针刀结合拉伸治疗肩周炎临床疗效观察

Observation of clinical effect of acupotomy combined with muscle stretching in the treatment of scapulohumeral periarthritis

目的:探讨针刀结合拉伸治疗肩周炎的应用及疗效。方法:收集2018年4月至2019年7月就诊的肩周炎病患者120例,随机分为治疗组60例,依据引起肩关节功能障碍的病变组织及相关穴位,采用针刀治疗结合拉伸,针刀治疗1次/7 d,3次为1个疗程,共1~2个疗程,每天2次拉伸。对照组60例,采用电针联合特定电磁波谱结合传统肩关节操治疗,治疗1次/2 d,10次为1个疗程,共2个疗程,每天2次肩关节操锻炼。治疗结束及随访4个月后,采用肩关节周围炎疗效(PH)评定量表对两组患者进行疗效评估和比较。结果:治疗组治疗前、治疗后和治疗4个月后的PH量表评分分别为(55.34±9.62)分、(86.32±8.04)分和(88.73±7.41)分;对照组分别为(57.33±11.85)分、(72.25±9.47)分和(74.47±9.32)分;提示两组治疗后的评分均高于治疗前,且治疗组优于对照组(P<0.05)。结论:针刀结合拉伸治疗肩周炎有较好的疗效,明显优于电针联合特定电磁波谱和传统肩关节操治疗。

Objective:To explore the application and effect of acupotomy combined with muscle stretching in the treatment of scapulohumeral periarthritis.Methods:A total of 120 patients with scapulohumeral periarthritis who visited the center from April 2018 to July 2019 were collected and randomly divided into a treatment group with 60 cases,according to the diseased tissues that caused shoulder joint dysfunction and related acupuncture points,acupotomy combined with muscle stretching was used,and acupotomy was performed once for 7 days,3 times as a course of treatment,a total of 1 to 2 courses,and 2 times of muscle stretching a day.Sixty cases in the control group were treated with electro-acupuncture combined with specific electromagnetic spectrum and traditional shoulder arthroplasty,and the treatment was once for 2 days,10 times for one course,a total of 2 courses,and shoulder joint exercise was twice a day.At the end of the treatment and after 4 months of followup,the rating scale of scapulohumeral periarthritis was used to evaluate and compare the efficacy of patients in the two groups.Results:The scores of scapulohumeral periarthritis scale before treatment,after treatment and after 4 months of treatment in the treatment group were(55.34±9.62),(86.32±8.04)and(88.73±7.41),respectively;those in the control group were(57.33±11.85),(72.25±9.47)and(74.47±9.32),respectively;it was suggested that the scores of the two groups after treatment were higher than those before treatment,and the treatment group was better than the control group(P<0.05).Conclusion:The treatment of scapulohumeral periarthritis by acupotomy combined with muscle stretching is better than that with electro-acupuncture combined with specific electromagnetic spectrum and traditional shoulder exercises.