针刺+电磁波照射+推拿+功能康复训练治疗肩周炎46例临床观察

Acupuncture Combined with Electromagnetic Wave Irradiation+Massage+Function Rehabilitation Training in the Treatment of Scapulohumeral Periarthritis Clinical Observation of 46 Cases

[目的]观察针刺＋电磁波照射＋推拿＋功能康复训练治疗肩周炎疗效。[方法]采用前瞻性设计对46例门诊患者1针刺;2电磁波照射;3推拿;4功能康复训练;1次/d,先针灸,电磁波照射,然后推拿,功能康复训练;针刺采用平补平泻手法,留针20-30min,留针同时SL照射治疗;随后再推拿,功能康复训练;根据患者整体情况,包括舌苔、脉象、气血虚实以及兼症等,辨症加减穴位;推拿手法以轻柔为主,点按、被动活动、被动扳法以能忍受为度,总体时间20min左右,指导患者功能康复训练。连续治疗10d为1疗程。观测临床症状、肩关节功能、肩关节疼痛、不良反应。连续治疗4疗程,判定疗效。随访6个月,观测复发率。[结果]痊愈30例,显效12例,有效4例,无效0例,总有效率100.00%。[结论]针刺＋电磁波照射＋推拿＋功能康复训练治疗肩周炎效果显著,值得推广。

[ Objective ] To observe the effect of acupuncture plus electromagnetic irradiation ＋ massage ＋ function rehabilitation training in the treatment of periarthritis humeroscapularis. [ Methods ] 46 cases of outpatients （1） acupuncture; （2） electromagnetic irradiation; （4） functional rehabilitation training; ;than treatment, 1 / d, first acupuncture, electromagnetic radiation, then massage, functional rehabilitation; （3） acupuncture and massage with flat reinforcing-reducing techniques, the needle 20 - 30min, leaving the needle while SL radiation therapy; followed be massage, functional rehabilitation; based on the overall condition of the patient, including the tongue, pulse, and blood disorders as well as the actual situation, subtract points Bianzheng; gentle manipulation to the main tap, passive activity, passive method to pull the patient can tolerate the degree, the overall time about 20min, guiding patients to learn functional rehabilitation training. 10d is a continuous course of treatment. Observing clinical symptoms of adverse reactions. 4 continuous treatment regimen to determine efficacy. Followed up for six months, observing the recurrence rate. [ Results ] 30 cases recovered, 12 cases markedly effective in 4 cases, 0 cases, the total efficiency of 100%. [ Conclusion ] Acupuncture combined with electromagnetic wave irradiation ＋ massage ＋ function rehabilitation training in the treatment of periarthritis of shoulder effect is significant, worthy of promotion.