摘要
目的探讨对肩周炎患者采用针刀松解术+功能锻炼方法治疗后获得的临床效果及安全性。方法选取我院2017年4月~2019年6月收治的104例肩周炎患者作为研究对象,按照随机数字表法分组,参照组(52例):采用功能锻炼方法;实验组(52例):采用针刀松解术+功能锻炼方法;比较组间治疗总有效率、Constant评分以及治疗副反应。结果实验组肩周炎患者治疗总有效率(98.08%)高于参照组(84.62%),差异有统计学意义(P<0.05);实验组治疗前Constant评分为(61.29±2.53)分;治疗后为(92.59±3.13)分;参照组治疗前Constant评分为(61.33±2.59)分;治疗后为(72.62±3.15)分;治疗前,实验组肩周炎患者Constant评分同参照组比较,差异无统计学意义(P>0.05);治疗后,实验组Constant评分高于参照组,差异有统计学意义(P<0.05);两组肩周炎患者均未表现出周围神经损伤、血肿形成以及创伤性气胸等系列不良事件,均表现出显著治疗安全性。结论肩周炎患者于临床接受针刀松解术+功能锻炼治疗后,利于疗效、Constant评分提升,并且未表现出显著治疗副反应,可显著促进肩周炎患者肩关节功能恢复以及病情转归。
Objective To investigate the clinical effect and safety of the acupotomy method and functional exercise in the treatment of patients with scapulohumeral periarthritis.Methods 104 patients with scapulohumeral periarthritis admitted and treated in our hospital from April 2017 to June 2019 were selected as the study subjects;The patients were divided into groups by using the random number table methods;For the reference group(n=52),the method of functional exercise was developed and carried out;For the experimental group(n=52),the method of acupotomy and functional exercise was developed and carried out.The total therapeutic efficiency,Constant score and side effects of treatment were compared between the two groups.Results The overall response rate(98.08%)of patients with scapulohumeral periarthritis in the experimental group was higher than that in the control group(84.62%),and the difference was statistically significant(P<0.05);In the experimental group,the Constant score before and after treatment were(61.29±2.53)points,(92.59±3.13)points respectively;in the reference group,the Constant score before and after treatment were(61.33±2.59)points,(72.62±3.15)points respectively;before treatment,the difference in Constant score of patients with scapulohumeral periarthritis between the experimental group and the reference group was not statistically significant(P>0.05);after treatment,the Constant score in the experimental group was higher than that in the reference group,and the difference was statistically significant(P<0.05);The two groups of patients with scapulohumeral periarthritis showed no peripheral nerve injury,hematoma formation,traumatic pneumothorax and other series of adverse events,showing significant safety in treatment.Conclusion The clinical treatment of patients with scapulohumeral periarthritis with acupotomy and functional exercise is conducive to the improvement of efficacy and Constant score,showing no significant side effects of treatment,which can significantly promote the recovery of shoulder joint function and condition outcome of patients with scapulohumeral periarthritis.
作者
阮晶
RUAN Jing(Department of Traditional Chinese Medicine,the Third People’s Hospital of Dongxihu District of Wuhan,Hubei,Wuhan 430043,China)
出处
《中国医药科学》
2020年第9期39-41,共3页
China Medicine And Pharmacy
