[1]罗建昌,郎伯旭.冻结肩针刀松解加手法分离术后早期功能体位对康复的影响[J].中医正骨,2012,24(11):14-16.
 LUO Jian-chang*,LANG Bo-xu..Effect of taking functional position early after operation acuptomy-relaxing operation and maneuver release on frozen shoulder rehabilitation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(11):14-16.
点击复制

冻结肩针刀松解加手法分离术后早期功能体位对康复的影响()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期数:
2012年11期
页码:
14-16
栏目:
临床研究
出版日期:
2012-11-20

文章信息/Info

Title:
Effect of taking functional position early after operation acuptomy-relaxing operation and maneuver release on frozen shoulder rehabilitation
作者:
罗建昌郎伯旭
浙江省台州市市立医院,浙江 台州 318000
Author(s):
LUO Jian-chang*LANG Bo-xu.
*Taizhou municipal hospital,Taizhou 318000,Zhejiang,China
关键词:
肩凝症 针刀 术后早期 功能体位
Keywords:
Frozen shoulder Small needle knife Functional position
摘要:
目的:探讨冻结肩患者针刀松解加手法分离术后早期采取肩关节功能体位在疾病康复中的作用。方法:将120例患者随机分为观察组60例和对照组60例。观察组术后6 h内交替进行患肩上举1 h、反手摸背1 h活动,反复3次; 对照组术后6 h内患肩保持中立位。术后对两组患者用Constant-Murley肩关节评分标准和杨树萱肩部功能活动评定进行评分。结果:两组治疗前后Constant-Murley评分比较差异均有统计学意义(P<0.01),而治疗后观察组评分大于对照组(P<0.01)。观察组治愈51例(85.00%),对照组治愈37例(61.67%),两组比较差异有统计学意义(P<0.01); 两组总有效率比较,差异无统计学意义(P>0.05); 肩关节活动功能评价及治愈所需时间方面比较,观察组均优于对照组(P<0.01)。结论:冻结肩针刀松解加手法分离术患者术后早期肩关节采取积极的功能体位能有效提高治愈率,加快患者康复速度,并能较大程度改善患者肩关节活动功能。
Abstract:
Objective:To explore the effect of taking functional position early after operation acuptomy-relaxing operation and maneuver release on frozen shoulder rehabilitation.Methods:120 patients were randomly divided into study group(n=60)and control group(n=60).1 hour shoulder lift and 1 hour backhand touch back were conducted alternatively for three times after operation in study group,neutral position were adopted in sick shoulder during 6 hours after operation in control group.The patients were evaluated with constant-murley shoulder score and Yang Shuxuan shoulder functional activities assessment.Results:Score in two groups before and after treatment had significant difference(P<0.01),while score in study group was higher than that in control group after treatment(P<0.01),51 cases were cured in study group(85%),37 cases in control group(61.67%),cure rate has significant difference(P<0.01)in two goups,while the total effective rate in two group has no significant difference(P>0.05),the study group was better than the control group(P<0.01)in terms of of shoulder function evaluation and healing time.Conclusion:Taking functional position early after acupotomy-relaxing operation could improve the cure rate of Frozen shoulder.

参考文献/References:

[1] 朱国文,吕一,金杰,等.臂丛麻醉下针刀C形解剖入路闭合松解术联合封闭治疗冻结肩[J].中医正骨,2010,22(6):56-57.
[2] 梁晓红,吴士振,张新根.臂丛麻醉下肩关节腔液压扩张、手法松解结合针刀治疗粘连性冻结肩[J].实用医学杂志,2009,25(8):1345.
[3] 刘燕,刘建新.神经阻滞与针刀配合功能锻炼治疗冻结肩63例[J].中国民间疗法,2009,12(1):29-30.
[4] 杨树萱.冻结肩康复体疗功能评定方案[J].中国康复医学杂志,1993,8(1):8-10.
[5] 王燕.肩关节周围炎松解术的手术配合功能锻炼[J].护理研究,2004,18(2B):322.
[6] 涂春兰,彭文,蒋学文.行小针刀治疗的肩周炎患者系统康复操锻炼效果观察[J].护理学报,2010,17(9B):33-35.

更新日期/Last Update: 2012-11-20