浙北伤科牵张手法联合肩周操治疗粘连期肩周炎临床研究
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R684.3

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国家中医药管理局中医药标准化项目(SATCM—2015—BZ[333]);傅瑞阳全国老中医药专家学术经验继承工作建设项目(国医药人 教发[2017]29号);湖州市科技计划立项项目(2018GY22)


Clinical Study on Treating Adhesion Period Periarthritis by Stretching Manipulation from Department of Traumatology in North Zhejiang Combined with Exercises for Shoulders
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    摘要:

    目的:观察浙北伤科牵张手法联合肩周操治疗粘连期肩周炎的临床疗效。方法:选取70 例粘连期肩周炎患者,按随机数字表法分为观察组和对照组各35 例。对照组给予传统推拿手法配合功能锻炼,观察组给予浙北伤科手法联合肩周操治疗。比较2 组临床疗效、治疗前后视觉模拟评分法(VAS) 评分及Constant-Murley 肩关节功能评分(CMS)。结果:观察组总有效率为91.43%,高于对照组80.00%,差异有统计学意义(P<0.05)。治疗前,2 组VAS 评分比较,差异无统计学意义(P>0.05)。治疗后,2 组VAS 评分较治疗前降低(P<0.05),且观察组VAS 评分低于对照组(P<0.05)。治疗前,2 组CMS 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,观察组CMS 评分高于对照组,差异均有统计学意义(P<0.05)。结论:浙北伤科牵张手法联合肩周操治疗粘连期肩周炎效果满意,可有效改善肩关节功能。

    Abstract:

    Abstract:Objective:To observe the clinical effect of stretching manipulation from Department of Traumatology in North Zhejiang combined with exercises for shoulders on the treatment of periarthritis at adhesion period. Methods: A total of 70 patients with periarthritis at adhesion period were selected and divided into the observation group and the control group according to random number table method, 35 cases in each group. The control group was given traditional msaaage manipulation combined with function training,and the observation group was given stretching manipulation from Department of Traumatology in North Zhejiang combined with exercises for shoulders. The clinical effect,scores of Visual Analogue Scale (VAS) and Constant-Murley Score(CMS) before and after treatment were compared between the two groups. Results:The total effective rate was 91.43% in the observation group, higher than that of 80.00% in the control group, the difference being significant(P<0.05). Before treatment,there was no significant difference in the comparison of VAS scores between the two groups(P>0.05). After treatment,the VAS scores in both groups were decreased when compared with those before treatment(P<0.05),and the VAS scores in the observation group were lower than those in the control group(P<0.05). Before treatment, there was no significant difference in the comparison of CMS scores between the two groups(P>0.05). After treatment,the CMS scores in the two groups were increased when compared with those before treatment,and the CMS score in the observation group was higher than that in the control group,differences being significant(P<0.05). Conclusion: The effect of stretching manipulation from Department of Traumatology in North Zhejiang combined with exercises for shoulders on the treatment of periarthritis periarthritis at adhesion period is satisfactory,which can effectively improve the function of shoulder joint.

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王建平,朱成林,徐晶,傅瑞阳.浙北伤科牵张手法联合肩周操治疗粘连期肩周炎临床研究[J].新中医,2021,53(19):212-215

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  • 在线发布日期: 2021-10-09
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