针刀整体松解术后手法治疗肩周炎临床疗效评价

Efficacy Evaluation of Periarthritis Treated by Overall Loosening after Needle-knife Techniques

目的:观察针刀整体松解术后手法治疗肩周炎临床疗效。方法:采用随机对照的试验设计方法,将60例肩周炎患者随机分为2组,治疗组30例,采用针刀整体松解术配合手法治疗。对照组30例,采用传统手法松解治疗,采用VAS评分及肩周炎康复体疗功能评定方案分别从疼痛和运动功能两方面进行疗效评价。结果:治疗组治愈率为56.7%,总有效率为96.7%;对照组治愈率为26.7%,总有效率为83.4%。治疗组治愈率及总有效率明显优于对照组。疼痛方面,两组比较,有极显著性差异(P<0.01)。运动功能方面,肩关节内旋、摸背、摸耳及运动功能总分有统计学差异(P<0.05或P<0.01)。结论:采用针刀整体松解术后手法治疗肩周炎,能显著减轻疼痛,改善功能,疗效优于传统手法治疗组。

Objective:To observe the overall loosening after needle-knife techniques clinical evaluation of treatment of periarthritis.Methods:A randomized,placebo-controlled trial design method,60 cases of Periarthritis were randomly divided into two groups,treatment group 30 cases,using needle knife with the way the whole lysis treatment.Control group of 30 patients treated with traditional methods lysis,using VAS score and Periarthritis rehabilitation program of physical therapy functional assessment of pain and motor function separately from the two aspects of efficacy evaluation.Results:The cure rate was 56.7% and the total effective rate was 96.7%;control group cure rate of 26.7% and the total effective rate was 83.4%.two groups after statistical processing,there is significant difference(P<0.01).Pain,there was a significant difference(P<0.01).Aspects of motor function,shoulder internal rotation,touch back,touching ears and total score of motor function was statistically different(P<0.05 ～ 0.01).Conclusion:The use of needle-knife treatment of frozen shoulder the whole way after lysis can significantly reduce the patient’s pain,improve function,efficacy of the treatment group significantly better than traditional methods.