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[1]張洋,莫文.液壓擴(kuò)張結(jié)合整肩三步九法治療肩周炎的臨床研究[J].中醫(yī)正骨,2014,26(11):3-5.
　Zhang Yang*,Mo Wen.*.Clinical study on articular cavity hydraulic distension combined with three-step nine-manipulation in the treatment of frozen shoulder[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(11):3-5.
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液壓擴(kuò)張結(jié)合整肩三步九法治療肩周炎的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期數(shù):
2014年11期
頁碼:
3-5
欄目:
臨床研究
出版日期:
2014-11-30

文章信息/Info

Title:
Clinical study on articular cavity hydraulic distension combined with three-step nine-manipulation in the treatment of frozen shoulder
作者:
張洋; 莫文
上海中醫(yī)藥大學(xué)附屬龍華醫(yī)院,上海 200032
Author(s):
Zhang Yang*; Mo Wen.*
Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China
關(guān)鍵詞:
肩凝癥 液壓擴(kuò)張 肌肉骨骼手法 治療; 臨床研究性
Keywords:
Frozen shoulder;  Hydraulic distension;  Musculoskeletal manipulations;  Therapies; investigational
摘要:
目的:觀察液壓擴(kuò)張結(jié)合整肩三步九法治療肩周炎的臨床療效和安全性。方法:將納入研究的90例肩周炎患者隨機(jī)分為治 療組和對照組,每組45例。治療組采用液壓擴(kuò)張結(jié)合整肩三步九法治療,對照組單純采用液壓擴(kuò)張治療,同時(shí)2組患者均進(jìn)行功能 鍛煉。液壓擴(kuò)張和整肩三步九法治療均每周1次,連續(xù)治療2次。分別于治療前、治療開始后7 d、14 d和30 d采用肩關(guān)節(jié)疼痛與 功能障礙指數(shù)評定患肩疼痛情況及功能。同時(shí)觀察患者治療期間并發(fā)癥的發(fā)生情況。結(jié)果:①療效評定結(jié)果。治療前后不同時(shí)間 肩關(guān)節(jié)疼痛與功能障礙指數(shù)評分的差異有統(tǒng)計(jì)學(xué)意義,即存在時(shí)間效應(yīng)[(80.15±2.73)分,(41.79±3.14)分, (18.97±1.48)分,(9.35±1.79)分;(79.88±2.65)分,(57.24±1.91)分,(33.85±1.33)分, (19.06±2.42)分; F=3 078.93,P=0.000]; 2組患者肩關(guān)節(jié)評分的組間差異總體上有統(tǒng)計(jì)學(xué)意義,即存在分組效應(yīng)(F=11 048.96,P=0.000); 治療前和治療開始后14 d,2組患者評分比較,差異均無統(tǒng)計(jì)學(xué)意義(t=0.406,P=0.686; t=-1.289,P=0.197); 治療開始后7 d和30 d,治療組評分均低于對照組(t=-18.179,P=0.000; t=8.366,P=0.000); 時(shí)間因素和分組因素之間存在交互 效應(yīng)(F=174.434,P=0.000)。②安全性評定結(jié)果。在采用整肩三步九法松解關(guān)節(jié)黏連的過程中,治療組有部分患者因肩部疼痛,出 現(xiàn)一過性眩暈感,經(jīng)休息后緩解。結(jié)論:液壓擴(kuò)張結(jié)合整肩三步九法可迅速減輕患者的疼痛癥狀、改善肩關(guān)節(jié)功能,療效優(yōu)于單純 液壓擴(kuò)張療法,而且具有較高的安全性,值得臨床推廣應(yīng)用。
Abstract:
Objective:To observe the clinical curative effects and safety of articular cavity hydraulic distension combined with three-step nine-manipulation(TSNM)in the treatment of frozen shoulder.Methods:Ninty patients with frozen shoulder enrolled in the study were randomly divided into treatment group and control group,45 case in each group.The patients in treatment group were treated with articular cavity hydraulic distension combined with TSNM,while the others in control group were treated with the monotherapy of articular cavity hydraulic distension,meanwhile,the functional exercises were performed on patients in both of the 2 groups.The articular cavity hydraulic distension and TSNM were performed once a week for consecutive 2 weeks.The pain and function of shoulder were evaluated according to shoulder pain and disability index(SPADI)before the treatment and at the 7th,14th and 30th day after the beginning of the treatment respectively.Meanwhile,the complications were observed.Results:There was statistical difference in SPADI between different timepoints before and after the treatment,in other words,there was time effect(80.15+/-2.73,41.79+/-3.14,18.97+/-1.48,9.35+/-1.79 points; 79.88+/-2.65,57.24+/-1.91,33.85+/-1.33,19.06+/-2.42 points; F=3 078.93,P=0.000).There was statistical difference in SPADI between groups in general,in other words,there was group effect(F=11 048.96,P=0.000).There was no statistical difference in SPADI between the 2 groups before treatment and at 14th day after the beginning of the treatment(t=0.406,P=0.686; t=-1.289,P=0.197),and the SPADI of treatment group was lower than that of control group at 7th and 30th day after the beginning of the treatment(t=-18.179,P=0.000; t=8.366,P=0.000).There was interaction between time factor and group factor(F=174.434,P=0.000).The transient vertiginous sensation was induced by pain in some patients of treatment group when TSNM were performed,while the symptoms were relieved after rest.Conclusion:The therapy of articular cavity hydraulic distension combined with TSNM can rapidly relieve the pain and improve the function of shoulder joint in patients with frozen shoulder,and it surpasses the monotherapy of articular cavity hydraulic distension in curative effect,meanwhile it has high safety,so it is worthy of popularizing in clinic.

