摘要
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.
出处
《新疆医科大学学报》
CAS
2011年第6期650-653,共4页
Journal of Xinjiang Medical University
基金
十一五国家科技支撑计划项目项目编号:2007BA107A14
关键词
冻结肩
小针刀
桃红四物汤
frozen shoulder
small surgeries
peach siwu soup