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[1]寧源,孫風(fēng)凡,童培建.電針聯(lián)合康復(fù)鍛煉在肩袖損傷術(shù)后康復(fù)中的應(yīng)用[J].中醫(yī)正骨,2018,30(01):29-31.
　NING Yuan,SUN Fengfan,TONG Peijian.Application of electroacupuncture and rehabilitation exercises to postoperative rehabilitation of rotator cuff injuries[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(01):29-31.
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電針聯(lián)合康復(fù)鍛煉在肩袖損傷術(shù)后康復(fù)中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年01期
頁(yè)碼:
29-31
欄目:
臨床研究
出版日期:
2018-01-20

文章信息/Info

Title:
Application of electroacupuncture and rehabilitation exercises to postoperative rehabilitation of rotator cuff injuries
作者:
寧源1; 孫風(fēng)凡1; 童培建2
1.浙江中醫(yī)藥大學(xué),浙江 杭州 310053; 2.浙江省中醫(yī)院,浙江 杭州 310006
Author(s):
NING Yuan1; SUN Fengfan1; TONG Peijian2
1.Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China 2.Zhejiang Provincial Hospital of Traditional Chinese Medicine,Hangzhou 310006,Zhejiang,China
關(guān)鍵詞:
創(chuàng)傷和損傷;  肩關(guān)節(jié);  中醫(yī)康復(fù);  電針;  穴; 肩髃;  穴; 肩髎
Keywords:
Keywords wounds and injuries;  shoulder joint;  rehabilitation(TCM);  electroacupuncture;  Jianyu(LI15);  Jianliao(TE14)
摘要:
目的:探討電針聯(lián)合康復(fù)鍛煉用于肩袖損傷術(shù)后康復(fù)的臨床療效。方法:2015年3月至2016年9月,共收集肩袖損傷術(shù)后患者60例,隨機(jī)分為電針聯(lián)合康復(fù)鍛煉組和康復(fù)鍛煉組,每組30例。康復(fù)鍛煉組單純進(jìn)行康復(fù)鍛煉治療; 電針聯(lián)合康復(fù)鍛煉組,從術(shù)后第3天開始在康復(fù)鍛煉的基礎(chǔ)上行電針治療,取穴為肩前、肩髃、肩髎,每次30 min,隔日1次。共治療12周。分別于治療前、治療12周后,采用疼痛視覺模擬量表(visual analogue scale,VAS)評(píng)估患肩疼痛情況,采用Constant-Murley肩關(guān)節(jié)功能評(píng)分評(píng)價(jià)患肩功能。并對(duì)2組患者的評(píng)分進(jìn)行比較。結(jié)果:2組患者均順利完成治療。治療前2組患者肩關(guān)節(jié)疼痛VAS評(píng)分和Constant-Murley肩關(guān)節(jié)功能評(píng)分比較,組間差異均無(wú)統(tǒng)計(jì)學(xué)意義[(8.00±0.74)分,(7.97±0.67)分,t=-0.183,P=0.856;(48.13±3.35)分,(48.23±4.99)分,t=0.091,P=0.928]; 治療12周后,電針聯(lián)合康復(fù)鍛煉組肩關(guān)節(jié)疼痛VAS評(píng)分低于康復(fù)鍛煉組[(2.13±0.90)分,(3.20±0.66)分,t=5.224,P=0.000],Constant-Murley肩關(guān)節(jié)功能評(píng)分高于康復(fù)鍛煉組[(88.27±2.61)分,(82.23±3.54)分,t=-7.512,P=0.000]。結(jié)論:在康復(fù)鍛煉的基礎(chǔ)上,將電針用于肩袖損傷術(shù)后的康復(fù)治療,與單純進(jìn)行康復(fù)鍛煉相比,更有利于患肩疼痛的緩解和肩關(guān)節(jié)功能的恢復(fù)。
Abstract:
ABSTRACT Objective:To explore the clinical curative effects of electroacupuncture combined with rehabilitation exercises in the postoperative rehabilitation of rotator cuff injuries.Methods:Sixty patients with rotator cuff injuries were collected from March 2015 to September 2016,and were randomly divided into combination therapy group and monotherapy group,30 cases in each group.All patients took rehabilitation exercises.Moreover,the patients in combination therapy group were treated with electroacupuncture at Jianqian,Jianyu(LI15)and Jianliao(TE14)from the 3rd day after surgey,30 minutes at a time,one time every other day for consecutive 12 weeks.The shoulder pain were evaluated by using visual analogue scale(VAS)and the affected shoulder function were evaluated by using Constant-Murley shoulder scores before treatment and after 12-week treatment respectively,and the scores were compared between the 2 groups.Results:The treatment were finished successfully in all the patients.There was no statistical difference in shoulder pain VAS scores and Constant-Murley shoulder function scores between the 2 groups before the treatment(8.00+/-0.74 vs 7.97+/-0.67 points,t=-0.183,P=0.856; 48.13+/-3.35 vs 48.23+/-4.99 points,t=0.091,P=0.928).After 12-week treatment,the shoulder pain VAS scores was lower and the Constant-Murley shoulder function scores was higher in combination therapy group compared to monotherapy group(2.13+/-0.90 vs 3.20+/-0.66 points,t=5.224,P=0.000; 88.27+/-2.61 vs 82.23+/-3.54 points,t=-7.512,P=0.000).Conclusion:The combination therapy of electroacupuncture and rehabilitation exercises is more conducive to the shoulder pain relief and shoulder function recovery compared to the monotherapy of rehabilitation exercises for postoperative rehabilitation of rotator cuff injuries.

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通訊作者:童培建 E-mail:[email protected]
更新日期/Last Update: 2018-06-02