针刀“C”形松解术治疗僵硬期肩周炎临床观察

The Needle-knife “C” Shape Release Theropy Clinical Observation of the Frozen Shoulder Periarthritis in Stiff Stage

目的:探讨针刀'C'形松解术治疗僵硬期肩周炎的临床疗效。方法:选择符合僵硬期肩周炎诊断的住院患者共50例,按随机数字表法随机分为两组:观察组(针刀治疗组,n=25)和对照组(普通针刺组,n=25)。两组均进行手法抬肩术治疗以及术后每天进行肩关节主动功能锻炼,在此基础上,观察组采用针刀'C'形松解治疗,每隔5 d 1次,3次为1个疗程;对照组采用普通针刺治疗每日1次,14次为1个疗程。治疗结束后,分别在1个疗程结束后、疗程结束后1周、疗程结束后4周比较两组的NRS疼痛评分情况、Constan-Murley肩关节功能评分法,比较两组治疗结束时的治愈率及显效率情况。结果:治疗前,两组的NRS疼痛评分差异无统计学意义(P=0.61);治疗结束时、1个疗程结束后、疗程结束后1周、疗程结束后4周,观察组的NRS疼痛评分(分别为0.76±0.77、1.30±0.95、1.13±1.07)明显优于对照组(分别为1.93±1.78、2.01±1.55、2.26±1.53),P值分别为0.001、0.044与0.001,差异具有统计学意义(P<0.05)。而观察组的Constan-Murley肩关节功能评分(分别为95.00±0.94、95.16±0.81及95.64±0.72)明显优于对照组(分别为79.52±1.71、79.48±1.68及78.84±1.66),P值均为0.001,差异具有统计学意义(P<0.05)。治疗结束时,观察组的治愈率为72.0%,显效率为92.0%,均显著优于对照组的治愈率(44.0%)和显效率(68.0%),具有统计学意义(P<0.05)。结论:针刀'C'形松解术治疗僵硬期肩周炎的临床疗效显著优于普通针刺治疗,值得临床推广应用。

Objective:To observe the clinical effect of needle-knife'C'shape release combined with tendon and shoulder lifing manipulation theropy in the treatment of Frozen shoulder periarthritis during the adhesion period.Methods:Choosed 50 cases of the hospitalized patients with Frozen shoulder periarthritis diagnosed during the adhesion period,and divided into the observation group(the group of needle-knife theropy,n=25)and the control group by(the group of general acupuncture group,n=25)random number table method.The two groups were treated by manipulative shoulder lifting and active shoulder joint exercises every day after operation.On this basis,the observation group used needle-knife'C'shape release,1 times every 5 days,3 times for 1 courses.The control group was treated with general acupuncture,1 times a day,14 times for 1 courses.After two courses of treatment,the two groups were compared on the NRS pain score and Constan-Murley shoulder function score at the end of treatment(two courses),the first week after treatment,and the fourth week after treatment.The cure rate and marked efficiency at the end of treatment were compared between the two groups.Results:Before treatment,there was no significant difference in NRS pain score between the two groups(P=0.61).At the end of treatment,the first week after treatment and the fourth week after treatment,the NRS pain score of the observation group(0.76±0.77,1.30±0.95,1.13±1.07)was significantly better than of the control group(1.93±1.78,2.01±1.55,2.26±1.53),the P values were 0.001,0.004 and 0.001,respectively.The difference was statistically significant(P<0.05).The Constan-Murley shoulder joint function score of the observation group(95.00±0.94,95.16±0.81 and 95.64±0.72,respectively)was significantly better than that of the control group(79.52±1.71,79.48±1.68 and 78.84±1.66,respectively),and the P values were 0.001,with statistical significance(P<0.05).At the end of treatment,the cure rate of observation group was 72.0%,the marked effective rate was 92.0%,which was significantly better than the cure rate(44.0%)and marked effective rate(68.0%)of control group(P<0.05).Conclusion:The clinical effect of needle knife'C'release combined with manual shoulder lifting in the treatment of stiff periarthritis of shoulder is significantly better than that of ordinary acupuncture combined with manual shoulder lifting,which is worthy of clinical application.