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[1]錢穎燕,壽利迪.腕踝針在肩袖損傷術(shù)后康復(fù)治療中的應(yīng)用[J].中醫(yī)正骨,2020,32(05):11-14.
　QIAN Yingyan,SHOU Lidi.Application of wrist-ankle acupuncture therapy to postoperative functional rehabilitation in patients with rotator cuff injuries[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2020,32(05):11-14.
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腕踝針在肩袖損傷術(shù)后康復(fù)治療中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期數(shù):
2020年05期
頁碼:
11-14
欄目:
臨床研究
出版日期:
2020-05-20

文章信息/Info

Title:
Application of wrist-ankle acupuncture therapy to postoperative functional rehabilitation in patients with rotator cuff injuries
作者:
錢穎燕; 壽利迪
(杭州市大江東醫(yī)院,浙江 杭州 311225)
Author(s):
QIAN Yingyan; SHOU Lidi
Dajiangdong Hospital of Hangzhou City,Hangzhou 311225,Zhejiang,China
關(guān)鍵詞:
腕踝針;  肩袖損傷;  肩袖修復(fù)術(shù);  關(guān)節(jié)鏡檢查;  康復(fù);  疼痛; 手術(shù)后
Keywords:
wrist-ankle acupuncture;  rotator cuff injury;  rotator cuff repair;  arthroscopy;  rehabilitation;  pain; postoperative
摘要:
目的:探討腕踝針在肩袖損傷術(shù)后康復(fù)治療中的應(yīng)用價(jià)值。方法:納入肩袖損傷肩關(guān)節(jié)鏡下肩袖修復(fù)術(shù)后患者80例,隨機(jī)分為腕踝針聯(lián)合康復(fù)訓(xùn)練組和康復(fù)訓(xùn)練組,每組40例。術(shù)后第1天開始,腕踝針聯(lián)合康復(fù)訓(xùn)練組患者進(jìn)行腕踝針治療和康復(fù)訓(xùn)練; 康復(fù)訓(xùn)練組患者單純進(jìn)行康復(fù)訓(xùn)練。腕踝針治療取患側(cè)上4穴和上5穴,留針30 min,隔日治療1次,治療6周后改為每3 d治療1次; 康復(fù)訓(xùn)練分制動康復(fù)訓(xùn)練期和保護(hù)康復(fù)訓(xùn)練期2個(gè)階段進(jìn)行; 共治療12周。分別于治療前及治療12周后,采用視覺模擬量表(visual analogue scale,VAS)對2組患者肩關(guān)節(jié)疼痛情況進(jìn)行評分; 采用Constant-Murley肩關(guān)節(jié)評分和美國加州大學(xué)洛杉磯分校(the University of California-Los Angeles,UCLA)肩關(guān)節(jié)評分對2組患者肩關(guān)節(jié)功能進(jìn)行評價(jià)。結(jié)果:2組患者均順利完成12周的康復(fù)治療。治療前,2組患者肩關(guān)節(jié)疼痛VAS評分及肩關(guān)節(jié)Constant-Murley評分、UCLA評分比較,組間差異均無統(tǒng)計(jì)學(xué)意義(t=-0.234,P=0.816; t=-0.950,P=0.345; t=-0.627,P=0.533)。治療12周后,2組患者肩關(guān)節(jié)疼痛VAS評分較治療前降低,肩關(guān)節(jié)Constant-Murley評分和UCLA評分均較治療前提高[腕踝針聯(lián)合康復(fù)訓(xùn)練組:(7.55±0.81)分,(0.88±0.79)分,t=1.207,P=0.000;(41.80±6.70)分,(90.95±4.64)分,t=8.737,P=0.000;(10.30±3.94)分,(31.53±2.82)分,t=4.288,P=0.000。康復(fù)訓(xùn)練組:(7.60±1.10)分,(2.40±0.81)分,t=1.305,P=0.000;(43.23±6.72)分,(88.90±3.54)分,t=7.976,P=0.000;(10.80±3.15)分,(30.20±2.39)分,t=4.290,P=0.000]; 且腕踝針聯(lián)合康復(fù)訓(xùn)練組肩關(guān)節(jié)疼痛VAS評分低于康復(fù)訓(xùn)練組,肩關(guān)節(jié)Constant-Murley評分和UCLA評分均高于康復(fù)訓(xùn)練組(t=-8.520,P=0.000; t=2.221,P=0.029; t=2.268,P=0.026)。結(jié)論:腕踝針聯(lián)合康復(fù)訓(xùn)練用于肩袖損傷術(shù)后患者的康復(fù)治療,可緩解患肩疼痛、改善患肩功能,且療效優(yōu)于單純康復(fù)訓(xùn)練。
Abstract:
Objective:To explore the applied values of wrist-ankle acupuncture therapy in postoperative functional rehabilitation in patients with rotator cuff injuries.Methods:Eighty patients who received arthroscopic rotator cuff repairing surgery for rotator cuff injuries were selected and randomly divided into combination therapy group and rehabilitation training group,40 cases in each group.From postoperative day 1,the patients in combination therapy group were treated with wrist-ankle acupuncture therapy and rehabilitation training; while the patients in rehabilitation training group were merely treated with rehabilitation training.The wrist-ankle acupuncture were performed on patients at upper area 4 and upper area 5,and the needles were retained for 30 minutes,1 time every other day followed by 1 time every 3 days after 6-week treatment for consecutive 12 weeks.The rehabilitation training continued for consecutive 12 weeks,including braking rehabilitation training period and protection rehabilitation training period.The shoulder pain was evaluated by using visual analogue scale(VAS)and the shoulder functions were evaluated by using Constant-Murley shoulder scores and the University of California-Los Angeles(UCLA)shoulder scores before treatment and after 12-week treatment respectively.Results:The 12-week rehabilitation treatment were finished successfully in all patients.There was no statistical difference in shoulder pain VAS scores,Constant-Murley scores and UCLA scores between the 2 groups before treatment(t=-0.234,P=0.816; t=-0.950,P=0.345; t=-0.627,P=0.533).The shoulder pain VAS scores decreased,while the Constant-Murley scores and UCLA scores increased after 12-week treatment compared to pre-treatment in the 2 groups(Combination therapy group:7.55+/-0.81 vs 0.88+/-0.79 points,t=1.207,P=0.000; 41.80+/-6.70 vs 90.95+/-4.64 points,t=8.737,P=0.000; 10.30+/-3.94 vs 31.53+/-2.82 points,t=4.288,P=0.000.Rehabilitation training group:7.60+/-1.10 vs 2.40+/-0.81 points,t=1.305,P=0.000; 43.23+/-6.72 vs 88.90+/-3.54 points,t=7.976,P=0.000; 10.80+/-3.15 vs 30.20+/-2.39 points,t=4.290,P=0.000),and the shoulder pain VAS scores were lower and the Constant-Murley scores and UCLA scores were higher in combination therapy group compared to rehabilitation training group(t=-8.520,P=0.000; t=2.221,P=0.029; t=2.268,P=0.026).Conclusion:The combination therapy of wrist-ankle acupuncture and rehabilitation training can relieve the affacted shoulder pain and improve the affacted shoulder function in patients who received surgery for rotator cuff injuries,moreover,its curative effect is better than that of monotherapy of rehabilitation training.

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(收稿日期:2019-10-28 本文編輯:楊雅)通訊作者:錢穎燕 E-mail:[email protected]
更新日期/Last Update: 2020-08-15