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[1]管亦堅(jiān),程朝暉,梁一民.水針刀聯(lián)合玻璃酸鈉關(guān)節(jié)腔注射治療肩周炎的臨床研究[J].中醫(yī)正骨,2016,28(11):13-16.
　GUAN Yijian,CHENG Zhaohui,LIANG Yimin.Clinical study on hydro-acupuncture knife therapy combined with intra-articular injection of sodium hyaluronate in the treatment of periarthritis humeroscapularis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(11):13-16.
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水針刀聯(lián)合玻璃酸鈉關(guān)節(jié)腔注射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28卷
期數(shù):
2016年11期
頁(yè)碼:
13-16
欄目:
臨床研究
出版日期:
2016-11-20

文章信息/Info

Title:
Clinical study on hydro-acupuncture knife therapy combined with intra-articular injection of sodium hyaluronate in the treatment of periarthritis humeroscapularis
作者:
管亦堅(jiān); 程朝暉; 梁一民
浙江省臺(tái)州市第一人民醫(yī)院,浙江 臺(tái)州 318020
Author(s):
GUAN Yijian; CHENG Zhaohui; LIANG Yimin
The First People's Hospital of Taizhou,Taizhou 318020,Zhejiang,China
關(guān)鍵詞:
肩凝癥;  肩周炎;  小刀針;  透明質(zhì)酸;  注射; 關(guān)節(jié)內(nèi);  臨床試驗(yàn)
Keywords:
frozen shoulder;  periarthritis humeroscapularis;  small knife needle;  hyaluronic acid;  injections; intra-articular;  clinical trial
摘要:
目的:觀察水針刀聯(lián)合玻璃酸鈉關(guān)節(jié)腔注射治療肩周炎的臨床療效。方法:將符合要求的100例肩周炎患者隨機(jī)分為2組,每組50例,分別采用水針刀聯(lián)合玻璃酸鈉關(guān)節(jié)腔注射和單純水針刀治療。每周治療1次,連續(xù)4次為1個(gè)療程,共治療2個(gè)療程。比較治療前及治療開(kāi)始后6個(gè)月2組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)功能評(píng)分、焦慮自評(píng)量表(self-rating anxiety scale,SAS)評(píng)分,并比較2組患者的綜合療效。結(jié)果:所有患者均獲6個(gè)月的隨訪(fǎng)。治療前2組患者的肩部疼痛VAS評(píng)分、Constant-Murley肩關(guān)節(jié)功能評(píng)分、SAS評(píng)分比較,組間差異均無(wú)統(tǒng)計(jì)學(xué)意義[(5.34±1.46)分,(5.42±1.53)分,t=0.284,P=0.784;(41.89±7.84)分,(42.12±8.48)分,t=0.564,P=0.784;(45.43±8.10)分,(46.43±9.10)分,t=0.312,P=0.643]。治療開(kāi)始后6個(gè)月,水針刀玻璃酸鈉組的肩部疼痛VAS評(píng)分及SAS評(píng)分均低于水針刀組[(1.47±0.45)分,(2.45±0.56)分,t=3.586,P=0.008;(31.87±8.90)分,(38.07±9.32)分,t=4.983,P=0.000],Constant-Murley肩關(guān)節(jié)功能評(píng)分高于水針刀組[(61.57±11.58)分,(52.55±9.32)分,t=5.349,P=0.000]; 2組患者的肩部疼痛VAS評(píng)分及SAS評(píng)分均較治療前降低(t=10.568,P=0.000; t=8.586,P=0.000; t=9.732,P=0.000; t=5.652,P=0.000),Constant-Murley肩關(guān)節(jié)功能評(píng)分較治療前增高(t=9.859,P=0.000; t=6.746,P=0.000)。治療開(kāi)始后6個(gè)月,采用《常見(jiàn)疾病的診斷與療效判定(標(biāo)準(zhǔn))》中肩周炎的療效標(biāo)準(zhǔn)評(píng)定綜合療效,水針刀玻璃酸鈉組治愈38例、有效10例、無(wú)效2例,水針刀組治愈28例、有效14例、無(wú)效8例,水針刀玻璃酸鈉組的綜合療效優(yōu)于水針刀組(Z=-2.278,P=0.023)。結(jié)論:水針刀聯(lián)合玻璃酸鈉關(guān)節(jié)腔注射治療肩周炎,可以有效緩解肩部疼痛、改善肩關(guān)節(jié)功能、降低患者的焦慮程度,綜合療效優(yōu)于單純水針刀治療,值得臨床推廣應(yīng)用。
Abstract:
Objective:To observe the clinical curative effect of hydro-acupuncture knife therapy combined with intra-articular injection of sodium hyaluronate in the treatment of periarthritis humeroscapularis.Methods:One hundred patients with periarthritis humeroscapularis enrolled in the study were randomly divided into 2 groups,50 cases in each group.The patients were treated with combination therapy of hydro-acupuncture knife and intra-articular injection of sodium hyaluronate(group A)and monotherapy of hydro-acupuncture knife(group B)respectively,once a week for consecutive 2 course of treatment,4 times for each course.The shoulder pain visual analogue scale(VAS)scores,Constant-Murley shoulder function scores and self-rating anxiety scale(SAS)scores were compared between the 2 groups before the treatment and at 6 months after the beginning of treatment respectively,and the total clinical curative effects were also compared between the 2 groups.Results:All patients were followed up for 6 months.There was no statistical difference in the shoulder pain VAS scores,Constant-Murley shoulder function scores and SAS scores between the 2 groups before the treatment(5.34+/-1.46 vs 5.42+/-1.53 points,t=0.284,P=0.784; 41.89+/-7.84 vs 42.12+/-8.48 points,t=0.564,P=0.784; 45.43+/-8.10 vs 46.43+/-9.10 points,t=0.312,P=0.643).The shoulder pain VAS scores and SAS scores were lower in group A compared to group B at 6 months after the beginning of treatment(1.47+/-0.45 vs 2.45+/-0.56 points,t=3.586,P=0.008; 31.87+/-8.90 vs 38.07+/-9.32 points,t=4.983,P=0.000),and the Constant-Murley shoulder function scores were higher in group A compared to group B(61.57+/-11.58 vs 52.55+/-9.32 points,t=5.349,P=0.000).The shoulder pain VAS scores and SAS scores decreased(t=10.568,P=0.000; t=8.586,P=0.000; t=9.732,P=0.000; t=5.652,P=0.000)while the Constant-Murley shoulder function scores increased(t=9.859,P=0.000; t=6.746,P=0.000)in the 2 groups at 6 months after the beginning of treatment compared to pre-treatment.At 6 months after the beginning of treatment,the total clinical curative effects were evaluated according to the therapeutic effect standard of periarthritis humeroscapularis extracted from Standard for diagnosis and curative effect evaluation of common diseases.Thirty-eight patients were cured,10 fair and 2 poor in group A; while 28 patients were cured,14 fair and 8 poor in group B.The group A surpassed the group B in the total clinical curative effect(Z=-2.278,P=0.023).Conclusion:The combination therapy of hydro-acupuncture knife and intra-articular injection of sodium hyaluronate can effectively relieve the shoulder pain and improve the shoulder function and reduce the degree of anxiety of patients with periarthritis humeroscapularis,and its clinical curative effects is better than that of monotherapy of hydro-acupuncture knife therapy,so it is worthy of popularizing in clinic.

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更新日期/Last Update: 2016-11-30