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[1]張昕煜,曹旭,李少雷,等.推拿手法聯(lián)合康復(fù)訓(xùn)練治療慢性肩袖損傷[J].中醫(yī)正骨,2017,29(01):52-55.
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推拿手法聯(lián)合康復(fù)訓(xùn)練治療慢性肩袖損傷()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年01期
頁碼:
52-55
欄目:
臨床報道
出版日期:
2017-01-20

文章信息/Info

作者:
張昕煜1; 曹旭2; 李少雷1; 孟憲榮1
1.北京市平谷區(qū)中醫(yī)醫(yī)院,北京 101200;
2.北京中醫(yī)藥大學(xué)東直門醫(yī)院,北京 100700
關(guān)鍵詞:
肩關(guān)節(jié);  肩袖損傷;  推拿;  康復(fù)
摘要:
目的:觀察推拿手法聯(lián)合康復(fù)訓(xùn)練治療慢性肩袖損傷的臨床療效和安全性。方法:2015年11月至2016年6月,采用推拿手法聯(lián)合康復(fù)訓(xùn)練治療慢性肩袖損傷患者32例,男11例、女21例。年齡42～67歲,中位數(shù)59歲。左肩18例,右肩14例。病程2～9個月,中位數(shù)6個月。推拿手法和康復(fù)訓(xùn)練每周做3次,1個月為1個療程,共2個療程。治療結(jié)束后參照美國加州洛杉磯大學(xué)(university of California-Los Angeles,UCLA)肩關(guān)節(jié)評分系統(tǒng)評價療效,并隨訪觀察并發(fā)癥發(fā)生及復(fù)發(fā)情況。結(jié)果:治療2個療程后,UCLA肩關(guān)節(jié)評分(32±3)分,優(yōu)13例、良18例、差1例。所有患者均獲隨訪,隨訪時間2～6個月,中位數(shù)3個月。均無疼痛加重、腫脹等并發(fā)癥發(fā)生。1例患者上樓搬重物時誘發(fā)癥狀復(fù)發(fā),經(jīng)物理療法治療后癥狀好轉(zhuǎn); 其余患者均未復(fù)發(fā)。結(jié)論:采用推拿手法聯(lián)合康復(fù)訓(xùn)練治療慢性肩袖損傷,能促進(jìn)肩關(guān)節(jié)功能的恢復(fù),并發(fā)癥少,復(fù)發(fā)率低,值得臨床推廣應(yīng)用。

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通訊作者:曹旭 E-mail:[email protected]
更新日期/Last Update: 2017-01-20