针刀松解配合中药内服治疗冻结肩60例临床疗效的分析

Research of clinical curative effect on Acupotomology loose solution with Chinese medicine orally in treating frozen shoulder

目的 观察针刀松解配合中药内服治疗冻结肩的临床疗效,并探讨针刀松解治疗冻结肩理论依据。方法 60例患者行小针刀粘连松解术,术后给予桃红四物汤加减治疗,并指导患者进行主动和被动的功能锻炼。随访6~12个月,平均7.3个月,对治疗前后的肩关节分别以ASES评分、VAS疼痛评分法、Constant肩关节功能及活动度（ROM）评分法进行对比分析。结果 （1）术后3个月,本组患肩活动明显改善,外展（90.66±14.34）°,前屈（124.21±16.44）°,内收（75±12.31）°;（2）术后3个月VAS疼痛评分（1.81±1.02）分较术前（7.86±1.35）分显著降低;（3）术后未出现肩关节不稳症状;（4）术后3个月Constant评分（52.2±13.2）分较术前（22.4±19.4）分明显改善。结论针刀松解配合中药内服治疗冻结肩,可显著改善患者的疼痛与功能障碍程度,创伤小,疗程短,见效快,疗效可靠,且中远期随访显示疗效稳定。

Objective To observe the clinical efficacy of acupotomology loose solution with Chinese medicine orally in treating frozen shoulder and provide the basis for its theory.Methods 60 patients underwent a small needle knife adhesion loose solution technique and were give pink siwu tonga reduction treatment postoperatively,patients with postoperative guidance,passive and active function exercise.Follow-up of 6 to 12 months,the average of 7.3 months,before and after the treatment respectively by ASES ratings,VAS pain score method and the mobility of shoulder function（ROM） pointrating method were compared and analyzed.Results（1） After 3 months,group with shoulder activity improved significantly,outreach（90.66±14.34）°,proneness（124.21±16.44）°,adduction（75±12.31）°;（2） After 3 months VAS pain score with（1.81±1.02） were improved significantly reduced（7.86±1.35）;（3） No postoperative symptoms appear shoulder instability;（4） After 3 months of（52.2±132） rating is preoperative aerage（22.4±19.4） obviously improved.Conclusion Acupotomology loose solution with Chinese medicine in treating frozen shoulder can improve pains and dysfunction degree,which is a small trauma,short course,qiuck in effect,reliable method with stable effect.