超微针刀联合圆利针治疗对慢性肩周炎患者疼痛程度、肩关节活动功能评分及复发的影响

Effect of Ultra-micro Needle Knife Combined with Round-sharp Needle Treatment on Pain Degree, Shoulder Function Score and Recurrence of Patients with Chronic Shoulder Periarthritis

目的:探讨超微针刀联合圆利针治疗对慢性肩周炎患者疼痛程度、肩关节活动功能评分及复发的影响。方法:2017年1月~2019年1月本院收治的112例慢性肩周炎患者的临床资料进行整理、分析,根据治疗方法不同分为对照组(口服尼美舒利分散片+痛点封闭治疗)和观察组(超微针刀联合圆利针治疗),每组各56例。对比两组患者治疗后临床疗效,观察两组患者治疗前后疼痛程度、肩关节活动功能,对2组患者进行为期6个月的随访,了解治疗后复发率。结果:(1)观察组总有效率98.21%,显著高于对照组87.50%(P<0.05)。(2)治疗后,两组患者社会功能、物质生活、躯体功能、心理功能评分均明显升高(P<0.05);观察组QOL-BREF量表中各指标评分均显著高于对照组(P<0.05)。(3)两组患者治疗后VAS评分比较均具有统计学意义(P<0.05);观察组治疗后VAS评分显著低于对照组(P<0.05)。(4)治疗后两组患者ASES量表(疼痛功能、生活功能)评分均提高,观察组患者显著高于对照组(P<0.05)。(5)治疗后两组患者ROM量表(前屈、外展、后伸、内旋、外旋)评分均提高,观察组患者显著高于对照组(P<0.05)。(6)观察组患者总复发率3.57%(2/56)显著低于对照组16.07%(P<0.05)。结论:超微针刀联合圆利针治疗慢性肩周炎患者临床疗效好,可有效提高患者生活质量,改善患者疼痛程度及肩关节活动能力,且复发率低,有利于促进患者康复。

Objective: To explore the effect of ultra-micro needle knife combined with round-sharp needle treatment on the pain degree, shoulder function score and recurrence for patients with chronic shoulder periarthritis. Methods: The clinical data of 112 patients with chronic shoulder periarthritis admitted to our hospital from January 2017 to January 2019 were sorted and analyzed. According to the different treatment methods, they were divided into a controlled groups(oral Nimesulide Dispersible Tablets+pain point sealing treatment) and an observation group(ultra-micro needle knife combined with round-sharp needle), with 56 cases in each group. The clinical efficacy of patients between the two groups after treatment were compared. The pain degree and the function of shoulder joint movement of the two groups were observed before and after treatment. Patients in the 2 groups were followed up for 6 months to understand the recurrence rate after treatment. Results:(1) The total effective rate of patients in the observation group after treatment was 98.21%, which was significantly higher than 87.50% in the controlled group(P < 0.05).(2)After treatment, the scores of social function, material life, physical function, and psychological function of patients in the two groups significantly increased(P < 0.05). The scores of each index in the QOL-BREF scale of the observation group were significantly higher than those of the controlled group(P < 0.05).(3)The difference in VAS scores of patients between the two groups after treatment was statistically significant(P < 0.05). The VAS score of the observation group after treatment was significantly lower than that of the controlled group(P < 0.05).(4) After treatment, the scores of the ASES scale(pain function, life function) in the two groups improved, and the scores of the observation group were significantly higher than those of the controlled group(P < 0.05).(5)The scores of the ROM scale(flexion, abduction, extension, internal rotation, external rotation) in the two groups increased after treatment, and the scores of the observation group were significantly higher than those of the controlled group(P < 0.05).(6)The total recurrence rate of patients in the observation group was 3.57%(2/56), which was significantly lower than 16.07% in the controlled group(P < 0.05). Conclusion: The ultra-micro needle knife combined with round-sharp needle has a good clinical effect in the treatment of patients with chronic shoulder periarthritis, which can effectively improve the patients’ quality of life, improve the patients’ pain degree and mobility of shoulder joint, and has a low recurrence rate, which is beneficial to promote the patients’ recovery.