肩关节轴向拔伸法治疗粘连期肩周炎38例疗效观察

The effect observation of shoulder joint axial stretching method in treatment of 38 cases of periarthritis of shoulder

目的观察肩关节轴向拔伸法治疗粘连期肩周炎疗效,探讨其临床价值。方法选择绍兴市中心医院2014年3月—2015年6月收治的粘连期肩周炎76例作为研究对象,均符合粘连期肩周炎诊断标准,均经患者及家属知情同意,符合伦理委员会基本要求,按照配对分组法分为2组,每组38例,对照组采取传统推拿手法治疗,观察组采取肩关节轴向拔伸法治疗,2组患者均进行治疗5次/周,2周为1个疗程,治疗2个疗程。比较2组疗效。结果观察组治愈13例(34.2%),显效19例(50.0%),有效5例(13.2%),无效1例(2.6%),治疗总有效37例(97.4%);对照组治愈5例(13.2%),显效10例(26.3%),有效15例(39.5%),无效8例(21.1%),治疗总有效30例(78.9%),2组差异具有统计学意义(P<0.05)。观察组治疗1个疗程及2个疗程后VAS评分分别为(4.6±0.7)、(2.1±0.6)分,均显著低于对照组的(5.8±0.8)、(3.2±0.5)分,差异具有统计学意义,均P<0.05。治疗前2组疼痛、功能及活动度比较差异均无统计学意义(P>0.05);治疗后观察组疼痛、功能及活动度评分分别为(25.2±3.5)、(16.9±1.6)、(21.4±3.2)分,显著优于对照组的(20.3±4.1)、(14.7±1.2)、(17.4±3.1)分,P<0.05。结论肩关节轴向拔伸法治疗粘连期肩周炎疗效较佳,患者疼痛、功能及活动均有所改善,具有重要临床价值。

Objective To observe the effect of shoulder joint axial stretching method on treatment of 76 cases of periarthritis of shoulder and to explore its clinical value. Methods Seventy-six cases with periarthritis of shoulder treated in the hospital from March 2014 to June 2015 were selected as the research objects and all patients conformed to consent and basic requirements of ethics committee and the requirements of periarthritis of shoulder diagnostic criteria. Then according to paired grouping method they were divided into two groups ,38 cases in each group. The control group adopted the traditional massage therapy while observation group adopt shoulder axial pull stretch therapy, shaking method for treatment, two groups were treated 5 times/week and 2 weeks for a course of treatment, all accepted two courses of treatment, to compare two groups of curative effect. Results The observation group had 13 cases （34.2%） cured, 19 cases （50.0%） were markedly effective,5 cases（13.2% ） in effective,1 case（ 13.2% ） in vain,and total effective rate of observation group was 97.4% （ 37 cases ）, it was significantly higher than the control group. 5 cases （ 13.2% ） were cured, 10 cases （39.5%） were markedly effective, 15 cases（39.5% ） in effective, 8 cases（21. 1% ） were ineffective in the control group, the total effective rate was 78.9% （30 cases） , the difference was statistically significant, P 〈 0.05. The scores of VAS in observation group were 4.6 ±0.7 and 2.1 ±0.6 after 2 courses of treatment and were significantly lower than those in control group （ 5.8 ±0.8,3.2 ±0.5 ）, and the difference was statistically significant, P 〈 0.05. Before treatment there was not statistically significant in the pain, function and activity between two groups, P 〉 0.05. After treatment the pain, function and activity of the observation group were 25.2 ±3.5,16.9 ±1.6,21.4 ±3.2 and were significantly better than those of the control group（20.3 ±4.1,14.7 ±1.2,17.4 ±3.1） ,P 〈0.05. Conclusion The effect of shoulder joint axial stretching method in treatment of 76 cases of periarthritis of shoulder is better, pain, function and activity were improved, so it has important clinical value.