针刀镜联合中医手法松解治疗冻结肩的临床观察

Clinical Effect Analysis of Minimally Invasive Acupotomoscopy Combined with TCM Manipulation for the Treatment of Frozen Shoulder

目的:探讨微创针刀镜联合中医手法松解治疗冻结肩的临床疗效。方法:按照随机数字表法将2017年10月至2018年10月收治的70例冻结肩患者分为两组,联合组行针刀镜联合中医手法松解治疗,手法松解组行单纯中医手法松解治疗。比较两组患者的临床治疗效果,采用疼痛视觉模拟评分(VAS)评价两组患者治疗前后疼痛情况,肩关节功能量表评价治疗前后肩关节功能情况,SF-36生活质量量表评价治疗前后生活质量情况。结果:两组患者治疗后的VAS低于治疗前,肩关节功能量表、SF-36生活质量量表评分高于治疗前,且联合组治疗后的VAS评分低于手法松解组,差异有统计学意义(P<0.05);肩关节功能量表、SF-36生活质量量表评分高于手法松解组,差异有统计学意义(P<0.05)。联合组有效率明显高于手法松解组。结论:微创针刀镜联合中医手法松解能显著提高冻结肩的临床治疗效果,减轻疼痛,改善患者肩关节功能,提高患者生活质量,部分患者可终止冻结肩病程进展。

Objective:To investigate the clinical effect of minimally invasive acupotomoscopy combined with TCM manipulation for the treatment of frozen shoulder.Methods:According to the random number table method,70 cases of frozen shoulder patients admitted from October 2017 to October 2018 were divided into two groups.The combined group was treated with acupotomology combined with a Chinese medicine manipulation loosening therapy,while the combined group was treated with a Chinese medicine manipulation loosening therapy.The clinical effects of the two groups were compared,and the patients’ pain before and after treatment was evaluated by VAS pain score.Shoulder function scale was used to evaluate shoulder function before and after treatment.Sf-36 quality of life scale was used to evaluate the quality of life of the two groups before and after treatment.Results:Two groups after treatment in patients with pain score(VAS) is lower than before the treatment,shoulder function scale,SF-36,the quality of life scale is higher than before the treatment,and the joint group of VAS score below the pine solutions group after treatment(P<0.05),shoulder function scale,SF-36,the quality of life scale above technique loose solutions group(P<0.05),the difference was statistically significant.The effective rate of the combined group was significantly higher than that of the loose release group.Conclusion:Minimally invasive acupotomoscopy combined with TCM manipulation release can significantly improve the clinical treatment effect of frozen shoulder,reduce pain,improve shoulder joint function of patients,improve the quality of life of patients,and some patients can stop the progress of frozen shoulder disease.