针刀结合功能锻炼治疗冻结肩的临床疗效观察

Acupotomology in Combination with Functional Exercise the Clinical Effect of the Treatment of Frozen Shoulder

目的:观察针刀结合功能锻炼治疗冻结肩的临床疗效。方法:将符合冻结肩纳入标准的80例患者,分为治疗组和对照组,每组40例。治疗组采用针刀结合功能锻炼,对照组采用针刺结合功能锻炼。针刀治疗每周1次,针刺治疗采取局部取穴与循经取穴相结合的方法,每日针灸1次,留针30min,功能锻炼早晚各1次,每次10~20min,疗程3周。在治疗前和疗程结束后采用Constant-Murley评分法评价两组临床疗效。结果:治疗组40例,其中治愈23例,显效9例,有效6例,无效2例,治愈率为57.5%,总有效率为95.0%;对照组40例,治愈11例,显效10例,有效12例,无效6例,治愈率为27.5%,总有效率为85.0%.两组治疗后Constant-Murley评分均高于治疗前,差异有统计学意义(P<0.05);而治疗后两组比较,治疗组Constant-Murley评分、疗效均高于对照组且差异有统计学意义(P<0.05)。结论:采用针刀结合功能锻炼治疗冻结肩临床疗效显著并优于针刺结合功能锻炼。

Objective：to observe the clinical curative effect of needle knife in combination with functional exercise to treat frozen shoulder.Methods：80 patients with frozen shoulder were divided into treatment group and control group,40 cases in each group.The treatment group used acupuncture combined with functional exercise,control group were treated by acupuncture combined with functional exercise.Acupotomologic therapy 1 times a week,take the method of acupuncture treatment of local acupoints along meridians and acupoints combined with acupuncture,1 times daily,for 30min,functional exercise in the morning and 1 times,each time 10～20min,for three weeks.In before and after treatment with ConstantMurley score method to evaluate the clinical curative effect of 2 groups：Constant shoulder score.Results：The treatment group of 40 cases,23 cases were cured,9 cases markedly effective,6 cases effective,2 cases ineffective.The cure rate：57.5%,the total efficiency of 95%;control group of 40 cases,1 cases of loss,11 cases were cured,10 cases markedly effective,12 cases effective,6 cases ineffective.The cure rate：27.5%,the total efficiency of 85.0%.After treatment,the Constant-Murley scores of 2 groups were higher than before treatment（P〈0.05）.Compared with the 2 groups after treatment,the Constant-Murley score（P〈0.05）,the cure rate and theeffective rate of the treatment group were higher than those of the control group.Conclusion：needle knife combined with functional exercise treatment of frozen shoulder clinical curative effect is distinct and is superior to the acupuncture combined with functional exercise.