关节腔灌注结合手法松解在冻结肩治疗中的应用

Application of joint cavity perfusion combined with manual release in frozen shoulder treatment

目的:探讨用关节腔灌注结合手法松解疗法治疗冻结肩的效果。方法:选取四川大学华西第四医院收治的冻结肩患者69例作为研究对象。按随机分组法将其分为结合组和常规组。为结合组患者采用关节腔灌注结合手法松解疗法进行治疗,为常规组患者采用关节痛点注射法进行治疗。然后对比两组患者的治疗效果。结果:结合组患者治疗的总有效率高于常规组患者,P<0.05。治疗后1个月和治疗后3个月,结合组患者的McGill疼痛评分均低于常规组患者,其Constant-Murley肩关节功能评分均高于常规组患者,P<0.05。结论:用关节腔灌注结合手法松解疗法治疗冻结肩的效果较好,可显著缓解患者肩部疼痛的症状,改善其肩关节的功能。

Objective:To investigate the effect of joint cavity perfusion combined with manual release therapy in the treatment of frozen shoulder.Methods:69 patients with frozen shoulder admitted to the West China Fourth Hospital of Sichuan University were selected as the research objects.They were divided into combination group and conventional group by random grouping method.Patients in the combination group were treated with joint cavity perfusion combined with manual release therapy,and patients in the conventional group were treated with joint pain point injection.The two groups were then compared.Results:The total effective rate of the combined group was higher than that of the conventional group(P<0.05).At 1 month and 3 months after treatment,the McGill pain score of the combined group was lower than that of the conventional group,and the constant-Murley shoulder joint function score was higher than that of the conventional group(P<0.05).Conclusion:The treatment of frozen shoulder with joint cavity perfusion combined with manipulation relaxation is effective,which can significantly relieve the symptoms of shoulder pain and improve the function of shoulder joint.