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[1]李文杰,包招蘭,江顯俊,等.體外沖擊波聯(lián)合腕踝針治療肱二頭肌長(zhǎng)頭肌腱炎的臨床研究[J].中醫(yī)正骨,2019,31(02):5-7.
　LI Wenjie,BAO Zhaolan,JIANG Xianjun,et al.A clinical study of extracorporeal shockwave therapy combined with wrist-ankle acupuncture therapy for treatment of myotenositis of long head of biceps brachii[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(02):5-7.
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體外沖擊波聯(lián)合腕踝針治療肱二頭肌長(zhǎng)頭肌腱炎的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期數(shù):
2019年02期
頁(yè)碼:
5-7
欄目:
臨床研究
出版日期:
2019-02-20

文章信息/Info

Title:
A clinical study of extracorporeal shockwave therapy combined with wrist-ankle acupuncture therapy for treatment of myotenositis of long head of biceps brachii
作者:
李文杰1; 包招蘭2; 江顯俊1; 劉晉閩3; 肖魯偉3
(1.浙江中醫(yī)藥大學(xué)第一臨床醫(yī)學(xué)院,浙江 杭州 310053; 2.杭州師范大學(xué)醫(yī)學(xué)院,浙江 杭州 311121; 3.浙江中醫(yī)藥大學(xué)附屬第一醫(yī)院,浙江 杭州 310006)
Author(s):
LI Wenjie1; BAO Zhaolan2; JIANG Xianjun1; LIU Jinmin3; XIAO Luwei3
1.The First Clinical Medical College of Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China; 2.The Medical College of Hangzhou Normal University,Hangzhou 311121,Zhejiang,China; 3.The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310006,Zhejiang,China
關(guān)鍵詞:
肩關(guān)節(jié);  肱二頭肌長(zhǎng)頭肌腱炎;  超聲療法;  腕踝針;  臨床試驗(yàn)
Keywords:
shoulder joint;  myotenositis of long head of biceps brachii;  ultrasonic therapy;  wrist-ankle acupuncture;  clinical trial
摘要:
目的:觀察體外沖擊波聯(lián)合腕踝針治療肱二頭肌長(zhǎng)頭肌腱炎的臨床療效。方法:將80例肱二頭肌長(zhǎng)頭肌腱炎患者隨機(jī)分為2組,每組40例。聯(lián)合組采用體外沖擊波聯(lián)合腕踝針治療,封閉組采用局部封閉治療。體外沖擊波治療每周1次,連續(xù)治療3次; 腕踝針治療隔天1次,連續(xù)治療3周; 局部封閉治療每周1次,共治療3次。分別于治療前和治療結(jié)束后比較患者的肩部疼痛視覺(jué)模擬量表(visual analogue scale,VAS)評(píng)分、Constant-Murley肩關(guān)節(jié)評(píng)分,并于治療結(jié)束后按照自擬標(biāo)準(zhǔn)評(píng)價(jià)總體療效。結(jié)果:聯(lián)合組1例患者因未能堅(jiān)持完成治療而被剔除。治療前2組患者的肩關(guān)節(jié)疼痛VAS評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(t=0.535,P=0.594); 治療結(jié)束后2組患者的VAS評(píng)分均較治療前降低[聯(lián)合組:(7.10±1.05)分,(2.64±1.18)分,t=17.377,P=0.000; 封閉組:(6.98±1.07)分,(3.23±0.89)分,t=19.533,P=0.000],聯(lián)合組的VAS評(píng)分低于封閉組(t=-2.485,P=0.015)。治療前2組患者的Constant-Murley評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(t=-1.367,P=0.176); 治療結(jié)束后2組患者的Constant-Murley評(píng)分均較治療前升高[聯(lián)合組:(29.41±6.15)分,(77.10±7.41)分,t=-33.733,P=0.000; 封閉組:(31.38±6.60)分,(70.95±6.07)分,t=-30.574,P=0.000],聯(lián)合組的Constant-Murley評(píng)分高于封閉組(t=4.041,P=0.000)。聯(lián)合組的總體療效優(yōu)于封閉組((-overR)聯(lián)合組=35.03,(-overR)封閉組=44.85,Z=-2.036,P=0.042)。結(jié)論:體外沖擊波聯(lián)合腕踝針可以有效減輕肱二頭肌長(zhǎng)頭肌腱炎患者的疼痛,改善肩關(guān)節(jié)功能,總體療效優(yōu)于局部封閉治療。
Abstract:
Objective:To observe the clinical curative effects of extracorporeal shockwave(ESW)therapy combined with wrist-ankle acupuncture therapy for treatment of myotenositis of long head of biceps brachii.Methods:Eighty patients with myotenositis of long head of biceps brachii were randomly divided into combination therapy group and blocking group,40 cases in each group.The patients in combination therapy group were treated with ESW therapy combined with wrist-ankle acupuncture therapy,while the patients in blocking group were treated with local blocking therapy.The ESW therapy was performed once a week for consecutive 3 times.The wrist-ankle acupuncture therapy was performed on alternate days for consecutive 3 weeks.The local blocking therapy was performed once a week for totally 3 times.The shoulder pain visual analogue scale(VAS)scores and Constant-Murley shoulder scores were evaluated before treatment and after the end of the treatment respectively,and the total curative effects were evaluated according to the self-made evaluation standards after the end of the treatment.Results:One patient in combination therapy group was excluded for failing to finish the treatment.There was no statistical difference in shoulder pain VAS scores between the 2 groups before the treatment(t=0.535,P=0.594).The shoulder pain VAS scores decreased in both of the 2 groups after the end of the treatment compared to pre-treatment(combination therapy group:7.10+/-1.05 vs 2.64+/-1.18 points,t=17.377,P=0.000; blocking group:6.98+/-1.07 vs 3.23+/-0.89 points,t=19.533,P=0.000],and the VAS scores were lower in combination therapy group compared to blocking group(t=-2.485,P=0.015).There was no difference in Constant-Murley scores between the 2 groups before the treatment(t=-1.367,P=0.176).The Constant-Murley scores increased in both of the 2 groups after the end of the treatment compared to pre-treatment(combination therapy group:29.41+/-6.15 vs 77.10+/-7.41 points,t=-33.733,P=0.000; blocking group:31.38+/-6.60 vs 70.95+/-6.07 points,t=-30.574,P=0.000),and the Constant-Murley scores were higher in combination therapy group compared to blocking group(t=4.041,P=0.000).The combination therapy group surpassed the blocking group in the total curative effect((-overR)combination therapy group=35.03,(-overR)blocking group=44.85,Z=-2.036,P=0.042).Conclusion:The combination therapy of ESW and wrist-ankle acupuncture can effectively alleviate pain and improve shoulder function in patients with myotenositis of long head of biceps brachii,and its total curative effect is better than that of local blocking therapy.

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通訊作者:劉晉閩 E-mail:[email protected](收稿日期:2018-10-28 本文編輯:李曉樂(lè))
更新日期/Last Update: 2019-02-20