针刀松解术联合康复锻炼治疗慢性肩袖损伤临床研究

Clinical Study on Acupotomy Release Combined with Rehabilitation Exercise for Chronic Rotator Cuff Injury

目的:观察针刀松解术联合康复锻炼治疗慢性肩袖损伤的临床疗效。方法:选取慢性肩袖损伤患者100例,按随机数字表法分为研究组与对照组各50例。对照组给予针刀松解术治疗,研究组给予针刀松解术联合康复锻炼治疗。观察比较2组临床疗效、视觉模拟疼痛评分法(VAS)、肩肘外科协会评分系统(CMS)、健康调查简表(SF-36)评分。结果:研究组总有效率为98.00%,对照组为84.00%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组CMS、VAS评分比较,差异无统计学意义(P>0.05)。治疗后,2组CMS评分较治疗前升高,VAS评分较治疗前降低,差异均有统计学意义(P<0.05);且研究组2项指标改善较对照组更显著(P<0.05)。治疗前,2组SF-36量表中健康状况、社会功能、生理职能、精神健康、精力、情感职能、生理机能、躯体疼痛等8项评分比较,差异均无统计学意义(P>0.05)。治疗后,2组上述SF-36各项评分均较治疗前升高(P<0.05),且研究组各项评分均高于对照组(P<0.05)。结论:针刀松解术联合康复锻炼治疗慢性肩袖损伤,能显著减轻患者疼痛,改善肩关节功能与生活质量,临床疗效确切。

Objective:To observe the clinical effect of the therapy of acupotomy release combined with rehabilitation exercise on chronic rotator cuff injury. Methods:A total of 100 patients with chronic rotator cuff injury were selected and divided into the study group and the control group according to the random number table method, with 50 cases in each group. The control group was treated with acupotomy release,and the study group was treated with acupotomy release combined with rehabilitation exercise.The clinical effects and scores of Visual Analogue Scale(VAS),Constant-Murley Score(CMS),and 36-Item Short Form Health Survey(SF-36) in the two groups were observed. Results:The total effective rate was98.00% in the study group and 84.00% in the control group, the difference being significant(P<0.05).Before treatment,the scores of CMS and VAS were compared between the two groups,there being no significance in the difference(P>0.05). After treatment, the scores of CMS in the two groups were increased when compared with those before treatment, and the scores of VAS were decreased,differences being significant(P<0.05);the improvement of the above two scores in the study group was better than that in the control group(P<0.05). Before treatment, the scores of health status, social function, physiological role, mental health, emotional function, physiological function, body pain and energy in SF-36 were compared between the two groups,there being no significance in the difference(P<0.05). After treatment,the above eight scores in SF-36 in the two groups were increased when compared with those before treatment(P<0.05),and the above five scores in the study group were higher than those in the control group(P<0.05). Conclusion:The therapy of acupotomy release combined with rehabilitation exercise for chronic rotator cuff injury can significantly reduce the pain of patients and improve the shoulder joint function and quality of life,with a definite clinical effect.