体外冲击波配合推拿治疗肩周炎42例

Extracorporeal Shock Wave Combined with Massage in the Treatment of Frozen Shoulder for 42 Cases

目的探讨体外冲击波配合推拿治疗肩周炎的临床效果。方法选取2014年9月—2016年9月骨科门诊诊治的肩周炎患者84例,按随机数字表法分为推拿组和联合组,每组42例。推拿组给予推拿治疗,联合组在推拿组治疗基础上给予体外冲击波治疗。于治疗2个疗程后对2组患者疼痛程度、临床疗效进行评价。结果 2组患者治疗后疼痛程度较治疗前均有改善(P<0.05),联合组评分明显低于推拿组(P<0.05)。治疗后联合组总有效率97.6%,电针组为73.8%,2组比较差异有统计学意义(P<0.01)。结论体外冲击波配合推拿治疗肩周炎可明显改善肩部疼痛、恢复肩关节功能,效果显著,值得临床大力推广。

Objective To explore the clinical effect of extracorporeal shock wave combined with massage in the treatment of frozen shoulder.Methods 84 cases with frozen shoulder from September 2014 to September 2016 in our hospital orthopedic clinic were selected.According to the random number table method,they were divided into massage group which received massage therapy and combined group which received extracorporeal shock wave combined with massage therapy,with 42 cases in each group.After two courses of treatment,the pain and clinical effect was evaluated.Results The paine scores of the two groups were improved after treatment（P〈0.05）,and the paine score of the combined group was significantly lower than that of the massage group（P〈0.05）.The total effective rate in the combined group and in the massage group was 97.6 % and 73.8% respectively.The difference between the two groups was statistically significant（P〈0.01）.Conclusion Extracorporeal shock wave combined with massage in the treatment of frozen shoulder can significantly improve the shoulder pain,restore shoulder function,has significant effect,and it is worthy of clinical promotion.