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[1]趙明宇,楊超凡,趙啟,等.“筋滯骨錯”理論指導(dǎo)下手法治療黏連期肩凝癥[J].中醫(yī)正骨,2016,28(04):57-58.
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“筋滯骨錯”理論指導(dǎo)下手法治療黏連期肩凝癥()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年04期
頁碼:
57-58
欄目:
臨床報道
出版日期:
2016-04-20

文章信息/Info

作者:
趙明宇楊超凡趙啟廉杰王秋生黃禎峰張向東鮑鐵周
河南省洛陽正骨醫(yī)院/河南省骨科醫(yī)院,河南 鄭州 450016
關(guān)鍵詞:
肩凝癥 肩周炎 筋滯骨錯 肩關(guān)節(jié) 肌肉骨骼手法
摘要:
目的:探討“筋滯骨錯”理論指導(dǎo)下手法治療黏連期肩凝癥的臨床療效。方法:2014年5月至2015年5月收治73例黏連期肩凝癥患者。男31例,女42例。年齡38~60歲,中位數(shù)50歲。病程5~15個月,中位數(shù)9個月。均采用基于“筋滯骨錯”理論的手法治療,同時輔以肩部中藥薰洗、中藥塌漬治療及功能鍛煉。手法治療每天1次,連續(xù)治療30 d。治療后采用李海燕等制定的肩關(guān)節(jié)功能評定量表,從疼痛、肩關(guān)節(jié)活動度、肌力、日常生活能力、局部形態(tài)5個方面對患者的肩部功能進(jìn)行評定,同時采用《中醫(yī)病證診斷療效標(biāo)準(zhǔn)》中肩周炎的療效標(biāo)準(zhǔn)評定療效。結(jié)果:治療后本組患者的肩關(guān)節(jié)疼痛均明顯減輕,關(guān)節(jié)功能明顯改善,按照《中醫(yī)病證診斷療效標(biāo)準(zhǔn)》中肩周炎的療效標(biāo)準(zhǔn)評定,治愈33例、好轉(zhuǎn)38例、未愈2例。所有患者均獲得3個月以上隨訪。與治療前相比,治療后3個月本組患者的肩關(guān)節(jié)功能評分總分、肩部疼痛、關(guān)節(jié)活動度、肌力、日常生活能力及局部形態(tài)評分均提高[(60.03±9.44)分,(84.82±5.70)分,t=-19.216,P=0.000;(14.45±7.15)分,(25.21±3.17)分,t=-11.753,P=0.000;(16.89±4.16)分,(21.00±2.75)分,t=-7.032,P=0.004;(3.99±0.86)分,(4.67±0.50)分,t=-5.889,P=0.005;(20.67±5.49)分,(29.27±2.77)分,t=-11.957,P=0.000;(4.03±1.11)分,(4.67±0.75)分,t=-4.125,P=0.000]。結(jié)論:在“筋滯骨錯”理論指導(dǎo)下手法治療黏連期肩凝癥,可有效減輕患者的疼痛癥狀,增大肩關(guān)節(jié)活動度,改善患者的日常生活能力。

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備注/Memo

備注/Memo:
基金項目:2015河南省中醫(yī)藥科學(xué)研究專項項目(2015ZY02007)
通訊作者:鮑鐵周 E-mail:[email protected]
更新日期/Last Update: 2016-08-30