阿是穴循经推拿配合麻醉治疗冻结肩的临床效果

Clinical effect of Ashi acupoint meridian massage combined with anesthesia in the treatment of frozen shoulder

目的探讨阿是穴循经推拿配合麻醉治疗冻结肩的临床效果。方法选取江西中医药大学附属医院2019年1月~2020年2月就诊的60例冻结肩患者作为研究对象,按照随机数字表法分为两组,各30例。对照组予以单纯麻醉下手法松解,观察组予以麻醉下手法松解配合阿是穴循经推拿。比较两组患者的临床疗效,疼痛分级指数(PRI)总分、视觉模拟评分法(VAS)评分,肩关节活动度。结果观察组治疗总有效率(93.3%)高于对照组(70.0%),差异有统计学意义(P<0.05)。治疗后两组PRI总分、VAS评分均下降,观察组两项评分低于对照组,差异有统计学意义(P<0.05)。治疗后两组肩关节活动度均增大,观察组上举、外展等活动度均高于对照组,差异有统计学意义(P<0.05)。结论阿是穴循经推拿配合麻醉治疗冻结肩的疗效显著,可减轻疼痛,增加肩关节活动范围,提高生活质量,值得一定的临床推广。

Objective To explore the clinical effect of Ashi acupoint meridian massage combined with anesthesia in the treatment of frozen shoulder.Methods A total of 60 patients with frozen shoulder who came to Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2019 to February 2020 were selected as study subjects and divided into two groups by random number table method,30 cases in each group.In the control group,patients were given manual release under simple anesthesia,and in the observation group,patients were given manual release under anesthesia combined with Ashi acupoint meridian massage.Clinical efficacy,pain rating index(PRI)total score,visual analogue scale(VAS)score,and shoulder range of motion were compared between the two groups.Results The total effective rate of treatment in the observation group was 93.3%,higher than 70.0% in the control group,and the difference was statistically significant(P<0.05).After treatment,the total PRI and VAS scores of the two groups decreased,and the two scores of the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After the treatment,the shoulder joint activity increased in both groups,and the observation group's uplift and abduction activities were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Ashi acupoint meridian massage combined with anesthesia has a significant effect on frozen shoulder,which can reduce pain,increase the range of shoulder joint movement,and improve the quality of life.It is worthy of certain clinical promotion.