84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]張允,伍光輝,曾喻,等.關節(jié)腔加壓灌注聯(lián)合局部封閉和手法治療肩周炎的臨床研究[J].中醫(yī)正骨,2014,26(09):11-14.
　Zhang Yun*,Wu Guanghui,Zeng Yu,et al.Clinical study on articular cavity enhancing perfusion combined with blocking therapy and manipulation therapy in the treatment of periarthritis humeroscapularis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(09):11-14.
點擊復制

關節(jié)腔加壓灌注聯(lián)合局部封閉和手法治療肩周炎的臨床研究()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期數(shù):
2014年09期
頁碼:
11-14
欄目:
臨床研究
出版日期:
2014-09-30

文章信息/Info

Title:
Clinical study on articular cavity enhancing perfusion combined with blocking therapy and manipulation therapy in the treatment of periarthritis humeroscapularis
作者:
張允1; 伍光輝2; 曾喻1; 廖敏1; 羅勇1; 陳世寅1; 薛亮1
1.四川省醫(yī)學科學院四川省人民醫(yī)院,四川 成都 610072;
2.瀘州醫(yī)學院附屬中醫(yī)醫(yī)院,四川 瀘州 646000
Author(s):
Zhang Yun*; Wu Guanghui; Zeng Yu; Liao Min; Luo Yong; Chen Shiyin; Xue Liang.
*Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital,Chengdu 610072,Sichuan,China
關鍵詞:
肩凝癥 封閉療法 加壓灌注 肌肉骨骼手法 治療; 臨床研究性
Keywords:
Frozen shoulder;  Blocking therapy;  Enhancing perfusion;  Musculoskeletal manipulations;  Therapies; investigational
摘要:
目的:觀察關節(jié)腔加壓灌注聯(lián)合局部封閉和手法治療肩周炎的臨床療效和安全性。方法:將126例肩周炎患者隨機分為3組, 43例采用關節(jié)腔加壓灌注+局部封閉+手法治療(A組),42例采用關節(jié)腔加壓灌注+手法治療(B組),41例采用局部封閉+手法治療(C組)。分別于治療前及治療開始后1 d、7 d、14 d、21 d、28 d采用肩關節(jié)周圍炎療效評定量表評定療效,并觀察治療期間3組患者不良事件的發(fā)生情況。結果:①療效評定結果。治療前后不同時間之間療效評分的差異有統(tǒng)計學意義,即存在時間效應(F=4 746.830,P=0.000); 時間因素和分組因素之間存在交互效應(F=166.330,P=0.000); 3組患者療效評分的組間差異總體上有統(tǒng)計學意義,即存在分組效應(F=1 843.600,P=0.000); 除治療前外,其余各時點3組的療效評分比較,差異均有統(tǒng)計學意義[(44.13±12.79)分,(46.02±10.38)分,(45.63±11.06)分,F=210.917,P=0.076;(66.39±12.57)分,(59.16±13.26)分,(47.19±10.23)分,F=271.000,P=0.000;(81.12±6.43)分,(69.67±8.25)分,(55.29±9.38)分,F=633.400,P=0.000;(91.37±6.62)分,(76.21±8.36)分,(60.62±9.87)分,F=1 584.000,P=0.000;(95.12±4.28)分,(90.20±7.03)分,(85.65±7.46)分, F=201.000,P=0.000;(95.73±3.96)分,(92.57±5.81)分,(91.15±5.72)分,F=163.000,P=0.000]; 治療開始后1 d、7 d、14 d、21 d和28 d,A組的評分均大于B組和C組(P=0.010,P=0.001; P=0.000,P=0.000; P=0.000,P=0.000; P=0.000,P=0.000; P=0.000,P=0.000)。B組和C組患者的評分均于治療開始后21 d達到痊愈標準,而A組評分在治療開始后7 d即達到痊愈標準。②安全性評定結果。3組患者治療期間均未發(fā)生藥物過敏、暈針、血糖較大幅度波動、醫(yī)源性骨折、肩關節(jié)關節(jié)囊破裂等不良事件。結論:關節(jié)腔加壓灌注聯(lián)合局部封閉和手法治療能迅速緩解肩周炎患者的肩部疼痛癥狀、改善關節(jié)功能,與關節(jié)腔加壓灌注聯(lián)合手法治療和局部封閉聯(lián)合手法治療相比,起效快、療效好,而且具有較高的安全性,值得臨床推廣應用。
Abstract:
Objective:To observe the clinical curative effects and safety of articular cavity enhancing perfusion combined with blocking therapy and manipulation therapy in the treatment of periarthritis humeroscapularis(PH).Methods:One hundred and twenty-six patients with PH were randomly divided into 3 groups.Forty-three cases(group A)were treated with articular cavity enhancing perfusion combined with blocking therapy and manipulation therapy,42 cases(group B)were treated with articular cavity enhancing perfusion combined with manipulation therapy,while 41 cases(group C)were treated with blocking therapy combined with manipulation therapy.The clinical curative effects were evaluated according to the curative effect rating scale for PH before the treatment and at 1,7,14,21 and 28 days after the treatment.Meanwhile,the adverse events occurred in the three groups were observed.Results:There was statistical difference in the efficacy scores between different timepoints(F=4 746.830,P=0.000),in other words,there was time effect,There was interaction between time factor and grouping factor(F=166.330,P=0.000).There was statistical difference in the efficacy scores between the 3 groups in general,in other words,there was grouping effect(F=1 843.600,P=0.000).There was statistical difference in the efficacy scores between the 3 groups at pretreatment timepoints(44.13+/-12.79,46.02+/-10.38,45.63+/-11.06 points,F=210.917,P=0.076; 66.39+/-12.57,59.16+/-13.26,47.19+/-10.23 points,F=271.000,P=0.000; 81.12+/-6.43,69.67+/-8.25,55.29+/-9.38 points,F=633.400,P=0.000; 91.37+/-6.62,76.21+/-8.36,60.62+/-9.87 points,F=1 584.000,P=0.000; 95.12+/-4.28,90.20+/-7.03,85.65+/-7.46 points,F=201.000,P=0.000; 95.73+/-3.96,92.57+/-5.81,91.15+/-5.72 points,F=163.000,P=0.000).The efficacy scores of group A were higher than those of group B and group C at posttreatment timepoints(P=0.010,P=0.001; P=0.000,P=0.000; P=0.000,P=0.000; P=0.000,P=0.000; P=0.000,P=0.000).The efficacy scores of group B and group C reached to the recovery criteria 21 days after the treatment,while those of group A reached to the same level 7 days after the treatment.No adverse events such as drug allergy,needle syncope,wide fluctuations in blood sugar levels of patients with diabetes,iatrogenic fractures,rupture of capsule of shoulder joint were found in the 3 groups.Conclusion:For treatment of PH,the combination therapy of articular cavity enhancing perfusion and blocking and manipulation can alleviate shoulder pain and improve joint functions quickly,and it has better curative effect and reacts more rapidly than the combination therapy of articular cavity enhancing perfusion and manipulation and the combination therapy of blocking and manipulation,meanwhile it has high safety,so it is worthy of popularizing in clinic.

