浮针联合手法松解术治疗肩周炎临床观察

Clinical Observation on Treatment of Scapulohumeral Periarthritis with Floating Needle Combined with Manual Release

目的:观察浮针联合手法松解术治疗肩周炎的临床效果。方法:选取2016年3月-2018年10月于本科住院部治疗的肩周炎患者72例,随机分为对照组和治疗组,每组36例。对照组采取手法松解术,治疗组在此基础上加浮针疗法。分别于术前及治疗后7、30、60 d,比较两组的VAS、OSS、Mallet评分,并比较两组患者治疗后60 d的临床效果。结果:治疗后7、30、60 d,治疗组VAS评分均低于对照组,差异均有统计学意义(P<0.05)。治疗后30、60 d,治疗组的OSS评分均低于对照组,Mallet评分均高于对照组,差异均有统计学意义(P<0.05)。治疗后60 d,治疗组总有效率高于对照组,差异有统计学意义(P<0.05)。结论:浮针联合手法松解术治疗肩关节周围炎,临床效果较好,值得临床推广应用。

Objective:To observe the clinical effect of floating needle combined with manual release in the treatment of scapulohumeral periarthritis.Method:A total of 72 patients treated in our hospital from March 2016 to October 2018 were selected,they were divided into control group and treatment group,with 36 cases in each group.The control group was treated with manual release,floating needle therapy was added in the treatment group on this basis.VAS,OSS and Mallet scores of the two groups were compared before operation and 7,30 and 60 d after treatment,respectively,and the clinical effects of the two groups were compared on 60 d after treatment.Result:At 7,30 and 60 d after treatment,VAS scores in the treatment group were lower than those in the control group,with statistical significance(P<0.05).At 30 and 60 d after treatment,OSS scores of the treatment group were lower than those of the control group,while Mallet scores of the treatment group were higher than those of the control group,with statistical significance(P<0.05).At 60 d after treatment,the total effective rate of the treatment group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Floating needle combined with manual release in the treatment of shoulder periarthritis has good clinical efficacy,which is worthy of clinical application.