[1]张洋,莫文.液压扩张结合整肩三步九法治疗肩周炎的临床研究[J].中医正骨,2014,26(11):3-5.
　Zhang Yang*,Mo Wen.*.Clinical study on articular cavity hydraulic distension combined with three-step nine-manipulation in the treatment of frozen shoulder[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(11):3-5.
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液压扩张结合整肩三步九法治疗肩周炎的临床研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期数:
2014年11期
页码:
3-5
栏目:
临床研究
出版日期:
2014-11-30

文章信息/Info

Title:
Clinical study on articular cavity hydraulic distension combined with three-step nine-manipulation in the treatment of frozen shoulder
作者:
张洋; 莫文
上海中医药大学附属龙华医院,上海 200032
Author(s):
Zhang Yang*; Mo Wen.*
Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China
关键词:
肩凝症 液压扩张 肌肉骨骼手法 治疗; 临床研究性
Keywords:
Frozen shoulder;  Hydraulic distension;  Musculoskeletal manipulations;  Therapies; investigational
摘要:
目的:观察液压扩张结合整肩三步九法治疗肩周炎的临床疗效和安全性。方法:将纳入研究的90例肩周炎患者随机分为治 疗组和对照组,每组45例。治疗组采用液压扩张结合整肩三步九法治疗,对照组单纯采用液压扩张治疗,同时2组患者均进行功能 锻炼。液压扩张和整肩三步九法治疗均每周1次,连续治疗2次。分别于治疗前、治疗开始后7 d、14 d和30 d采用肩关节疼痛与 功能障碍指数评定患肩疼痛情况及功能。同时观察患者治疗期间并发症的发生情况。结果:①疗效评定结果。治疗前后不同时间 肩关节疼痛与功能障碍指数评分的差异有统计学意义,即存在时间效应[(80.15±2.73)分,(41.79±3.14)分, (18.97±1.48)分,(9.35±1.79)分;(79.88±2.65)分,(57.24±1.91)分,(33.85±1.33)分, (19.06±2.42)分; F=3 078.93,P=0.000]; 2组患者肩关节评分的组间差异总体上有统计学意义,即存在分组效应(F=11 048.96,P=0.000); 治疗前和治疗开始后14 d,2组患者评分比较,差异均无统计学意义(t=0.406,P=0.686; t=-1.289,P=0.197); 治疗开始后7 d和30 d,治疗组评分均低于对照组(t=-18.179,P=0.000; t=8.366,P=0.000); 时间因素和分组因素之间存在交互 效应(F=174.434,P=0.000)。②安全性评定结果。在采用整肩三步九法松解关节黏连的过程中,治疗组有部分患者因肩部疼痛,出 现一过性眩晕感,经休息后缓解。结论:液压扩张结合整肩三步九法可迅速减轻患者的疼痛症状、改善肩关节功能,疗效优于单纯 液压扩张疗法,而且具有较高的安全性,值得临床推广应用。
Abstract:
Objective:To observe the clinical curative effects and safety of articular cavity hydraulic distension combined with three-step nine-manipulation(TSNM)in the treatment of frozen shoulder.Methods:Ninty patients with frozen shoulder enrolled in the study were randomly divided into treatment group and control group,45 case in each group.The patients in treatment group were treated with articular cavity hydraulic distension combined with TSNM,while the others in control group were treated with the monotherapy of articular cavity hydraulic distension,meanwhile,the functional exercises were performed on patients in both of the 2 groups.The articular cavity hydraulic distension and TSNM were performed once a week for consecutive 2 weeks.The pain and function of shoulder were evaluated according to shoulder pain and disability index(SPADI)before the treatment and at the 7th,14th and 30th day after the beginning of the treatment respectively.Meanwhile,the complications were observed.Results:There was statistical difference in SPADI between different timepoints before and after the treatment,in other words,there was time effect(80.15+/-2.73,41.79+/-3.14,18.97+/-1.48,9.35+/-1.79 points; 79.88+/-2.65,57.24+/-1.91,33.85+/-1.33,19.06+/-2.42 points; F=3 078.93,P=0.000).There was statistical difference in SPADI between groups in general,in other words,there was group effect(F=11 048.96,P=0.000).There was no statistical difference in SPADI between the 2 groups before treatment and at 14th day after the beginning of the treatment(t=0.406,P=0.686; t=-1.289,P=0.197),and the SPADI of treatment group was lower than that of control group at 7th and 30th day after the beginning of the treatment(t=-18.179,P=0.000; t=8.366,P=0.000).There was interaction between time factor and group factor(F=174.434,P=0.000).The transient vertiginous sensation was induced by pain in some patients of treatment group when TSNM were performed,while the symptoms were relieved after rest.Conclusion:The therapy of articular cavity hydraulic distension combined with TSNM can rapidly relieve the pain and improve the function of shoulder joint in patients with frozen shoulder,and it surpasses the monotherapy of articular cavity hydraulic distension in curative effect,meanwhile it has high safety,so it is worthy of popularizing in clinic.

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备注/Memo

备注/Memo:
基金项目:上海申康医院发展中心市级医院适宜技术联合开发推广应用项目(SHDC12012205)
通讯作者:莫文 E-mail:mw2218@hotmail.com
更新日期/Last Update: 2014-11-30