參考文獻/References:

[1] 程少丹,張?zhí)靷?陸念祖,等.肩關節(jié)周圍炎療效評定量表的設計及臨床應用[J].中國中醫(yī)骨傷科雜志,2010,18(1):23-25.
[2] 國家中醫(yī)藥管理局.中醫(yī)病證診斷療效標準[S].南京:南京大學出版社,1994:186-187.
[3] 楊冬青,任黎棟,李琴.阿是穴注藥配合無痛推拿手法治療肩周炎[J].中醫(yī)正骨,2012,24(10):37-38.
[4] 盧福成,苗巍,付立新,等.肩關節(jié)腔內(nèi)藥物注射分期治療肩周炎的療效觀察[J].中國實用醫(yī)藥,2012,7(10):188-189.
[5] 陳力宇.參附注射液液壓擴張在治療肩周炎患者中的應用[J].齊魯護理雜志,2013,19(14):30-31.
[6] 李偉.液壓快速松解僵硬性肩周炎30例[J].現(xiàn)代中西醫(yī)結合雜志,2006,15(15):2070.
[7] 田福宏.臂叢神經(jīng)阻滯下手法松解加關節(jié)腔液壓注射及痛點封閉治療粘連性肩周炎60例療效觀察[J].吉林醫(yī)學,2013,34(20):4091-4092.

