基于“解剖列车”理论的浮针再灌注结合关节松动术对肩袖损伤术后康复的疗效观察

The effect of the reperfusion approach of Fu’s needling with joint mobilization on postoperative rehabilitation of rotator cuff injury based on the theory of anatomy train

目的:在“解剖列车”理论指导下,观察浮针再灌注疗法结合关节松动术对肩袖损伤术后康复的疗效,探索提高临床疗效的方法。方法:收集64例肩袖损伤术后患者,随机分为两组,每组32例。对照组采用Mulligan动态关节松动术治疗,观察组采用浮针再灌注疗法结合Mulligan动态关节松动术治疗。每组治疗均隔日1次,6次为一个疗程,连续治疗2个疗程。在治疗前、治疗后、治疗后3个月采用视觉模拟评分法(Visual Analogue Scale,VAS)、高岸直人肩关节疾患治疗成绩评定标准(JOA)评定,并记录不良反应。结果:与同组治疗前比较,对照组和观察组治疗后及3个月后随访,VAS评分均明显下降,肩关节功能评分明显上升(P<0.01);观察组治疗后及3个月后随访,VAS评分均明显低于对照组,肩关节功能评分明显高于对照组(P<0.01)。结论:浮针再灌注疗法配合关节松动术对肩袖损伤术后康复效果显著,优于单纯的关节松动术,而且近期及远期疗效均可观,安全快捷,值得临床推广应用。

Objective:Under the guidance of anatomy trains theory,to observe the effect of the reperfusion approach of Fu’s needling with joint mobilization on the rotator cuff injury after operation,and explore the method of improving effects.Methods:64 patients were randomly divided into two groups,32 cases in each group.The control group was treated by Mulligan dynamic mobilization,and the observation group was treated by the reperfusion approach of Fu’s needling more.Results:After the treatment,the VAS score in two groups was decreased significantly,and the shoulder joint function score was increased significantly(P<0.01).After treatment and 3 months follow-up,VAS score in the observation group was significantly lower than the control group,and shoulder joint function score was significantly higher than the control group(P<0.01).Conclusion:The effect of the reperfusion approach of Fu’s needling combined with joint mobilization on the rotator cuff injury after operation is remarkable,which is better than the effect of joint mobilization alone,with considerable short-term and long-term effects,is safe and fast,and worthy of clinical application.