中药膏摩配合功能锻炼在肩袖损伤术后康复的疗效观察

Therapeutic Effect of Traditional Chinese Medicine Plaster and Massage and Functional Exercise on Rehabilitation of Rotator Cuff Injury

目的探讨中药膏摩配合功能锻炼在肩袖损伤术后康复中的临床疗效。方法选择北京中医药大学第三附属医院微创关节科2016年1月—2018年9月收治的肩袖损伤患者70例,皆行肩关节镜下肩袖修补术,采用随机数字表法分为对照组(35例,采用常规功能锻炼)和治疗组(35例,采用常规功能锻炼加中药膏摩)。对比分析两组患者治疗前后加州大学肩关节评分系统(UCLA)评分和疼痛视觉模拟评分(VAS),比较两组临床疗效。结果两组患者治疗后UCLA评分高于同组治疗前,VAS评分低于同组治疗前,两组差异均有统计学意义(P<0.05)。两组治疗前、治疗后组间肩关节功能评分比较,差异无统计学意义(P>0.05);治疗组治疗1周、2周、6周时的VAS评分明显低于对照组,两组差异有统计学意义(P>0.05),但两组治疗10周时组间VAS评分比较,差异无统计学意义(P>0.05)。结论中药膏摩在肩袖损伤术后康复中能减少患者疼痛,方法简便,易推广。

Objective To investigate the clinical efficacy of traditional Chinese medicine plaster,massage and functional exercise in the rehabilitation of rotator cuff injury.Methods Seventy patients with rotator cuff injury from January 2016 to September 2018 in the Department of Minimally Invasive Surgery of The Third Affiliated Hospital of Beijing University of Chinese Medicine were selected.All underwent shoulder arthroscopy rotator cuff repair.They were randomly divided into control group(35 cases,routine functional exercise)and experimental group(35 cases,routine functional exercise combined with Chinese medicine plaster and massage).The shoulder score of University of California at LosAngeles(UCLA),Visual Analogue Scale(VAS)score and shoulder-score scoring system(Constant-Murley)score were compared between the two groups before and after treatment.The clinical efficacy of the two groups was compared.Results The UCLA score and Constant-Murley score were higher in the two groups than those in the same group before treatment.The VAS score after treatment was lower than that in the same group.The difference was statistically significant(P<0.05).There was no significant difference in shoulder function score between the two groups before and after treatment(P>0.05).The VAS scores in the experimental group after 1,2 and 6 weeks treatment were significantly lower than those in the control group.There was statistical significance(P<0.05),but there was no significant difference in VAS score between the two groups after 10 weeks treatment(P>0.05).Conclusion Chinese medicine plaster and massage can reduce the pain of patients after rehabilitation of rotator cuff injury.The method is simple and easy to promote.