常规康复训练联合电针对关节镜下肩袖损伤术后患者疼痛及关节功能的影响

Effect of conventional rehabilitation training combined with electroacupuncture on pain and joint function of patients after arthroscopic rotator cuff injury

目的探讨常规康复训练联合电针对关节镜下肩袖损伤患者术后康复的影响。方法选取2017年9月—2020年3月于北部战区总医院行肩关节镜下肩袖损伤修补术的92例患者为研究对象,按照随机数字表法分为对照组和观察组,每组各46例。对照组采用常规康复训练,观察组采用常规康复训练联合电针治疗。比较两组患者的治疗总有效率,疼痛视觉模拟量表(VAS)评分,采用美国肩肘医师协会评分(ASES)、Constant-Murley评分(CMS)评估患者肩关节功能,测量患者肩关节前屈、外展、后伸的活动度,采用生活质量量表(SF-36)评估患者治疗后的生活质量。结果观察组治疗总有效率(93.48%)高于对照组(76.09%),差异有统计学意义(P<0.05)。治疗前两组VAS评分比较,差异无统计学意义(P>0.05);治疗7、14 d、12周,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05)。治疗前两组肩部ASES、CMS评分比较,差异无统计学意义(P>0.05);治疗14 d、12周,观察组的ASES、CMS评分高于对照组,差异有统计学意义(P<0.05)。治疗前两组各肩关节活动度比较,差异无统计学意义(P>0.05);治疗后观察组患者肩关节前屈、外展、后伸的活动度均大于对照组,差异有统计学意义(P<0.05)。治疗后,观察组的社会职能、情感职能、生理机能、躯体疼痛、精神健康、总体健康、活力7个方面评分高于对照组,差异有统计学意义(P<0.05)。结论肩袖损伤修补术后康复训练及其重要,在常规训练的基础施以电针辅助治疗可缓解患者疼痛感,改善肩关节功能,巩固康复训练效果。

Objective To investigate the effect of conventional rehabilitation combined with electroacupuncture training on postoperative rehabilitation of patients with arthroscopic rotator cuff injury.Methods Ninety-two patients who underwent arthroscopic rotator cuff injury repair at the Northern Theater General Hospital from September 2017 to March 2020 were selected as the research objects,and were divided into the control group and the observation group according to the random number table,with 46 patients in each group.The control group received conventional rehabilitation training,and the observation group received conventional rehabilitation training combined with electroacupuncture.The total effective rate of treatment and visual analog scale(VAS)score were compared between the two groups.The American Association of Shoulder and Elbow Physicians score(ASES)and Constant-Murley score(CMS)were used to evaluate the shoulder function of the patients,and the range of motion in flexion,abextension and extension of the shoulder joint was measured.Quality of life scale(SF-36)was used to evaluate patients′quality of life after treatment.Results The total effective rate of the observation group(93.48%)was higher than that of the control group(76.09%),and the difference was statistically significant(P<0.05).There was no significant difference in VAS scores between the two groups before treatment(P>0.05).VAS scores in the observation group were lower than those in the control group at 7,14 and 12 weeks of treatment,and the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in shoulder ASES and CMS scores between the two groups(P>0.05).After 14 d and 12 weeks of treatment,the ASES and CMS scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in the range of motion of shoulder between the two groups(P>0.05)After treatment,the range of motion of shoulder flexion,abduction and extension in observation group was higher than that in control group,and the differences were statistically significant(P<0.05).After treatment,the scores of social function,emotional function,physiological function,physical pain,mental health,general health and vitality in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Rehabilitation training after repair of rotator cuff injury is very important.Electroacupuncture on the basis of conventional training can relieve pain,improve shoulder joint function,and consolidate the effect of rehabilitation training.