(P<0.05),且观察组治疗后肩关节活动度大于对照组(P<0.05); 治疗21 d后,观察组肩肱节律改善率为82.93%,显著高于对照组的63.41%(P<0.05); 观察组随访6个月复发率为2.44%,显著低于对照组的17.07%(P<0.05)。结论:筋针联合手法松解治疗肩撞击综合征疗效确切,可有效缓解疼痛,改善肩关节活动功能,减少复发。
Abstract:
Objective:To evaluate the efficacy of sinew acupuncture combined with manipulation release in the treatment of shoulder impingement syndrome.Methods:82 patients with shoulder impingement syndrome were enrolled and divided into observation group and control group by the random number table method,with 41 cases in each group.The control group was treated with traditional acupuncture combined with manipulation release,and the observation group was given sinew acupuncture combined with manipulation release,and both groups were given 3 courses of treatment.The clinical efficacy,upper extremity function index(UEFI),visual analogue scale(VAS),shoulder ranges of motions(anteflexion,abduction,adduction,rear protraction,internal rotation,external rotation)and improvement rate of scapulohumeral rhythm before and after treatment,incidence rates of adverse reactions and recurrence rate at 6 months of follow-up were compared between the two groups.Results:After 21 d of treatment,the total effective rate of treatment of 97.56% in observation group was significantly higher than 85.37% in control group(P<0.05).The UEFI scores of the two groups were higher than those before treatment(P<0.05),and the score of observation group was higher than that of control group(P<0.05),and the VAS scores were lower than those before treatment(P<0.05),and the score of observation group was lower than that of control group(P<0.05).The angles of anteflexion,abduction,adduction,rear protraction,internal rotation,and external rotation in the two groups after 21 d of treatment were all larger than those before treatment(P<0.05),and the shoulder ranges of motions of observation group after treatment were larger than those of control group(P<0.05).The improvement rate of scapulohumeral rhythm of 82.93% in observation group was significantly higher than 63.41% in control group after 21 d of treatment(P<0.05).The recurrence rate of 2.44% in observation group at 6 months of follow-up was significantly lower than 17.07% in control group(P<0.05).Conclusion:Sinew acupuncture combined with manipulation release has an exact efficacy in treating shoulder impingement syndrome,and it can effectively relieve pain,improve shoulder ranges of motions and reduce recurrence.

参考文献/References:

[1] 游腾靖.关节镜改良Endobutton结合锚钉双重解剖重建治疗肩锁关节脱位[J].陕西医学杂志,2019,48(7):923-926.
[2] 江 昊,林章雅,叶 真,等.超声介入治疗肩峰下撞击综合征疗效对比分析[J].福建医科大学学报,2019,53(6):56-60.
[3] 陈汉东,朱光宇,王 剑,等.针刀治疗BiglianiⅠ型肩峰撞击综合征[J].吉林中医药,2020,40(3):402-405.
[4] 李智尧,董福慧.针刀松解术治疗肩峰下撞击综合征的临床疗效[J].中国骨伤,2018,31(6):500-503.
[5] 肖 伟,龚明发,向文海,等.肌筋膜松弛术结合针灸治疗腰椎间盘突出症临床研究[J].陕西中医,2019,40(7):902-905.
[6] 吴军尚,吴军瑞,吴汉卿,等.中医筋骨针疗法治疗肩周炎经验探析[J].世界中西医结合杂志,2020,15(10):11-13,24.
[7] 胥少汀,葛宝丰,徐印坎.实用骨科学[M].北京:人民军医出版社,2012:55-56.
[8] 吴 亮,匡文忠.关节镜下治疗肩峰下撞击综合征[J].皖南医学院学报,2018,37(4):360-362.
[9] 孙 兵,车晓明.视觉模拟评分法(VAS)[J].中华神经外科杂志,2012,28(6):645.
[10] 房玉霞,张亚楠,梁欣荣.医患通信息系统用于手外科功能康复指导的效果[J].中华现代护理杂志,2013,19(29):3605-3607.
[11] 黄 骏,顾明红,朱 婵,等.肩三针穴位注射联合小针刀松解配合手法治疗肩周炎的疗效[J].上海医学,2018,41(4):3-5.
[12] 薛建刚,孙海飚,韩晓强,等.肩峰撞击征诊断与治疗的研究进展[J].中国骨与关节杂志,2019,12(8):5-7.
[13] 李 勇,张胜利,戴勇华,等.超声引导下肩上神经松解术配合葛根汤加味熏洗对肩部撞击症合并肩胛上神经卡压综合征患者肩关节功能和日常生活能力的影响[J].现代中西医结合杂志,2019,28(19):6.
[14] 王 雷,郭运岭,王 壮,等.“柔筋调脊”针法治疗腰椎间盘突出症所致慢性腰腿痛疗效研究[J].陕西中医,2019,40(5):720-723.
[15] 王英华,张帅梅,王晓光,等.中医辨证论治联合局部注射治疗肩峰撞击征的临床观察[J].中医药导报,2018,24(17):102-104.
[16] 郑晨颖,赵学千,韦 嵩,等.针刀镜联合中医手法松解治疗冻结肩的临床观察[J].中国中医骨伤科杂志,2019,27(7):10-14.
[17] 景亚军,张 磊,张少群,等.几种常用针具局部松解部位骨骼肌的损伤和修复过程及病理变化[J].中国组织工程研究,2018,22(4):535-541.
[18] 凌 波,袁 鹏.IH手法对肩周炎分类治疗的疗效分析[J].四川中医,2018,36(9):202-204.
[19] 庄加川,张振伟,张 成,等.肩部调衡法治疗肩峰撞击综合征[J].中华手外科杂志,2021,37(2):119-122.
[20] 薛开禄,洪盈盈,王玉龙,等.体外冲击波治疗对肩手综合征患者肩关节功能的影响[J].陕西医学杂志,2020,49(6):720-723.

备注/Memo

备注/Memo:
基金项目:四川省中医药管理局中医药科研专项课题(2021MS358)
更新日期/Last Update: 2022-05-09