小针刀治疗肱二头肌长头肌腱病临床研究

Clinical Study of Acupotomy Treating Diseases of Long Head of Biceps Tendon

目的:观察小针刀治疗肱二头肌长头肌腱病的临床疗效及评价其安全性。方法:采用随机数字表法将183例肱二头肌长头肌腱病患者分为对照组(92例)和治疗组(91例),对照组采用局部封闭治疗,治疗组采用针刀治疗,治疗后采取相同的康复锻炼。比较两组在临床疗效、肩部疼痛、肩关节活动度及肩关节肌力方面的改善程度。结果:治疗组和对照组总有效率分别为87.91%和79.35%;与治疗前相比,两组患者在临床疗效、肩部疼痛、肩关节活动度及肌力方面均有改善(P<0.05),与对照组相比治疗组在上述方面改善更显著,差异有统计学意义(P<0.05);两组在疗程结束后均未出现不良事件。结论:小针刀疗法治疗肱二头肌长头肌腱病安全、有效,能较快缓解肩关节疼痛,较好地恢复肩关节的运动功能。

Objective:To observe the clinical efficacy and safety of acupotomy in the treatment of diseases of long head of biceps tendon.Methods:183 patients with diseases of long head of biceps tendon were randomly divided into the control group(n=92)and the treatment group(n=91).The control group was given painkilling injection,whereas the treatment group was given acupotomy therapy.The same rehabilitation exercise were applied to both groups after the treatment.Clinical efficacy and improvements of shoulder pain,shoulder activity,and shoulder myodynamia were compared between the two groups.Results:The total effective rate was 87.91%and 79.34%in the treatment group and in the control group respectively.Shoulder pain,shoulder activity,and shoulder myodynamia were improved in the two groups after the treatment compared to those before the treatment(P<0.05);of which the treatment group improved more significantly than the control group(P<0.05).There were no adverse events after the treatment in both groups.Conclusion:The therapy of acupotomy is effective and safe for diseases of long head of biceps tendon,it can quickly relieve the shoulder pain and recover the motor function of shoulder joint.