肩周炎三种不同治疗方案的临床观察

Clinical observation on treating frozen shoulder with three different programs

目的:探讨肩周炎三种不同治疗方案的临床效果。方法:选择肩周炎患者99例,随机分成三组,每组33例,对照组采用普通针刺、电针、拨罐、TDP照射治疗;康复锻炼组除对照组治疗外,每日早、中、晚根据肩周炎康复保健操锻炼3次;针刀治疗组除对照组治疗外,每周行1次小针刀治疗。结果:根据最常用的视觉模拟评分法(VAS),计算三组患者治疗后第7天及第14天肩关节外展、上举、内、外旋时的平均疼痛程度。结果治疗后第7天,对照组、康复锻炼组、针刀治疗组分值分别为6.06、5.13、4.61;治疗后第14天,分值分别为5.12、3.08、2.78。康复锻炼组、针刀治疗组与对照组比较,差异有显著性(P<0.01);针刀治疗组第7天与康复锻炼组比较,差异有显著性(P<0.01),第14天比较差异不显著(P>0.05)。结论:康复锻炼和小针刀治疗与对照组比较均能降低肩周炎的疼痛的程度,康复锻炼随治疗时间增加能与小针刀疗效相当,提示康复锻炼在肩周炎治疗中起良好的促进作用。

Objective：To investigate the clinical effect of treating frozen shoulder with three different programs.Methods：99 cases of frozen shoulder patients were randomly divided into three groups,33 cases in each group,the control group using ordinary acupuncture,electro-acupuncture,cupping,TDP irradiation for treatment;rehabilitation exercise group in the control group on the basis of treatment according frozen shoulder rehabilitation exercises,a day early,middle and late exercise three times;knife treatment group on the base of treatment of the control group,week 1 small knife treatment.Results：According to the most commonly used visual analog scale （VAS）,the calculation of the average degree of pain in the shoulder abduction and 14 days and 7 days after treatment,the three groups of patients on the move within and external rotation.After 7 days treatment,the control group,the the rehabilitation exercise group,acupuncture therapy group scores were 6.06,5.13,4.61;14 days after treatment,the scores were 5.12,3.08,2.78.Rehabilitation exercise group,acupuncture therapy group and control group comparison,the difference was significant （P0.01）;knife treatment group seven days compared rehabilitation exercise group,the difference was significant （P0.01）,14 days compare The difference was not significant （P0.05）.Conclusion：The treatment and control group rehabilitation exercises and a small knife can reduce the level of pain of frozen shoulder,with the increase in treatment time,rehabilitation exercises with a small knife efficacy equivalent,prompt rehabilitation exercises play a good role in treating frozen shoulder.