參考文獻(xiàn)/References:

[1] Andren L,Lunderg BJ.Treatment of rigid shoulders by joint distension during arthrography[J].Acta Orthop Scand,1965,36:45-53.
[2] Apley AG,Solomon L.Apley's System of orthopaedics and fractures[M].6th ed.London:Butter worth scientific,1982:177-178.
[3] 國家中醫(yī)藥管理局.中醫(yī)病證診斷療效標(biāo)準(zhǔn)[S].南京:南京大學(xué)出版社,1994:186-187.
[4] Roach KE,Budiman-Mak E,Songsiridej N,et al.Development of a shoulder pain and disability index[J].Arthritis Care Res,1991,4(4):143-149.
[5] 莫文,葛京化,侯寶興,等.液壓擴(kuò)張加手法治療肩周炎117例臨床報(bào)告[J].中國中醫(yī)骨傷科雜志,2000,8(5):50-51.
[6] 羅玉君.手法松解術(shù)后超早期功能鍛煉治療肩關(guān)節(jié)周圍炎的療效觀察[J].中醫(yī)正骨,2014,26(5):21-22.
[7] 陳金春,黃建華,張久華,等.超聲引導(dǎo)液壓擴(kuò)張手法松解治療凍結(jié)肩臨床觀察[J].中醫(yī)正骨,2009,21(12):10-13.
[8] 王凱利,萬家興,李萍.玻璃酸鈉聯(lián)合曲安奈德關(guān)節(jié)腔內(nèi)注射配合推拿手法治療凍結(jié)肩[J].中醫(yī)正骨,2012,24(10):40-41.
[9] Fouquet B,Griffoul I,Borie MJ,et al.Adhesive capsulitis:evaluation of a treatment coupling capsular distension and intensive rehabilitation[J].Ann Readapt Med Phys,2006,49(2):68-74.
[10] Piotte F,Gravel D,Moffet H,et al.Effects of repeated distension arthrographies combined with a home exercise program among adults with idiopathic adhesive capsulitis of the shoulder[J].Am J Phys Med Rehabil,2004,83(7):537-546.

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備注/Memo

備注/Memo:
基金項(xiàng)目:上海申康醫(yī)院發(fā)展中心市級醫(yī)院適宜技術(shù)聯(lián)合開發(fā)推廣應(yīng)用項(xiàng)目(SHDC12012205)
通訊作者:莫文 E-mail:[email protected]
更新日期/Last Update: 2014-11-30