[1]陈国栋,安福,赵庆,等.离筋刀联合拨利手法治疗肩胛提肌损伤30例[J].西部中医药,2021,34(02):107-109.[doi:10.12174/j.issn.2096-9600.2021.02.29]
　CHEN Guodong,AN Fu,ZHAO Qing,et al.Treating 30 Cases of Levator Scapula Injury by Tendon-separating Knife and Boli Manipulation[J].Western Journal of Traditional Chinese Medicine,2021,34(02):107-109.[doi:10.12174/j.issn.2096-9600.2021.02.29]
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离筋刀联合拨利手法治疗肩胛提肌损伤30例
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
34
期数:
2021年02期
页码:
107-109
栏目:
出版日期:
2021-02-15

文章信息/Info

Title:
Treating 30 Cases of Levator Scapula Injury by Tendon-separating Knife and Boli Manipulation
作者:
陈国栋1, 安福1, 赵庆1, 张建文2, 孙其斌1
1.甘肃省中医院，甘肃 兰州 730050
2.甘肃中医药大学
Author(s):
CHEN Guodong1, AN Fu1, ZHAO Qing1, ZHANG Jianwen2, SUN Qibin1
1.Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
2.Gansu University of Chinese Medicine
关键词:
肩胛提肌损伤; 离筋刀疗法; 拨利手法; 传统按摩手法
Keywords:
Levator scapula injury; tendon-separating knife; manipulation; traditional massage technique
分类号:
R245.31+9
DOI:
10.12174/j.issn.2096-9600.2021.02.29
摘要:
目的观察离筋刀联合拨利手法治疗肩胛提肌损伤的临床疗效。 方法选取90例肩胛提肌损伤患者，随机分为观察组、针刀组、按摩组，每组30例。观察组采用离筋刀联合拨利手法治疗，针刀组采用常规针刀治疗，先拿揉松解颈项肌肉，再施以传统按摩手法治疗。3组均每周治疗1次，1月为1个疗程，随访时间为3个月。比较3组疼痛缓解情况、临床疗效及复发率。 结果VAS评分治疗后3组均较治疗前明显下降，（P＜0.05）；治疗后观察组与针刀组、按摩组比较，差异有统计学意义（P＜0.05）；治疗后针刀组与按摩组比较，差异无统计学意义（P＞0.05）。总有效率观察组为90.0%（27/30），针刀组为73.3%（22/30），按摩组为73.3%（22/30），观察组与针刀组、按摩组比较，差异有统计学意义（P＜0.05）；针刀组与按摩组比较，差异无统计学意义（P＞0.05）。3个月随访时复发率观察组为16.7%（5/30），针刀组为40.0%（12/30），按摩组为46.7%（14/30）。复发率观察组与针刀组、按摩组比较，差异有统计学意义（P＜0.05）；针刀组与按摩组比较，差异无统计学意义（P＞0.05）。 结论离筋刀联合拨利手法治疗肩胛提肌损伤临床疗效优于单纯采用针刀或传统按摩手法。
Abstract:
ObjectiveTo observe clinical effects of tendon-separating knife and Boli manipulation in the treatment of Levator scapula injury. MethodsNinety patients were selected and randomized into the observation group, needle-knife group and massage group, 30 cases each group. The observation group adopted tendon-separating knife and Boli manipulation, needle-knife group used conventional needle-knife, first massage and release the neck muscle, and then apply traditional massage technique. Three groups were treated once each week, one month was one course, and they were followed for three months. To compare clinical effects, pain relief condition and relapse rate of three groups. ResultsVAS scores lowered after treating than before treating, and the difference showed statistical meaning (P<0.05); after treating, the differences were statistically significant when the observation group was compared with needle-knife group and massage group (P<0.05); the difference had no statistical meaning when the needle-knife group was compared with massage group after treating (P>0.05). Total effective rate of the observation group was 90.0% (27/30), the needle-knife group 73.3% (22/30), and massage group 73.3% (22/30), the difference was statistically significant when the observation group was compared with the needle-knife group and massage group (P<0.05); the difference had no statistical meaning when needle-knife group was compared with massage group (P>0.05). After three-month follow-ups, the relapse rate of the observation group was 16.7% (5/30), needle-knife group 40.0% (12/30) and massage group 46.7%(14/30). The difference had statistical meaning in relapse rates when the observation group was compared with needle-knife group and massage group (P<0.05); the difference had no statistical meaning when needle-knife group was compared with massage group (P>0.05). ConclusionClinical effects of tendon-separating knife and Boli manipulation in the treatment of Levator scapula injury are superior to these of only needle-knife or traditional massage technique.

备注/Memo

备注/Memo:
陈国栋（1980—），男，硕士学位，副主任医师。研究方向：脊柱疾病的诊治。
更新日期/Last Update: 2021-02-15