小针刀与手法的联合治疗方案在肩周炎治疗中的应用

Application of joint treatment plan of small needle knife and manipulation in treatment of adhesive capsulitis

目的:研究小针刀联合手法治疗肩周炎的临床疗效,以期探索出较为理想的治疗方案。方法:选取2014年3月至2015年11月期间到医院就诊的肩周炎患者120例,随机分为2组,每组60例。治疗组采取小针刀配合手法,对照组应用消炎镇痛药口服,观察肩关节疼痛和活动功能积分改善情况及临床治疗效果。结果:在肩痛、压痛、夜痛、内外旋、内收外展及复合功能等各项肩功能评分指标方面,治疗组患者均优于对照组,差异具有统计学意义(P<0.05);治疗组的总有效率为93.3%,对照组为68.3%,治疗组明显高于对照组(P<0.05)。结论:小针刀结合手法的联合治疗方案的疗效优于普通消炎镇痛药口服的治疗方法,疗效显著,可以大幅度减轻患者痛苦,值得发展和推广。

Objective To study the clinical curative effect of small needle knife combined with manipulation on adhesive capsulitis. Methods Totally 120 adhesive capsulitis patients treated from March 2014 to November 2015 were enrolled in the study, and divided into a treatment group and a control group randomly and equally. The patients in the treatment group were treated with small needle knife combined with manipulation, and the ones in the control group took anti-inflammatory analgesics orally. The changes of shoulder joint pain and function scores as well as the clinical effects were observed and compared in the two groups. Results The treatment group behaved significantly better than the control group in the indexes of shoulder pain, pressing pain, nyctalgia, internal and external rotation, adduction, abduction and etc（P〈0.05）. The total effective rate was 93.3% in the treatment group, which was obviously higher than that（68.3%） in the control group（P〈0.05）.Conclusion The curative effect of combined manipulation and small needle knife gains advantages over oral anti-inflammatory analgesics when used to treat adhesive capsulitis patients, and thus is worthy promoting practically.