[1]易志勇,韩清民,魏合伟,等.关节腔注射联合“经筋”手法治疗早中期冻结肩的疗效观察[J].西部中医药,2024,37(04):150-154.[doi:10.12174/j.issn.2096-9600.2024.04.32]
　YI Zhiyong,HAN Qingmin,WEI Hewei,et al.Observation on the Therapeutic Effects of Joint Cavity Injection Combined with "Meridian-sinew" Manipulation in the Treatment of Frozen Shoulder in the Early to Middle Stage[J].Western Journal of Traditional Chinese Medicine,2024,37(04):150-154.[doi:10.12174/j.issn.2096-9600.2024.04.32]
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关节腔注射联合“经筋”手法治疗早中期冻结肩的疗效观察
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年04期
页码:
150-154
栏目:
特色医疗
出版日期:
2024-04-15

文章信息/Info

Title:
Observation on the Therapeutic Effects of Joint Cavity Injection Combined with "Meridian-sinew" Manipulation in the Treatment of Frozen Shoulder in the Early to Middle Stage
作者:
易志勇, 韩清民, 魏合伟, 杨威, 黄旭东, 郑维蓬, 万雷, 刘治军
广州中医药大学第三附属医院，广东 广州 510405
Author(s):
YI Zhiyong, HAN Qingmin, WEI Hewei, YANG Wei, HUANG Xudong, ZHENG Weipeng, WAN Lei, LIU Zhijun
The Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China
关键词:
冻结肩; 关节腔注射; 经筋手法; 临床疗效
Keywords:
frozen shoulder; joint cavity injection; "meridian-sinew" manipulation; clinical efficacy
分类号:
R684.8
DOI:
10.12174/j.issn.2096-9600.2024.04.32
文献标志码:
B
摘要:
目的观察关节腔注射联合“经筋”手法治疗早中期冻结肩的临床疗效及安全性。 方法选择62例早中期冻结肩患者，按照治疗方法不同分为观察组和对照组，每组31例。对照组予以口服美洛昔康片，外用温性经筋通贴膏、经筋通凝胶剂，观察组予以关节腔注射联合“经筋”手法治疗，分别于治疗前后比较疼痛视觉模拟量表（visual analogue score，VAS）评分、肩痛和功能指数（shoulder pain and function index，SPADI）、Fugl-Meyer肩关节活动范围量表评分和Constant-Murley肩功能评分，并对临床疗效及不良反应进行评价。 结果治疗后，两组VAS、SPADI评分较治疗前降低（P＜0.01），Fugl-Meyer及Constant-Murley评分均较治疗前降低（P＜0.01）；且观察组与对照组比较，差异有统计学意义（P＜0.05）；随着时间的变化，两组VAS及Fugl-Meyer评分无明显变化，但观察组SPADI及Constant-Murley评分在治疗后3个月时与治疗后1周时比较，差异有统计学意义（P＜0.05）。观察组SPADI及Constant-Murley评分总有效率均高于对照组，但差异无统计学意义（P＞0.05）。观察组不良事件发生率［22.6%（7/31）］低于对照组［45.2%（14/31）］（P＜0.05）。 结论关节腔注射联合“经筋”手法治疗早中期冻结肩疗效明显，安全性好。
Abstract:
ObjectiveTo observe the clinical effects and the safety of joint cavity injection combined with "meridian-sinew" manipulation in the treatment of frozen shoulder in the early to middle stage. MethodsSixty-two patients with frozen shoulder in the early to middle stage were selected and divided into observation group and control group according to different treatment methods, with 31 patients in each group. The control group took Meloxicam tablets orally, and used warm meridian-sinew-unobstructing plaster and meridian-sinew-unobstructing gel externally, while the observation group accepted joint cavity injection and meridian-sinew manipulation, to compare the visual analogue score (VAS), shoulder pain and disability index (SPADI), Fugl-Meyer shoulder range of motion scale, and Constant-Murley shoulder function score before and after the treatment respectively, to assess the clinical effects and adverse reaction. ResultsAfter treatment, the VAS and SPADI scores of the two groups were lower than those before treatment (P<0.01), and the Fugl-Meyer and Constant-Murley scores were lower than those before treatment (P<0.01); and the difference between the observation group and the control group was statistically significant (P<0.05); with the change of time, there was no significant change of the VAS and Fugl-Meyer scores of the two groups, but when the SPADI and Constant-Murley scores of the observation group after three months of the treatment were compared with these after one week of the treatment, the difference had statistical meaning (P<0.05). The total effective rate of SPADI and Constant-Murley score in the observation group was higher than that in the control group, but the difference was not statistically significant (P>0.05). The incidence of adverse events [22.6% (7/31)] in the observation group was lower than that [45.2% (14/31)] in the control group (P<0.05). ConclusionJoint cavity injection combined with "meridian-sinew" manipulation in the treatment of frozen shoulder in the early and middle stages could obtain noticeable clinical effects with good safety.

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备注/Memo

备注/Memo:
易志勇（1980—），男，硕士学位，副主任医师。研究方向：运动损伤的治疗。广东省中医药管理局重点项目（20203011）。
更新日期/Last Update: 2024-04-15