摘要
目的探讨肌骨超声引导下针刀定点松解在粘连性肩关节囊炎瘀滞证治疗中的效果及安全性。方法纳入粘连性肩关节囊炎瘀滞证患者共120例(2021年1月2022年6月),采取随机数字表法分为对照组和观察组,每组60例,对照组采取传统解剖定位法针刀松解,观察组采取肌骨超声引导下针刀定点松解,每周1次,治疗4周。分别观察两组临床疗效及并发症,并比较治疗前后Constant肩关节量表评分、疼痛视觉模拟评分法(VAS)评分、红细胞沉降率(ESR)、血清C反应蛋白(CRP)变化。结果治疗4周后,两组Constant肩关节量表评分均较治疗前提升,疼痛VAS评分、ESR、血清CRP水平均较治疗前下降,且观察组Constant肩关节量表评分高于对照组,疼痛VAS评分、ESR、血清CRP水平低于对照组(P<0.05)。观察组临床总有效率96.67%(58/60)相较于对照组86.67%(52/60)更高(P<0.05)。两组并发症发生率比较差异无统计学意义(P>0.05)。结论肌骨超声引导下针刀定点松解对粘连性肩关节囊炎瘀滞证临床疗效好,可改善肩关节活动功能、缓解疼痛、降低炎性因子水平,且安全性较好。
Objective To investigate the efficacy and safety of musculoskeletal ultrasound-guided fixed-point release with needle-knife in the treatment of adhesive capsulitis with blood stasis syndrome.Methods A total of 120 patients with adhesive capsulitis with blood stasis syndrome were enrolled from January 2021 to June 2022.According to the random number table method,they were divided into control group and observation group,with 60 patients in each group.The control group was treated with traditional anatomical positioning method and fixed-point release with needle-knife,and the observation group was treated with musculoskeletal ultrasound-guided fixed-point release with needle-knife,once a week for 4 weeks.The clinical effect and complications of the two groups were observed,and the changes of Constant shoulder scale score,visual analogue scale(VAS)score,erythrocyte sedimentation rate(ESR)and serum C reactive protein(CRP)before and after treatment were compared.Results At 4 weeks after treatment,the scores of Constant shoulder scale in the two groups were higher than those before treatment,while the VAS pain score,ESR and serum CRP levels were lower than those before treatment;the Constant shoulder scale score in the observation group was higher than that in the control group,while the VAS pain score,ESR and serum CRP levels were lower than those in the control group(P<0.05).The total clinical effective rate of the observation group was 96.67%(58/60),which was higher than 86.67%(52/60)of the control group(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Musculoskeletal ultrasound-guided fixed-point release with needle-knife has a good clinical effect on adhesive shoulder capsulitis with blood stasis syndrome,which can improve shoulder joint function,relieve pain,reduce inflammatory factor levels,and has good safety.
作者
刘太
李胜吾
王标
赵琛
胡锐
唐浩琛
唐流刚
LIU Tai;LI Shengwu;WANG Biao;ZHAO Chen;HU Rui;TANG Haochen;TANG Liugang(Department of Musculoskeletal Traumatology,Sichuan Provincial Orthopedic Hospital,Chengdu 610041,China)
出处
《临床误诊误治》
2025年第12期108-112,共5页
Clinical Misdiagnosis & Mistherapy
基金
四川省中医药管理局科学技术研究专项课题(2020LC0183)。
关键词
粘连性肩关节囊炎
瘀滞证
肌骨超声
针刀定点松解
Constant肩关节量表
疼痛
C反应蛋白
红细胞沉降率
Adhesive capsulitis
Stagnation syndrome
Musculoskeletal ultrasound
Fixed-point release with needle-knife
Constant shoulder scale
Pain
C reactive protein
Erythrocyte sedimentation rate
