推拿结合微波治疗肩周炎

Scapulohumeral Periarthritis treated by massage combined with microwave

目的通过选用推拿手法结合微波和局部阻滞两种治疗手段进行比较,观察2组手法治疗肩周炎的观察指标,从而对2种疗法的临床疗效进行对比。方法本研究运用随机数字表法,将160例患者随机分为推拿结合微波治疗组和局部阻滞对照组。观察并分别记录2组肩周炎患者治疗前后的VAS评分、肩关节疼痛度、功能及活动度评价量表评分、皮肤表面肌电RMS检测的变化情况。结果 2组患者在经过3个疗程治疗后,治疗组的总有效率为82.5%,对照组的总有效率为76.25%。推拿结合微波治疗组临床疗效较优于局部阻滞对照组。结论推拿手法结合微波疗法治疗组与局部阻滞对照组比较,2组治疗方法对肩关节疼痛度、功能及活动度评价、皮肤表面肌电RMS检测中均具有较好的临床疗效,但是在后期随访中推拿结合微波组临床疗效比局部阻滞对照组的临床疗效好。说明2种手法对肩周炎患者均具有较好的临床疗效,但是推拿结合微波治疗对比与局部阻滞治疗远期效果更好。

Objective Through the selection of massage techniques,combined with microwave and local block two treatment methods to compare and observe the two groups of manipulation treatment of periarthritis of shoulder observation index,so as to compare the clinical efficacy of the two therapies.Methods In this study,160 patients were randomly divided into two groups： massage combined microwave therapy group and local block control group.The scores of VAS,shoulder pain,function and activity,scale score,and surface electromyography（RMS） of two groups of scapulohumeral periarthritis were recorded before and after treatment.Results After three courses of treatment,the total effective rate of the treatment group was 82.5%,and the total effective rate of the control group was 76.25%.The clinical curative effect of massage combined with microwave treatment group was better than that of local block control group.Conclusion Massage combined with microwave therapy group and local anesthesia control group,two groups of treatment has good clinical curative effect on shoulder pain,function and activity evaluation,degree of skin surface EMG detection in RMS,but in the late follow-up massage combined with the clinical efficacy of microwave group than in control group.The clinical effect of local anesthesia.It shows that the two methods have good clinical effect on scapulohumeral periarthritis patients,but the long-term effect of massage combined with microwave treatment and local block therapy is better.