相似文獻/References:

[1]孫獻武,于香蘭,邵海燕,等.應用三維動靜態(tài)平衡康復模式治療 非脊髓型頸椎病的臨床研究[J].中醫(yī)正骨,2015,27(11):8.
　SUN Xianwu,YU Xianglan,SHAO Haiyan,et al.Clinical study on three-dimensional dynamic and static equilibrium rehabilitation modality in the treatment of non-myelopathy type cervical spondylosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):8.
[2]寧興明,伍亮,王廷,等.五禽戲配合核心肌力訓練治療非特異性腰痛的臨床研究[J].中醫(yī)正骨,2015,27(11):25.
　NING Xingming,WU Liang,WANG Ting,et al.Clinical study on five mimic-animal boxing combined with core muscular strength exercise for the treatment of nonspecific low back pain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):25.
[3]沈海,劉昕,彭玉蘭,等.復位架牽引下手法復位經(jīng)皮穿針內(nèi)固定治療 兒童肱骨髁上骨折的臨床研究[J].中醫(yī)正骨,2015,27(10):1.
　SHEN Hai,LIU Xin,PENG Yulan,et al.Clinical study on reduction frame traction combined with manipulative reduction and percutaneous Kirschner wire internal fixation for treatment of humeral supracondylar fractures in children[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):1.
[4]葛波涌,王玉波,王明太,等.交鎖髓內(nèi)釘內(nèi)固定治療脛骨干骨折的臨床研究[J].中醫(yī)正骨,2015,27(10):8.
　GE Boyong,WANG Yubo,WANG Mingtai,et al.Clinical study on the internal fixation with interlocking intramedullary nail for the treatment of tibial shaft fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):8.
[5]梁朝,蔡靜怡,閆立,等.針刀療法改善膝骨關節(jié)炎早期疼痛癥狀的療效評價[J].中醫(yī)正骨,2015,27(09):9.
　LIANG Zhao,CAI Jingyi,YAN Li,et al.Evaluation of the curative effect of needle-knife therapy for relieving knee pain in patients with early knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):9.
[6]邢金明.切開復位鎖定鋼板內(nèi)固定術和人工半肩關節(jié)置換術 治療老年肱骨近端復雜骨折的對比研究[J].中醫(yī)正骨,2015,27(08):11.
　XING Jinming.A retrospective trial of open reduction and locking plate internal fixation versus artificial shoulder hemiarthroplasty for complicated proximal humeral fractures in old patients[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):11.
[7]帥波,沈霖,楊艷萍,等.加味青娥丸治療膝骨關節(jié)炎的作用機制研究[J].中醫(yī)正骨,2015,27(07):15.
　SHUAI Bo,SHEN Lin,YANG Yanping,et al.Study on the mechanism of action of Jiawei Qing'e Wan(加味青娥丸)for the treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):15.
[8]黃楊,王昌興,鄒陽.AO鈦制彈性髓內(nèi)釘內(nèi)固定與切開復位鋼板內(nèi)固定治療 小兒肱骨干中下段骨折的比較研究[J].中醫(yī)正骨,2015,27(07):22.
　HUNAG Yang,WANG Changxing,ZOU Yang.A comparative study of AO titanium elastic stable intramedullary nail internal fixation versus open reduction plate osteosynthesis for the treatment of mid-distal humeral fractures in children[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):22.
[9]梅其杰,袁長深,段戡,等.壯藥骨痹方燙熨聯(lián)合運動療法治療膝骨關節(jié)炎的臨床研究[J].中醫(yī)正骨,2015,27(07):27.
　MEI Qijie,YUAN Changshen,DUAN Kan,et al.Clinical study of the curative effect of hot compressing and rubbing with packet of Gubi Fang(骨痹方)combined with exercise therapy in the treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):27.
[10]王丹輝,張燕,劉麗娟,等.重組人Ⅱ型腫瘤壞死因子受體-抗體融合蛋白 關節(jié)腔注射聯(lián)合中藥薰洗治療膝骨關節(jié)炎的臨床研究[J].中醫(yī)正骨,2015,27(07):31.
　WANG Danhui,ZHANG Yan,LIU Lijuan,et al.Clinical study on intra-articular injection of TypeⅡrecombinant human tumor necrosis factor receptor-Fc fusion protein combined with Chinese herbal steaming and washing therapy for treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):31.

更新日期/Last Update: 2014-09-30